Ten-year evolution of mechanical ventilation in acute respiratory failure in the hematogical patient admitted to the intensive care unit
Copyright © 2012 Elsevier España, S.L. and SEMICYUC. All rights reserved..
OBJECTIVE: A comparison was made between invasive mechanical ventilation (IMV) and noninvasive positive pressure ventilation (NPPV) in haematological patients with acute respiratory failure.
DESIGN: A retrospective observational study was made from 2001 to December 2011.
SETTING: A clinical-surgical intensive care unit (ICU) in a tertiary hospital.
PATIENTS: Patients with hematological malignancies suffering acute respiratory failure (ARF) and requiring mechanical ventilation in the form of either IMV or NPPV.
VARIABLES OF INTEREST: Analysis of infection and organ failure rates, duration of mechanical ventilation and ICU and hospital stays, as well as ICU, hospital and mortality after 90 days. The same variables were analyzed in the comparison between NPPV success and failure.
RESULTS: Forty-one patients were included, of which 35 required IMV and 6 NPPV. ICU mortality was higher in the IMV group (100% vs 37% in NPPV, P=.006). The intubation rate in NPPV was 40%. Compared with successful NPPV, failure in the NPPV group involved more complications, a longer duration of mechanical ventilation and ICU stay, and greater ICU and hospital mortality. Multivariate analysis of mortality in the NPPV group identified NPPV failure (OR 13 [95%CI 1.33-77.96], P=.008) and progression to acute respiratory distress syndrome (OR 10 [95%CI 1.95-89.22], P=.03) as prognostic factors.
CONCLUSION: The use of NPPV reduced mortality compared with IMV. NPPV failure was associated with more complications.
| Errataetall: |
CommentIn: Med Intensiva. 2013 Oct;37(7):441-2. - PMID 23582145 |
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| Medienart: |
E-Artikel |
| Erscheinungsjahr: |
2013 |
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| Erschienen: |
2013 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:37 |
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| Enthalten in: |
Medicina intensiva - 37(2013), 7 vom: 26. Okt., Seite 452-60 |
| Sprache: |
Spanisch |
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| Weiterer Titel: |
Evolución de 10 años de aplicación de la ventilación mecánica en la insuficiencia respiratoria aguda del paciente hematológico ingresado en la unidad de cuidados intensivos |
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| Beteiligte Personen: |
Belenguer-Muncharaz, A [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Completed 04.08.2014 Date Revised 09.12.2020 published: Print-Electronic CommentIn: Med Intensiva. 2013 Oct;37(7):441-2. - PMID 23582145 Citation Status MEDLINE |
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| doi: |
10.1016/j.medin.2012.12.011 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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NLM229502652 |
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| 245 | 1 | 0 | |a Ten-year evolution of mechanical ventilation in acute respiratory failure in the hematogical patient admitted to the intensive care unit |
| 246 | 3 | 3 | |a Evolución de 10 años de aplicación de la ventilación mecánica en la insuficiencia respiratoria aguda del paciente hematológico ingresado en la unidad de cuidados intensivos |
| 264 | 1 | |c 2013 | |
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| 500 | |a Date Completed 04.08.2014 | ||
| 500 | |a Date Revised 09.12.2020 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a CommentIn: Med Intensiva. 2013 Oct;37(7):441-2. - PMID 23582145 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2012 Elsevier España, S.L. and SEMICYUC. All rights reserved. | ||
| 520 | |a OBJECTIVE: A comparison was made between invasive mechanical ventilation (IMV) and noninvasive positive pressure ventilation (NPPV) in haematological patients with acute respiratory failure | ||
| 520 | |a DESIGN: A retrospective observational study was made from 2001 to December 2011 | ||
| 520 | |a SETTING: A clinical-surgical intensive care unit (ICU) in a tertiary hospital | ||
| 520 | |a PATIENTS: Patients with hematological malignancies suffering acute respiratory failure (ARF) and requiring mechanical ventilation in the form of either IMV or NPPV | ||
| 520 | |a VARIABLES OF INTEREST: Analysis of infection and organ failure rates, duration of mechanical ventilation and ICU and hospital stays, as well as ICU, hospital and mortality after 90 days. The same variables were analyzed in the comparison between NPPV success and failure | ||
| 520 | |a RESULTS: Forty-one patients were included, of which 35 required IMV and 6 NPPV. ICU mortality was higher in the IMV group (100% vs 37% in NPPV, P=.006). The intubation rate in NPPV was 40%. Compared with successful NPPV, failure in the NPPV group involved more complications, a longer duration of mechanical ventilation and ICU stay, and greater ICU and hospital mortality. Multivariate analysis of mortality in the NPPV group identified NPPV failure (OR 13 [95%CI 1.33-77.96], P=.008) and progression to acute respiratory distress syndrome (OR 10 [95%CI 1.95-89.22], P=.03) as prognostic factors | ||
| 520 | |a CONCLUSION: The use of NPPV reduced mortality compared with IMV. NPPV failure was associated with more complications | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Observational Study | |
| 650 | 4 | |a Acute respiratory failure | |
| 650 | 4 | |a Enfermedad hematológica | |
| 650 | 4 | |a Hematological malignancy | |
| 650 | 4 | |a Insuficiencia respiratoria aguda | |
| 650 | 4 | |a Invasive mechanical ventilation | |
| 650 | 4 | |a Neumonía | |
| 650 | 4 | |a Noninvasive positive pressure ventilation | |
| 650 | 4 | |a Pneumonia | |
| 650 | 4 | |a Ventilación mecánica invasiva | |
| 650 | 4 | |a Ventilación mecánica no invasiva | |
| 700 | 1 | |a Albert-Rodrigo, L |e verfasserin |4 aut | |
| 700 | 1 | |a Ferrandiz-Sellés, A |e verfasserin |4 aut | |
| 700 | 1 | |a Cebrián-Graullera, G |e verfasserin |4 aut | |
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