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RESULTS OF TREATMENT AND FACTORS ASSOCIATED WITH OUTCOMES OF CHILDREN BEYON NEONATAL REQUIRED MECHANICAL VENTILATION AT THE PEDIATRICS CENTER-BACH MAI HOSPITAL
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Abstract
Objective: To evaluate the results of mechanical ventilation treatment and factors associated with treatment outcomes of children who required mechanical ventilation at Pediatric Center - Bach Mai Hospital from 2018 to 2022. Subjects: 265 children aged beyond the neonatal age who received mechanical ventilation at the Pediatric Center - Bach Mai Hospital from January 2018 to December 2022. Methods: retrospective descriptive study. Results: There were 265 children with an average age was 8,1 ± 5,2 years. Among them, 37,4% had underlying conditions; 31,3% required non-invasive mechanical ventilation, 17,0% needed invasive mechanical ventilation after failing non-invasive ventilation, and 51,7% required immidiate invasive mechanical ventilation. The most common ventilation modes were SIMV (82,6%) and A/C (7,6%), the weaning success rate was 87,3%. Several risk factors associated with an increased risk of unsuccessful weaning included having underlying conditions and multi-organ failure. Children with underlying conditions had a 3,41 times higher risk of unsuccessful weaning compared to those without underlying conditions. Conclusion: Patients ≥ 10 years old, with underlying diseases increase the mortality rate in patients on mechanical ventilation. The mechanical ventilation method that reduces the mortality rate the most among the modes is SIMV. Most patients are successfully weaned off the machine. It is very important to pay attention to children with underlying medical conditions and treatment of ventilated patients.
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Keywords
mechanical ventilation, pediatric ventilation, pathological mechanical ventilation.
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