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BMC Emergency Medicine

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Open Access 01-12-2020 | Non-Invasive Ventilation | Research article

Early detection of non-invasive ventilation failure among acute respiratory failure patients in the emergency department

Authors: W. Liengswangwong, C. Yuksen, T. Thepkong, P. Nakasint, C. Jenpanitpong

Published in: BMC Emergency Medicine | Issue 1/2020

Abstract

Background

Non-invasive mechanical ventilation (NIV) has become an alternative to an invasive artificial airway for the management of acute respiratory failure (ARF). NIV failure causes delayed intubation, which eventually has been associated with increased morbidity and mortality. This study aimed to develop the clinical scoring system of NIV failure in ARF patients.

Methods

This study was a diagnostic, retrospectively cross-sectional, and exploratory model at the Emergency Medicine Department in Ramathibodi Hospital between February 2017 and December 2017. We included all of the acute respiratory failure patients aged > 18 years and received non-invasive ventilation (NIV). Clinical factors associated with NIV failure were recorded. The predictive model and prediction score for NIV failure were developed by multivariable logistic regression analysis.

Result

A total of 329 acute respiratory failure patients have received NIV success (N = 237) and failure (N = 92). This study showed that NIV failure was associated with heart rate > 110 bpm, systolic BP < 110 mmHg, SpO2 < 90%, arterial pH < 7.30 and serum lactate. The clinical scores were classified into three groups: low, moderate, and high.

Conclusion

We suggested that the novel clinical scoring of the NIV failure in this study may use as a good predictor for NIV failure in the emergency room.

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Title: Early detection of non-invasive ventilation failure among acute respiratory failure patients in the emergency department
Authors: W. Liengswangwong
C. Yuksen
T. Thepkong
P. Nakasint
C. Jenpanitpong
Publication date: 01-12-2020
Publisher: BioMed Central
Keyword: Non-Invasive Ventilation
Published in: BMC Emergency Medicine / Issue 1/2020
Electronic ISSN: 1471-227X
DOI: https://doi.org/10.1186/s12873-020-00376-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Early detection of non-invasive ventilation failure among acute respiratory failure patients in the emergency department

Abstract

Background

Methods

Result

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Result

Conclusion

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