(12.7% were of a non-invasive ventilation before intubation univariate analysis. Total SOFA score was h Days ago in patients ventilated C7 (P.001 Co morbidity t index and the functional activity of t showed no difference .. A logistic regression analysis identified a total SOFA score (OR 1.1, 95% CI: 1.05 1.15 p 0.001, non-invasive respiratory failure (OR 2.2 95% KU-55933 ATM inhibitor CI: 1.3 3.7 P …. 003 pr as independent Independent variables predictive of long-term mechanical ventilation, we CONCLUSION k no definitive conclusions can from this vorl ufigen report, however, is an interesting result Prognosef ability for variables related to acute process without the predictive power of other variables related to the baseline. PROCESSING IN FINLAND 0657 acute respiratory insufficiency Intensive Care Unit, S (FINNALI FOR FINNALI study group Linko1 Okkonen1 Mr.
R., T. Varpula1, J. Perttila ¨ 2, E. Ruokonen3, BI 2536 755038-02-9 J. Tenhunen4, T. Ala Kokko5, V. Pettila ¨ a 1Dept. for An sthesiologie and CCM, Helsinki University Hospital, Helsinki, 2Dept. for An sthesiologie and ICM, University Hospital of Turku, Turku, 3Dept. ICM, Kuopio University Hospital, Kuopio, 4Dept. ICM, University of Tampere H Pital, Tampere, 5Dept. was from ICM, Oulu University Hospital, Oulu, Finland Introduction. recommendations of ventilation with low tidal volume poorly accepted in clinical practice. We evaluated the adherence to the ground conversions of lung ventilation in Finnish intensive care unit, see METHODS. prospective cohort study of acute respiratory failure (IRA 25 Finnish ICU, s has been defined for 8 weeks (June 10, 2007 16 April.
ARF with the need for invasive respiratory or non-invasive positive pressure for more than 6 hours. The national database for the results of data collection in 2670 .. Intensive Care Unit recordings were used to evaluated. ventilatory support in the year was 1319 shots (49% required. 958 patients fulfilled our criteria for ARF. 775 (81% were invasive in vented her hospital admission and mortality t was 22.6%. TABLE 1 MAIN FEATURES of the patients, the median (interquartile range, N (% surviving patients who died P value Number of patients 600 175 SAPS II 39 (60 29.51 ( 49.71 \ 0.001 PaO2/FiO2 ratio ratio at admission 38 (27.49 30 (19, 41 \ .001 spontaneous triggering tion 494 (82 137 (0.103 78 TV / K predicted body weight 8.7 (7.6,9.9 8, 5 (7.6,9.9 0.738 pressure plate 19 (16.
22 20 (16.24 0.062 PEEP 6.0 (5.0,8.0 6.0 (5.0,8.0 0,612 static compliance-48 (38 37.61 (32.53 \ 0, 01 ICU LOS 3.2 (1.7,6.6 3.1 (1.5,7.4 0.589 CONCLUSION. Most patients with invasive ventilation and ventilatory mode with a treated spontaneous outburst. tidal volumes were more than recommended. However, tidal volume with no hospital mortality t associated. plateau pressures were lower than recommended. The overall mortality t was less than the recent ARF / ALI studies. Acknowledgments GRANT. TYH7250 EVO grant from Helsinki University Hospital Research Foundation and instruments. IMPACT 0658, pr predisposing factors and outcome of acute lung injury Finnish resuscitation (FINNALI Mr. Okkonen1, R. Linko1, T. Varpula1, J. Perttila ¨ 2, E. Ruokonen3, J. Tenhunen4, T. Ala Kokko5, V.
Pettila ¨ a 1Dept. for An sthesiologie and ICM , Helsinki University Hospital, Helsinki, 2Dept. of An sthesiologie and ICM, University Hospital of Turku, Turku, 3Dept. from the ICM, Kuopio University Hospital, Kuopio, 4Dept. from the ICM, Tampere University Hospital, Tampere, 5Dept. from the ICM, Oulu University Hospital, Oulu, Finland INTRODUCTION incidence., pr predisposing factors and their impact on the outcome of acute lung injury (IRA has varied in previous studies. Knowledge of these variables is essential in the process of developing new therapies and planning the future resources of the MHI. METHODS. prospective cohort study of acute respiratory failure (ARF patients in the ICU. ARF was defined as a necessity for any form of positive pressure.
The national database of quality t in the ICU was for data collection results uses. for 8 weeks (June 10, 2007 April 16, 2670 admissions to 25 Finnish intensive care units in the presence of ARF were screened. ventilatory support for more than 6 hours, 1033 (39% of admissions in the ICU 958 patients. Bev lkerung based Incidence of ARI was 120/100 000/year ICU mortality was 12.3% t and t required hospital mortality of 23.8% Table 1.. factors predisposing pr AND THEIR effects on mortality t H Hospital Pr prevalence pr predisposing factors (% or hospital mortality (95% CI pneumonia 114 (11.9 NS 192 heart failure (20 2, 73 (1.90 3.94 136 sepsis (14.2 2.25 (1 , 48 3.42 64 trauma (6.7 NS obesity (BMI [35 76 (7.9 NS alcohol-related diseases (acute 117 (12.2 NS alcohol-related diseases (126 chronic (13.1 NS independent ngiger Pr predictor for the Mortality t in h Pital CONCLUSION. acute heart failure and sepsis with an increased Hten mortality t associated ARF predict h Pital. thanksgiving GRANT. EVO grant from Helsinki University Hospital and instruments scientific basis. AUDIT 0659 the practice of VENTILATION Jackson1 RJH ICU, NVE Freeman2, JJ Paddle2, GM