Noninvasive ventilation for acute lung injury a meta-analysis of randomized controlled trials
Abstract Purpose To compare the effect of noninvasive ventilation (NIV) and standard oxygen therapy on treating acute lung injury (ALI). Methods A search on PubMed, Embase, Springer, Cochrane Central Register of Controlled Trials and Clinical Trials was carried out up to Nov 2015 for randomized cont...
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| Veröffentlicht in: | Heart & lung 2016-05, Vol.45 (3), p.249-257 |
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| creator | Xu, Xiaoli, MD Yuan, Bo, BA Liang, Quan, BA Hu, Jiale, MD Shi, Zhaorong, MM Huang, Huimin, BA Fang, Hongmei, BA Sheng, Xiaoyue, MD Nie, Niuyan, BA Yin, Xiangyi, BA |
| description | Abstract Purpose To compare the effect of noninvasive ventilation (NIV) and standard oxygen therapy on treating acute lung injury (ALI). Methods A search on PubMed, Embase, Springer, Cochrane Central Register of Controlled Trials and Clinical Trials was carried out up to Nov 2015 for randomized controlled trials (RCTs) with NIV as cases and standard oxygen therapy as controls. Risk ratios and weight mean difference were used for estimation. Results This meta-analysis included seventeen RCTs. Results showed NIV significantly reduced the intubation rate, length of ICU stay and hospital mortality. The length of hospital stay and ICU mortality were not different. High heterogeneity was found across the studies of intubation rate. The types of acute respiratory failure might be a source of heterogeneity. Conclusion Our results suggest that NIV is effective for ALI in reducing the intubation rate, hospital mortality and length of ICU stay than the standard oxygen therapy. |
| doi_str_mv | 10.1016/j.hrtlng.2016.02.005 |
| format | Article |
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Methods A search on PubMed, Embase, Springer, Cochrane Central Register of Controlled Trials and Clinical Trials was carried out up to Nov 2015 for randomized controlled trials (RCTs) with NIV as cases and standard oxygen therapy as controls. Risk ratios and weight mean difference were used for estimation. Results This meta-analysis included seventeen RCTs. Results showed NIV significantly reduced the intubation rate, length of ICU stay and hospital mortality. The length of hospital stay and ICU mortality were not different. High heterogeneity was found across the studies of intubation rate. The types of acute respiratory failure might be a source of heterogeneity. Conclusion Our results suggest that NIV is effective for ALI in reducing the intubation rate, hospital mortality and length of ICU stay than the standard oxygen therapy.</description><identifier>ISSN: 0147-9563</identifier><identifier>EISSN: 1527-3288</identifier><identifier>DOI: 10.1016/j.hrtlng.2016.02.005</identifier><identifier>PMID: 27154849</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Acute lung injury ; Acute Lung Injury - therapy ; Acute respiratory distress syndrome ; Acute respiratory failure ; Cardiovascular ; Comparative analysis ; Critical Care ; Hospitalization ; Humans ; Intubation rate ; Meta-analysis ; Noninvasive ventilation ; Noninvasive Ventilation - methods ; Oxygen ; Pulmonary/Respiratory ; Randomized Controlled Trials as Topic ; Risk assessment ; Ventilation</subject><ispartof>Heart & lung, 2016-05, Vol.45 (3), p.249-257</ispartof><rights>Elsevier Inc.</rights><rights>2016 Elsevier Inc.</rights><rights>Copyright © 2016 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Science Ltd. May-Jun 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c478t-3d71754ec4f059598ae0567f998fa5d885f8ef0eaa5cc49c39cbdef8fde9b5693</citedby><cites>FETCH-LOGICAL-c478t-3d71754ec4f059598ae0567f998fa5d885f8ef0eaa5cc49c39cbdef8fde9b5693</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.hrtlng.2016.02.005$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3548,27922,27923,45993</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27154849$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Xu, Xiaoli, MD</creatorcontrib><creatorcontrib>Yuan, Bo, BA</creatorcontrib><creatorcontrib>Liang, Quan, BA</creatorcontrib><creatorcontrib>Hu, Jiale, MD</creatorcontrib><creatorcontrib>Shi, Zhaorong, MM</creatorcontrib><creatorcontrib>Huang, Huimin, BA</creatorcontrib><creatorcontrib>Fang, Hongmei, BA</creatorcontrib><creatorcontrib>Sheng, Xiaoyue, MD</creatorcontrib><creatorcontrib>Nie, Niuyan, BA</creatorcontrib><creatorcontrib>Yin, Xiangyi, BA</creatorcontrib><title>Noninvasive ventilation for acute lung injury a meta-analysis of randomized controlled trials</title><title>Heart & lung</title><addtitle>Heart Lung</addtitle><description>Abstract Purpose To compare the effect of noninvasive ventilation (NIV) and standard oxygen therapy on treating acute lung injury (ALI). Methods A search on PubMed, Embase, Springer, Cochrane Central Register of Controlled Trials and Clinical Trials was carried out up to Nov 2015 for randomized controlled trials (RCTs) with NIV as cases and standard oxygen therapy as controls. Risk ratios and weight mean difference were used for estimation. Results This meta-analysis included seventeen RCTs. Results showed NIV significantly reduced the intubation rate, length of ICU stay and hospital mortality. The length of hospital stay and ICU mortality were not different. High heterogeneity was found across the studies of intubation rate. The types of acute respiratory failure might be a source of heterogeneity. Conclusion Our results suggest that NIV is effective for ALI in reducing the intubation rate, hospital mortality and length of ICU stay than the standard oxygen therapy.</description><subject>Acute lung injury</subject><subject>Acute Lung Injury - therapy</subject><subject>Acute respiratory distress syndrome</subject><subject>Acute respiratory failure</subject><subject>Cardiovascular</subject><subject>Comparative analysis</subject><subject>Critical Care</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Intubation rate</subject><subject>Meta-analysis</subject><subject>Noninvasive ventilation</subject><subject>Noninvasive Ventilation - methods</subject><subject>Oxygen</subject><subject>Pulmonary/Respiratory</subject><subject>Randomized Controlled Trials as Topic</subject><subject>Risk assessment</subject><subject>Ventilation</subject><issn>0147-9563</issn><issn>1527-3288</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkk-LFDEQxYMo7uzoNxBp8OKlx_zpdJKLIMvqCose1KOETLqypk0na9I9MH5608yqsJfNpRL41QtV7yH0guAdwaR_M-5-5DnEmx2trx2mO4z5I7QhnIqWUSkfow0mnWgV79kZOi9lxPWwXjxFZ1QQ3slObdD3Tyn6eDDFH6A5QJx9MLNPsXEpN8YuMzRhiTeNj-OSj41pJphNa6IJx-JLk1yTTRzS5H_D0NgU55xCqNc5exPKM_TE1QLP7-oWfXt_-fXiqr3-_OHjxbvr1nZCzi0bBBG8A9s5zBVX0gDmvXBKSWf4ICV3EhwGY7i1nbJM2f0ATroB1J73im3R65PubU6_FiiznnyxEIKJkJaiiSR1ciwFfRgVUnSCs7qqLXp1Dx3TkuvoK6WYopJSVqnuRNmcSsng9G32k8lHTbBendKjPjmlV6c0pro6Vdte3okv-wmGf01_ranA2xMAdXEHD1kX6yFaGHwGO-sh-Yd-uC9gg4_emvATjlD-z6JLbdBf1rSsYSF9zUknMfsD_p28Qw</recordid><startdate>20160501</startdate><enddate>20160501</enddate><creator>Xu, Xiaoli, MD</creator><creator>Yuan, Bo, BA</creator><creator>Liang, Quan, BA</creator><creator>Hu, Jiale, MD</creator><creator>Shi, Zhaorong, MM</creator><creator>Huang, Huimin, BA</creator><creator>Fang, Hongmei, BA</creator><creator>Sheng, Xiaoyue, MD</creator><creator>Nie, Niuyan, BA</creator><creator>Yin, Xiangyi, BA</creator><general>Elsevier Inc</general><general>Elsevier Science Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20160501</creationdate><title>Noninvasive ventilation for acute lung injury a meta-analysis of randomized controlled trials</title><author>Xu, Xiaoli, MD ; Yuan, Bo, BA ; Liang, Quan, BA ; Hu, Jiale, MD ; Shi, Zhaorong, MM ; Huang, Huimin, BA ; Fang, Hongmei, BA ; Sheng, Xiaoyue, MD ; Nie, Niuyan, BA ; Yin, Xiangyi, BA</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c478t-3d71754ec4f059598ae0567f998fa5d885f8ef0eaa5cc49c39cbdef8fde9b5693</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Acute lung injury</topic><topic>Acute Lung Injury - therapy</topic><topic>Acute respiratory distress syndrome</topic><topic>Acute respiratory failure</topic><topic>Cardiovascular</topic><topic>Comparative analysis</topic><topic>Critical Care</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Intubation rate</topic><topic>Meta-analysis</topic><topic>Noninvasive ventilation</topic><topic>Noninvasive Ventilation - methods</topic><topic>Oxygen</topic><topic>Pulmonary/Respiratory</topic><topic>Randomized Controlled Trials as Topic</topic><topic>Risk assessment</topic><topic>Ventilation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Xu, Xiaoli, MD</creatorcontrib><creatorcontrib>Yuan, Bo, BA</creatorcontrib><creatorcontrib>Liang, Quan, BA</creatorcontrib><creatorcontrib>Hu, Jiale, MD</creatorcontrib><creatorcontrib>Shi, Zhaorong, MM</creatorcontrib><creatorcontrib>Huang, Huimin, BA</creatorcontrib><creatorcontrib>Fang, Hongmei, BA</creatorcontrib><creatorcontrib>Sheng, Xiaoyue, MD</creatorcontrib><creatorcontrib>Nie, Niuyan, BA</creatorcontrib><creatorcontrib>Yin, Xiangyi, BA</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Heart & lung</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Xu, Xiaoli, MD</au><au>Yuan, Bo, BA</au><au>Liang, Quan, BA</au><au>Hu, Jiale, MD</au><au>Shi, Zhaorong, MM</au><au>Huang, Huimin, BA</au><au>Fang, Hongmei, BA</au><au>Sheng, Xiaoyue, MD</au><au>Nie, Niuyan, BA</au><au>Yin, Xiangyi, BA</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Noninvasive ventilation for acute lung injury a meta-analysis of randomized controlled trials</atitle><jtitle>Heart & lung</jtitle><addtitle>Heart Lung</addtitle><date>2016-05-01</date><risdate>2016</risdate><volume>45</volume><issue>3</issue><spage>249</spage><epage>257</epage><pages>249-257</pages><issn>0147-9563</issn><eissn>1527-3288</eissn><abstract>Abstract Purpose To compare the effect of noninvasive ventilation (NIV) and standard oxygen therapy on treating acute lung injury (ALI). Methods A search on PubMed, Embase, Springer, Cochrane Central Register of Controlled Trials and Clinical Trials was carried out up to Nov 2015 for randomized controlled trials (RCTs) with NIV as cases and standard oxygen therapy as controls. Risk ratios and weight mean difference were used for estimation. Results This meta-analysis included seventeen RCTs. Results showed NIV significantly reduced the intubation rate, length of ICU stay and hospital mortality. The length of hospital stay and ICU mortality were not different. High heterogeneity was found across the studies of intubation rate. The types of acute respiratory failure might be a source of heterogeneity. Conclusion Our results suggest that NIV is effective for ALI in reducing the intubation rate, hospital mortality and length of ICU stay than the standard oxygen therapy.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>27154849</pmid><doi>10.1016/j.hrtlng.2016.02.005</doi><tpages>9</tpages></addata></record> |
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| subjects | Acute lung injury Acute Lung Injury - therapy Acute respiratory distress syndrome Acute respiratory failure Cardiovascular Comparative analysis Critical Care Hospitalization Humans Intubation rate Meta-analysis Noninvasive ventilation Noninvasive Ventilation - methods Oxygen Pulmonary/Respiratory Randomized Controlled Trials as Topic Risk assessment Ventilation |
| title | Noninvasive ventilation for acute lung injury a meta-analysis of randomized controlled trials |
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