Many patients experience emotional burdens in response to these prolonged requirements, including worry about complications, fear of hypoglycemia, feeling of guilt regarding uncontrolled blood glucose, and depressed mood [ 2].
Prolonged requirements for life support therapies (mechanical ventilation, inotropes/vasopressors, or acute dialysis) and a limited number of pre-existing co-morbidities (immunosuppression and, to a lesser extent, patient age) were predictors of increased hospital mortality.
In cardiac surgery, postoperative bleeding is associated with an increased incidence of surgical re-exploration to identify the source of bleeding; increased use of blood; significant morbidity such as renal failure, sepsis, arrhythmias, prolonged requirement for mechanical ventilatory support and longer hospital stay; and increased mortality [ 4- 8].
Statistical handling of this situation is difficult, i.e. which is the "true" explanatory factor: gender or prolonged oxygen requirements.
This study assessing bronchoalveolar lavage fluid showed that a greater severity of inhalation injury is associated with a greater degree of alveolar neutrophilia, prolonged ventilator requirements, longer stay in both the intensive care unit and the hospital, and enhanced pulmonary inflammatory mediator production [ 2].
Currently available anti-mycobacterial therapy has poor compliance due to requirement of prolonged treatment resulting in accelerated emergence of drug resistant strains.
Low alkaline phosphatase activity on post-operative day 1 is independently associated with increased requirement for vasoactive/inotropic medication, prolonged intubation time, and prolonged hospital stay with a trend towards increased odds of cardiac arrest or death.
Five patients were excluded from the study due to general anaesthesia requirement caused by prolonged surgery.
In addition, we defined serious adverse events as those events that led to: death, life-threatening conditions, notable disability, prolonged hospital stay, or a requirement of hospitalization for therapy.
Such a conclusion however is paradoxical for just as using too brief a recovery period degrades an environment, so too can prolonged recovery periods going beyond the physiological requirements of grass plants to prolonged rest (Savory 1999).
All incomplete follow-ups were due to consent withdrawal (Fig. 1) following prolonged absence, mainly because of work requirement in forest fields.
