Articles producció científica> Medicina i Cirurgia

Risk Factors for Noninvasive Ventilation Failure in Critically Ill Subjects With Confirmed Influenza Infection.

  • Datos identificativos

    Identificador: imarina:3423243
    Autores:
    Rodriguez, AlejandroFerri, CristinaMartin-Loeches, IgnacioDiaz, EmiliMasclans, Joan RGordo, FedericoSole-Violan, JordiBodi, MariaAviles-Jurado, Francesc XTrefler, SandraMagret, MonicaMoreno, GerardReyes, Luis FMarin-Corral, JudithYebenes, Juan CEsteban, AndresAnzueto, AntonioAliberti, StefanoRestrepo, Marcos I
    Resumen:
    Despite wide use of noninvasive ventilation (NIV) in several clinical settings, the beneficial effects of NIV in patients with hypoxemic acute respiratory failure (ARF) due to influenza infection remain controversial. The aim of this study was to identify the profile of patients with risk factors for NIV failure using chi-square automatic interaction detection (CHAID) analysis and to determine whether NIV failure is associated with ICU mortality.This work was a secondary analysis from prospective and observational multi-center analysis in critically ill subjects admitted to the ICU with ARF due to influenza infection requiring mechanical ventilation. Three groups of subjects were compared: (1) subjects who received NIV immediately after ICU admission for ARF and then failed (NIV failure group); (2) subjects who received NIV immediately after ICU admission for ARF and then succeeded (NIV success group); and (3) subjects who received invasive mechanical ventilation immediately after ICU admission for ARF (invasive mechanical ventilation group). Profiles of subjects with risk factors for NIV failure were obtained using CHAID analysis.Of 1,898 subjects, 806 underwent NIV, and 56.8% of them failed. Acute Physiology and Chronic Health Evaluation II (APACHE II) score, Sequential Organ Failure Assessment (SOFA) score, infiltrates in chest radiograph, and ICU mortality (38.4% vs 6.3%) were higher (P < .001) in the NIV failure than in the NIV success group. SOFA score was the variable most associated with NIV failure, and 2 cutoffs were determined. Subjects with SOFA ? 5 had a higher risk of NIV failure (odds ratio = 3.3, 95% CI 2.4-4.5). ICU mortality was higher in subjects with NIV failure (38.4%) compared with invasive mechanical ventilation subjects (31.3%, P = .018), and NIV
  • Otros:

    Autor según el artículo: Rodriguez, Alejandro; Ferri, Cristina; Martin-Loeches, Ignacio; Diaz, Emili; Masclans, Joan R; Gordo, Federico; Sole-Violan, Jordi; Bodi, Maria; Aviles-Jurado, Francesc X; Trefler, Sandra; Magret, Monica; Moreno, Gerard; Reyes, Luis F; Marin-Corral, Judith; Yebenes, Juan C; Esteban, Andres; Anzueto, Antonio; Aliberti, Stefano; Restrepo, Marcos I
    Departamento: Medicina i Cirurgia
    Autor/es de la URV: Avilés Jurado, Francisco Javier / Bodi Saera, Maria Amparo / Cabre Vila, Juan Jose / Magret Iglesias, Mònica / Rodríguez Oviedo, Alejandro Hugo / TREFLER CRESPO, SANDRA INES
    Palabras clave: Success Prognosis Positive-pressure ventilation Pneumonia Obstructive pulmonary-disease Noninvasive ventilation Metaanalysis Intensive-care units Influenza infection Exacerbation Decision-tree analysis Clinical-trial Chaid analysis Acute respiratory-failure
    Resumen: Despite wide use of noninvasive ventilation (NIV) in several clinical settings, the beneficial effects of NIV in patients with hypoxemic acute respiratory failure (ARF) due to influenza infection remain controversial. The aim of this study was to identify the profile of patients with risk factors for NIV failure using chi-square automatic interaction detection (CHAID) analysis and to determine whether NIV failure is associated with ICU mortality.This work was a secondary analysis from prospective and observational multi-center analysis in critically ill subjects admitted to the ICU with ARF due to influenza infection requiring mechanical ventilation. Three groups of subjects were compared: (1) subjects who received NIV immediately after ICU admission for ARF and then failed (NIV failure group); (2) subjects who received NIV immediately after ICU admission for ARF and then succeeded (NIV success group); and (3) subjects who received invasive mechanical ventilation immediately after ICU admission for ARF (invasive mechanical ventilation group). Profiles of subjects with risk factors for NIV failure were obtained using CHAID analysis.Of 1,898 subjects, 806 underwent NIV, and 56.8% of them failed. Acute Physiology and Chronic Health Evaluation II (APACHE II) score, Sequential Organ Failure Assessment (SOFA) score, infiltrates in chest radiograph, and ICU mortality (38.4% vs 6.3%) were higher (P < .001) in the NIV failure than in the NIV success group. SOFA score was the variable most associated with NIV failure, and 2 cutoffs were determined. Subjects with SOFA ? 5 had a higher risk of NIV failure (odds ratio = 3.3, 95% CI 2.4-4.5). ICU mortality was higher in subjects with NIV failure (38.4%) compared with invasive mechanical ventilation subjects (31.3%, P = .018), and NIV failure was associated with increased ICU mortality (odds ratio = 11.4, 95% CI 6.5-20.1).An automatic and non-subjective algorithm based on CHAID decision-tree analysis can help to define the profile of patients with different risks of NIV failure, which might be a promising tool to assist in clinical decision making to avoid the possible complications associated with NIV failure.Copyright © 2017 by Daedalus Enterprises.
    Áreas temáticas: Serviço social Saúde coletiva Respiratory system Pulmonary and respiratory medicine Odontología Nutrição Medicine (miscellaneous) Medicine (all) Medicina veterinaria Medicina iii Medicina ii Medicina i Linguística e literatura Interdisciplinar General medicine Engenharias iv Enfermagem Educação física Critical care medicine Critical care and intensive care medicine Ciências biológicas ii Ciências biológicas i Ciências ambientais Biotecnología
    Acceso a la licencia de uso: https://creativecommons.org/licenses/by/3.0/es/
    ISSN: 00201324
    Direcció de correo del autor: juanjose.cabre@urv.cat monica.magret@urv.cat franciscojavier.aviles@urv.cat alejandrohugo.rodriguez@urv.cat mariaamparo.bodi@urv.cat mariaamparo.bodi@urv.cat
    Identificador del autor: 0000-0003-1082-6861 0000-0002-9534-9920 0000-0001-5560-8097 0000-0001-8828-5984 0000-0001-7652-8379 0000-0001-7652-8379
    Fecha de alta del registro: 2024-10-12
    Versión del articulo depositado: info:eu-repo/semantics/acceptedVersion
    Enlace a la fuente original: http://rc.rcjournal.com/content/62/10/1307/tab-pdf
    URL Documento de licencia: https://repositori.urv.cat/ca/proteccio-de-dades/
    Referencia al articulo segun fuente origial: Respiratory Care. 62 (10): 1307-1315
    Referencia de l'ítem segons les normes APA: Rodriguez, Alejandro; Ferri, Cristina; Martin-Loeches, Ignacio; Diaz, Emili; Masclans, Joan R; Gordo, Federico; Sole-Violan, Jordi; Bodi, Maria; Avile (2017). Risk Factors for Noninvasive Ventilation Failure in Critically Ill Subjects With Confirmed Influenza Infection.. Respiratory Care, 62(10), 1307-1315. DOI: 10.4187/respcare.05481
    DOI del artículo: 10.4187/respcare.05481
    Entidad: Universitat Rovira i Virgili
    Año de publicación de la revista: 2017
    Tipo de publicación: Journal Publications
  • Palabras clave:

    Critical Care and Intensive Care Medicine,Critical Care Medicine,Medicine (Miscellaneous),Pulmonary and Respiratory Medicine,Respiratory System
    Success
    Prognosis
    Positive-pressure ventilation
    Pneumonia
    Obstructive pulmonary-disease
    Noninvasive ventilation
    Metaanalysis
    Intensive-care units
    Influenza infection
    Exacerbation
    Decision-tree analysis
    Clinical-trial
    Chaid analysis
    Acute respiratory-failure
    Serviço social
    Saúde coletiva
    Respiratory system
    Pulmonary and respiratory medicine
    Odontología
    Nutrição
    Medicine (miscellaneous)
    Medicine (all)
    Medicina veterinaria
    Medicina iii
    Medicina ii
    Medicina i
    Linguística e literatura
    Interdisciplinar
    General medicine
    Engenharias iv
    Enfermagem
    Educação física
    Critical care medicine
    Critical care and intensive care medicine
    Ciências biológicas ii
    Ciências biológicas i
    Ciências ambientais
    Biotecnología
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