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Control group: 153 patients were ventilated from December 2006 to November 2007, with a mean ventilation time of 10.8 ± 2.2 days, as 41 patients were with VAP, 27.3% of VAP with 53.3% mortality.
Three RCTs compared 45° bed head elevation (treatment group) with respectively 25° [ 19], 10° [ 20], or 0° [ 8] elevations (control groups) in adult ventilated ICU patients with a mean ventilation time varying from 4 days [ 19] to 7 days [ 8].
Group 1: 149 patients were ventilated from December 2007 to November 2008, with a mean ventilation time of 8.3 ± 2.3 days, as 13 patients were with VAP, 8.7% of VAP with 42% mortality.
Group 2: 130 patients were ventilated from December 2008 to November 2009, with a mean ventilation time of 7 ± 2 days, as two patients were with VAP, 1.5% of VAP with 41.5% mortality.
Thirty-six patients had CMV with mean ventilation time of 239 days (range 125 753 days).
Mean ventilation time was 4 hours.
Similar(53)
Both groups had a mean mechanical ventilation time and reasos of ICU admission similar, APACHE-II was higher in PDgroup (19.00 vs 26.6 points) and age (61.71 vs 66.71 years).
The mean mechanical ventilation time after procedure was 12.4 days.
The mean patient ventilation time for mechanical AV was >48 hours, and for manual AV was >24 hours.
Despite this, the mean ICU stay was lower in the intervention group as compared with the control group, 2.5 (±3.4) vs. 3.4 (±3.8) days, p = 0.003; as was the mean mechanical ventilation time 0.84 (±0.16) vs. 4.16 (±1.47), p = 0.005.
The mean mechanical ventilation time was 10 ± 9 days, the intensive care length of stay was 12 ± 8 days and the hospital length of stay was 28 ± 14 days.
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