6 6 6 6.6 6.0 Malaysia Registry of Intensive Care 2015
57
SECTION C:
INTERVENTIONS
1. Non-invasive ventilation 2. Invasive ventilation
3. Reintubation 4. Tracheostomy
5. Renal replacement therapy 6. WithdrawalWithholding therapy
58
Table 23 : Invasive ventilation, non-invasive ventilation and reintubation,
by category of ICU 2015
ICUs Adm 1000
n Adm 500 - 999
n Adm 500
n UMMC
n Total
n Invasive
ventilation 18366
74.6 5741
75.2 4264
70.6 929
71.8
29300 74.0
Non-invasive ventilation
4603 18.7
1645 21.6
887 14.7
388 30.1
7523 19.0
Reintubation
1237 6.7
354 6.2
200 4.7
85 9.2
1876 6.4
Non-invasive ventilation Refers to the continuous use of a non-invasive ven
tilator for ≥ 1 hour during ICU stay Reintubation
Refers to reintubation after intended or accidental extubation
The reintubation rate for MOH hospitals was 6.3 in 2015.
Figure 14 :
Invasive ventilation, by category of ICU 2015
10 20
30 40
50 60
70 80
90 100
≥1000 admission
500-999 admission
500 admission
UMMC P
e rc
e n
tage o
f a d
m is
si o
n ...
...
Without Invasive Ventilation
75 and 72 of ICU admissions in MOH hospitals and UMMC received invasive mechanical ventilation respectively.
59
Figure 15 : Non-invasive ventilation, by category of ICU 2015
10 20
30 40
50 60
70 80
90 100
≥1000 admission 500-999 admission 500 admission UMMC
P er
ce n
tag e o
f ad m
is si
o n
......
Without Non invasive
ventilation
Figure 16 : Non-invasive ventilation, MOH hospitals 2005
– 2015
5.1 4.7
11.4 12.1
14.3 21.7
22.3
14.4 13.3
18.6 18.6
5 10
15 20
25
2005 2006
2007 2008
2009 2010
2011 2012
2013 2014
2015 Year
P er
ce n
tag e o
f n o
n -i
n v
as iv
e v en
ti lat
io n
...... ......
The percentage of patients receiving non-invasive ventilation in MOH ICUs increased by almost six fold from 3.7 in 2004 to 22.3 in 2013. This percentage decreased to 18.6 in
2014 and 2015. 30 of ICU admissions in UMMC received non-invasive ventilation.
60
Figure 17 :
Reintubation, by category of ICU 2015
10 20
30 40
50 60
70 80
90 100
Adm ≥ 1000 Adm 500-999
Adm 500 UMMC
P e
r c
e n
tage o
f a d
m is
s io
n ...
...
Reintubation No reintubation
Figure 18 :
Reintubation, MOH hospitals 2004 – 2015
6.3 8.7
9.5 10.3
8.8 9.8
6.7 6.9
6.6 6.9
6.3 6.4
2 4
6 8
10 12
2004 2005
2006 2007
2008 2009
2010 2011
2012 2013
2014 2015
Year
P e
rc e
n tag
e o
f ad m
is si
o n
s......
The overall reintubation rate in MOH participating centres and UMMC in 2015 was 6.3 and 9.2 respectively.
61
Table 24 : Duration of invasive mechanical ventilation, by individual hospital
2011
– 2015
Hospital Mean + SD days
2011 2012
2013 2014
2015
AS 3.6 + 4.8
4.8 6.0 4.1 5.5
3.9 5.5 3.8 5.0
PP 5.1 + 7.1
5.2 7.8 5.4 7.0
5.5 7.1 5.9 8.4
IPH 5.3 + 7.2
5.1 6.7 5.2 8.2
3.8 6.4 5.7 8.5
KL 3.9 + 5.8
4.5 7.1 4.4 7.4
4.6 7.1 5.2 8.3
SLG 4.5 + 6.3
4.9 5.9 4.3 5.4
4.8 6.4 5.7 9.0
KLG 2.9 + 4.3
2.7 4.5 2.5 5.7
2.5 3.9 3.0 5.5
SBN 5.1 + 7.4
4.9 6.8 6.1 8.9
5.1 7.1 5.7 7.5
MLK 4.0 + 1.7
4.3 5.7 4.6 6.7
4.9 6.9 4.4 6.2
JB 4.8 + 6.3
4.9 6.2 4.3 5.5
5.1 6.6 5.1 6.0
KTN 4.9 + 7.1
5.6 6.9 5.0 6.5
5.1 8.2 5.7 8.7
KT 3.5 + 4.6
3.4 4.6 3.9 4.9
3.8 4.9 3.5 5.8
KB 3.9 + 7.3
3.6 6.3 4.0 6.6
3.8 6.4 5.2 11.2
KCH 5.4 + 7.4
5.0 7.2 4.4 6.6
3.7 6.2 4.1 6.1
KK 5.2 + 7.0
5.5 7.2 5.9 8.8
5.3 9.0 6.3 13.2
SP 3.9 + 5.3
3.9 4.0 4.3 5.9
4.2 6.2 4.1 6.1
PJY 3.3 + 5.5
3.1 4.9 3.5 5.4
3.6 6.9 3.5 5.6
MUR 5.1 + 8.1
3.8 6.8 2.9 4.4
3.5 5.1 3.2 5.5
TI 3.7 + 5.8
4.0 8.0 2.5 3.0
2.4 3.0 1.8 2.8
TPG 7.3 + 9.6
5.2 8.0 4.1 5.3
4.6 6.8 5.6 7.4
SJ 4.0 + 6.3
4.3 7.2 6.4 9.7
5.5 2.6 5.0 7.2
KJG 4.8 + 15.3
4.9 7.3 4.1 5.0
4.5 5.5 3.5 4.8
KGR 3.5 + 6.3
3.8 6.5 3.6 7.0
3.5 5.2 3.7 4.5
SJMC 2.9 + 4.7
2.5 4.1 4.8 5.1
2.9 3.2 -
TML 5.5 + 8.9
4.9 6.7 4.6 8.2
4.7 6.6 4.8 6.3
KP 5.6 + 8.2
5.0 7.5 4.9 7.0
4.3 5.9 4.3 6.4
SMJ 3.0 + 4.9
3.2 4.1 2.9 4.3
2.6 4.0 2.6 4.9
BP 4.4 + 6.1
5.2 6.4 4.4 6.0
4.4 5.1 3.7 4.5
TW 2.9 + 3.9
3.2 6.3 4.1 6.3
4.1 6.1 3.8 7.0
MRI 4.6 + 5.3
4.7 5.4 4.4 5.3
4.2 5.5 4.8 5.3
KLM 3.6 + 5.6
3.3 4.3 3.2 4.8
3.2 4.8 3.9 5.4
SDG 4.6 + 6.0
4.5 5.4 4.3 6.1
4.3 6.9 5.4 8.2
SB 5.1 + 7.0
5.3 9.1 5.5
7.7 6.2 6.8
4.4 7.5 DKS
6.3 + 11.2 5.2 8.1
4.3 6.2 3.3 5.2
5.0 8.1 SI
7.1 + 13.6 5.9 10.3
5.5 8.7 4.9 8.0
4.9 8.1 SBL
6.2 + 7.0 5.7 6.3
5.8 7.6 5.4 5.5
5.1 5.7 AMP
5.1 + 7.7 4.4 5.9
4.8 6.3 4.9 6.6
4.0 5.4 LIK
1.8 + 2.2 3.6 5.2
2.7 3.8 3.2 6.1
3.9 8.1 UMMC
- 8.1 11.4
6.0 8.2 6.1 8.8
6.4 9.3 LKW
- 4.2 7.6
4.2 5.9 4.1 4.5
3.6 3.8
62
BM -
- 6.2 9.1
6.6 6.4 4.9 6.2
SLR -
5.3 6.3 5.7 8.1
6.6 10.0 7.5 15.7
PD -
2.8 3.4 2.7 3.0
3.9 9.5 3.0 3.6
KKR -
4.8 6.3 5.3 7.6
5.4 8.0 3.6 5.1
SGT -
4.3 7.1 3.0 4.0
2.5 2.5 2.4 2.5
TM -
- 3.7 4.6
4.7 6.6 3.3 4.3
KEM -
- 3.1 2.2
5.2 6.1 2.9 2.6
KLP -
- 2.1 4.0
3.3 4.7 5.0 8.5
LAB -
4.6 6.6 3.8 5.2
4.3 5.3 5.3 6.2
KEN -
- 6.7 9.8
5.2 5.7 4.2 7.7
BIN -
6.2 8.3 4.3 5.0
3.9 4.6 3.8 5.3
LD -
5.2 14.0 5.4 6.7
5.1 5.6 6.4 9.7
Total 4.6 + 7.1
4.5 6.8 4.5 6.6