The need for a regional weaning centre, a one-year survey of intensive care weaning delay in the Northern Region of England

Anaesthesia. 2003 Feb;58(2):161-5. doi: 10.1046/j.1365-2044.2003.02964_1.x.


Over a period of one year, a weekly telephone survey identified 161 stable patients with weaning delay (defined as patients ventilated for at least 6 h per day for more than 2 weeks) in intensive care units in the Northern Region of England. Their median age was 69 years (range 21-88 years). Sixty patients (37%) were admitted with medical conditions, 89 (55%) were postoperative patients, whereas 12 (8%) were surgical but required non-operative admission. One hundred and thirty (89%) were weaned and discharged from the intensive care unit during the year. Twenty-two (14%) died and two were transferred to the home ventilation service. Seven patients remained ventilated in intensive care at the end of the study period. Twenty patients (12%) required more than 28 days of respiratory support. These patients occupied on average 6.0% of available intensive care unit beds in the region. This study suggests that in the Northern Region of England there are a significant number of stable but ventilator-dependent patients occupying intensive care beds.

MeSH terms

  • Adult
  • Age Distribution
  • Aged
  • Aged, 80 and over
  • Critical Care / statistics & numerical data*
  • England
  • Health Care Surveys
  • Health Facility Planning / statistics & numerical data*
  • Health Services Needs and Demand*
  • Health Services Research
  • Humans
  • Length of Stay / statistics & numerical data
  • Middle Aged
  • Postoperative Care / statistics & numerical data
  • Ventilator Weaning / statistics & numerical data*