Current Status of Noninvasive Ventilation Use in Korean Intensive Care Units: A Prospective Multicenter Observational Study / 결핵
Tuberculosis and Respiratory Diseases
; : 242-250, 2019.
Article
在 En
| WPRIM
| ID: wpr-761946
Responsible library:
WPRO
ABSTRACT
BACKGROUND: Data on noninvasive ventilation (NIV) use in intensive care units (ICUs) are very limited in South Korea. METHODS: A prospective observational study was performed in 20 ICUs of university-affiliated hospitals from June 2017 to February 2018. Adult patients (age>18 years) who were admitted to the ICU and received NIV treatment for acute respiratory failure were included. RESULTS: A total of 156 patients treated with NIV were enrolled (mean age, 71.9±11.6 years). The most common indications for NIV were acute hypercapnic respiratory failure (AHRF, n=89) and post-extubation respiratory failure (n=44). The main device for NIV was an invasive mechanical ventilator with an NIV module (61.5%), and the majority of patients (87.2%) used an oronasal mask. After the exclusion of 32 do-not-resuscitate patients, NIV success rate was 68.5% (85/124); ICU and hospital mortality rates were 8.9% and 15.3%, respectively. However, the success rate was lower in patients with de novo respiratory failure (27.3%) compared to that of patients with AHRF (72.8%) or post-extubation respiratory failure (75.0%). In multivariate analysis, immunocompromised state, de novo respiratory failure, post-NIV (2 hours) respiratory rate, NIV mode (i.e., non-pressure support ventilation mode), and the change of NIV device were significantly associated with a lower success rate of NIV. CONCLUSION: AHRF and post-extubation respiratory failure were the most common indications for NIV in Korean ICUs. Overall NIV success was achieved in 68.5% of patients, with the lowest rate in patients with de novo respiratory failure.
Key words
全文:
1
索引:
WPRIM
主要主题:
Respiratory Insufficiency
/
Ventilation
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Ventilators, Mechanical
/
Multivariate Analysis
/
Prospective Studies
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Hospital Mortality
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Critical Care
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Respiratory Rate
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Noninvasive Ventilation
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Observational Study
研究类型:
Clinical_trials
/
Observational_studies
/
Risk_factors_studies
限制:
Adult
/
Humans
国家/地区名称主题:
Asia
语言:
En
期刊:
Tuberculosis and Respiratory Diseases
年:
2019
类型:
Article