[Predictive factors for failure of continuous positive airway pressure treatment in infants with bronchiolitis].
Zhongguo Dang Dai Er Ke Za Zhi
; 22(4): 339-345, 2020 Apr.
Article
en Zh
| MEDLINE
| ID: mdl-32312372
ABSTRACT
OBJECTIVE:
To study the predictive factors for the failure of continuous positive airway pressure (CPAP) treatment in infants with bronchiolitis.METHODS:
A retrospective analysis was performed on the clinical data of 310 hospitalized children (aged 1-12 months) with bronchiolitis treated with CPAP. Their clinical features were compared between the successful treatment group (270 cases) and the failed treatment group (40 cases). A multivariate logistic regression analysis was used to explore the predictive factors for failure of CPAP treatment.RESULTS:
The multivariate logistic regression analysis showed that the score of the Pediatric Risk of Mortality III (PRISM III) ≥10 (OR=13.905), development of atelectasis (OR=12.080), comorbidity of cardiac insufficiency (OR=7.741), and no improvement in oxygenation index (arterial partial pressure of oxygen/fraction of inhaled oxygen, P/F) after 2 hours of CPAP treatment (OR=34.084) were predictive factors for failure of CPAP treatment for bronchiolitis (P<0.05). In predicting CPAP treatment failure, no improvement in P/F after 2 hours of CPAP treatment had an area under the receiver operating characteristic curve of 0.793, with a sensitivity of 70.3% and a specificity of 82.4% at a cut-off value of 203.CONCLUSIONS:
No improvement in P/F after 2 hours of CPAP treatment, PRISM III score ≥10, development of atelectasis, and comorbidity of cardiac insufficiency can be used as predictive factors for CPAP treatment failure in infants with bronchiolitis.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Bronquiolitis
/
Presión de las Vías Aéreas Positiva Contínua
Tipo de estudio:
Observational_studies
/
Prognostic_studies
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Risk_factors_studies
Límite:
Humans
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Infant
/
Newborn
Idioma:
Zh
Revista:
Zhongguo Dang Dai Er Ke Za Zhi
Año:
2020
Tipo del documento:
Article
País de afiliación:
China