Factors predicting successful noninvasive ventilation in acute lung injury
Purpose Noninvasive ventilation (NIV) has been successfully used to treat various forms of acute respiratory failure. It remains unclear whether NIV has potential as an effective therapeutic method in patients with acute lung injury (ALI). The aims of this study were to determine factors predicting...
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| Veröffentlicht in: | Journal of anesthesia 2008, Vol.22 (3), p.201-206 |
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| creator | Yoshida, Yuko Takeda, Shinhiro Akada, Shinji Hongo, Takashi Tanaka, Keiji Sakamoto, Atsuhiro |
| description | Purpose
Noninvasive ventilation (NIV) has been successfully used to treat various forms of acute respiratory failure. It remains unclear whether NIV has potential as an effective therapeutic method in patients with acute lung injury (ALI). The aims of this study were to determine factors predicting the need for endotracheal intubation in ALI patients treated with NIV, and to promote the selection of patients suitable for NIV.
Methods
We conducted a retrospective study of all patients admitted to the intensive care unit (ICU) of the Nippon Medical School Hospital from 2000 to 2006 with a diagnosis of ALI, in whom NIV was initiated.
Results
A total of 47 patients with ALI received NIV, and 33 patients (70%) successfully avoided endotracheal intubation. Patients who required endotracheal intubation had a significantly higher Acute Physiology and Chronic Health Evaluation (APACHE) II score and a significantly higher Simplified Acute Physiology Score (SAPS) II, and a significantly lower arterial pH. The respiratory rate decreased significantly within 1 h of starting NIV only in patients successfully treated with NIV. An APACHE II score of more than 17 (
P
= 0.022) and a respiratory rate of more than 25 breaths·min
−1
after 1 h of NIV (
P
= 0.024) were independent factors associated with the need for endotracheal intubation. Patients who avoided endotracheal intubation had a significantly lower ICU mortality rate and in-hospital mortality rate than patients who required endotracheal intubation.
Conclusion
We determined an APACHE II score of more than 17 and a respiratory rate of more than 25 breaths·min
−1
after 1 h of NIV as factors predicting the need for endotracheal intubation in ALI patients treated with NIV. |
| doi_str_mv | 10.1007/s00540-008-0637-z |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_69397935</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>69397935</sourcerecordid><originalsourceid>FETCH-LOGICAL-c461t-9e3af42b5d1c9ec75d018e9eabe5ffe6c4adbb92cacea1285827e43acb424fad3</originalsourceid><addsrcrecordid>eNp9kDtPwzAUhS0EoqXwA1hQJjaDHT9ij6iiPFSJBWbLcW4qV6lT7LhS-fWkaiU2pjuc7xzpfgjdUvJACakeEyGCE0yIwkSyCv-coSnlTGHFhD5HU6Ipw0pKNUFXKa0JIZJSdokmVEkldMmn6H1h3dDHVGwjNN4NPqyKlJ2DlNrcFaEPPuxs8jsodhAG39nB96HwobAuD1B0eSz4sM5xf40uWtsluDndGfpaPH_OX_Hy4-Vt_rTEjks6YA3MtrysRUOdBleJhlAFGmwNom1BOm6butalsw4sLZVQZQWcWVfzkre2YTN0f9zdxv47QxrMxicHXWcD9DkZqZmuNBMjSI-gi31KEVqzjX5j495QYg4CzVGgGQWag0DzM3buTuO53kDz1zgZG4HyCKQxCiuIZt3nGMaH_1n9Bev6fxM</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>69397935</pqid></control><display><type>article</type><title>Factors predicting successful noninvasive ventilation in acute lung injury</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Yoshida, Yuko ; Takeda, Shinhiro ; Akada, Shinji ; Hongo, Takashi ; Tanaka, Keiji ; Sakamoto, Atsuhiro</creator><creatorcontrib>Yoshida, Yuko ; Takeda, Shinhiro ; Akada, Shinji ; Hongo, Takashi ; Tanaka, Keiji ; Sakamoto, Atsuhiro</creatorcontrib><description>Purpose
Noninvasive ventilation (NIV) has been successfully used to treat various forms of acute respiratory failure. It remains unclear whether NIV has potential as an effective therapeutic method in patients with acute lung injury (ALI). The aims of this study were to determine factors predicting the need for endotracheal intubation in ALI patients treated with NIV, and to promote the selection of patients suitable for NIV.
Methods
We conducted a retrospective study of all patients admitted to the intensive care unit (ICU) of the Nippon Medical School Hospital from 2000 to 2006 with a diagnosis of ALI, in whom NIV was initiated.
Results
A total of 47 patients with ALI received NIV, and 33 patients (70%) successfully avoided endotracheal intubation. Patients who required endotracheal intubation had a significantly higher Acute Physiology and Chronic Health Evaluation (APACHE) II score and a significantly higher Simplified Acute Physiology Score (SAPS) II, and a significantly lower arterial pH. The respiratory rate decreased significantly within 1 h of starting NIV only in patients successfully treated with NIV. An APACHE II score of more than 17 (
P
= 0.022) and a respiratory rate of more than 25 breaths·min
−1
after 1 h of NIV (
P
= 0.024) were independent factors associated with the need for endotracheal intubation. Patients who avoided endotracheal intubation had a significantly lower ICU mortality rate and in-hospital mortality rate than patients who required endotracheal intubation.
Conclusion
We determined an APACHE II score of more than 17 and a respiratory rate of more than 25 breaths·min
−1
after 1 h of NIV as factors predicting the need for endotracheal intubation in ALI patients treated with NIV.</description><identifier>ISSN: 0913-8668</identifier><identifier>EISSN: 1438-8359</identifier><identifier>DOI: 10.1007/s00540-008-0637-z</identifier><identifier>PMID: 18685924</identifier><language>eng</language><publisher>Japan: Springer Japan</publisher><subject>Acute Lung Injury - therapy ; Aged ; Anesthesiology ; APACHE ; Critical Care Medicine ; Emergency Medicine ; Female ; Hospital Mortality ; Humans ; Hydrogen-Ion Concentration ; Intensive ; Intubation, Intratracheal - utilization ; Male ; Medicine ; Medicine & Public Health ; Original Article ; Pain Medicine ; Respiration ; Respiration, Artificial - methods ; Respiratory Function Tests ; Retrospective Studies ; Sensitivity and Specificity ; Treatment Outcome</subject><ispartof>Journal of anesthesia, 2008, Vol.22 (3), p.201-206</ispartof><rights>Japanese Society of Anesthesiologists 2008</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c461t-9e3af42b5d1c9ec75d018e9eabe5ffe6c4adbb92cacea1285827e43acb424fad3</citedby><cites>FETCH-LOGICAL-c461t-9e3af42b5d1c9ec75d018e9eabe5ffe6c4adbb92cacea1285827e43acb424fad3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00540-008-0637-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00540-008-0637-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18685924$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yoshida, Yuko</creatorcontrib><creatorcontrib>Takeda, Shinhiro</creatorcontrib><creatorcontrib>Akada, Shinji</creatorcontrib><creatorcontrib>Hongo, Takashi</creatorcontrib><creatorcontrib>Tanaka, Keiji</creatorcontrib><creatorcontrib>Sakamoto, Atsuhiro</creatorcontrib><title>Factors predicting successful noninvasive ventilation in acute lung injury</title><title>Journal of anesthesia</title><addtitle>J Anesth</addtitle><addtitle>J Anesth</addtitle><description>Purpose
Noninvasive ventilation (NIV) has been successfully used to treat various forms of acute respiratory failure. It remains unclear whether NIV has potential as an effective therapeutic method in patients with acute lung injury (ALI). The aims of this study were to determine factors predicting the need for endotracheal intubation in ALI patients treated with NIV, and to promote the selection of patients suitable for NIV.
Methods
We conducted a retrospective study of all patients admitted to the intensive care unit (ICU) of the Nippon Medical School Hospital from 2000 to 2006 with a diagnosis of ALI, in whom NIV was initiated.
Results
A total of 47 patients with ALI received NIV, and 33 patients (70%) successfully avoided endotracheal intubation. Patients who required endotracheal intubation had a significantly higher Acute Physiology and Chronic Health Evaluation (APACHE) II score and a significantly higher Simplified Acute Physiology Score (SAPS) II, and a significantly lower arterial pH. The respiratory rate decreased significantly within 1 h of starting NIV only in patients successfully treated with NIV. An APACHE II score of more than 17 (
P
= 0.022) and a respiratory rate of more than 25 breaths·min
−1
after 1 h of NIV (
P
= 0.024) were independent factors associated with the need for endotracheal intubation. Patients who avoided endotracheal intubation had a significantly lower ICU mortality rate and in-hospital mortality rate than patients who required endotracheal intubation.
Conclusion
We determined an APACHE II score of more than 17 and a respiratory rate of more than 25 breaths·min
−1
after 1 h of NIV as factors predicting the need for endotracheal intubation in ALI patients treated with NIV.</description><subject>Acute Lung Injury - therapy</subject><subject>Aged</subject><subject>Anesthesiology</subject><subject>APACHE</subject><subject>Critical Care Medicine</subject><subject>Emergency Medicine</subject><subject>Female</subject><subject>Hospital Mortality</subject><subject>Humans</subject><subject>Hydrogen-Ion Concentration</subject><subject>Intensive</subject><subject>Intubation, Intratracheal - utilization</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Pain Medicine</subject><subject>Respiration</subject><subject>Respiration, Artificial - methods</subject><subject>Respiratory Function Tests</subject><subject>Retrospective Studies</subject><subject>Sensitivity and Specificity</subject><subject>Treatment Outcome</subject><issn>0913-8668</issn><issn>1438-8359</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kDtPwzAUhS0EoqXwA1hQJjaDHT9ij6iiPFSJBWbLcW4qV6lT7LhS-fWkaiU2pjuc7xzpfgjdUvJACakeEyGCE0yIwkSyCv-coSnlTGHFhD5HU6Ipw0pKNUFXKa0JIZJSdokmVEkldMmn6H1h3dDHVGwjNN4NPqyKlJ2DlNrcFaEPPuxs8jsodhAG39nB96HwobAuD1B0eSz4sM5xf40uWtsluDndGfpaPH_OX_Hy4-Vt_rTEjks6YA3MtrysRUOdBleJhlAFGmwNom1BOm6butalsw4sLZVQZQWcWVfzkre2YTN0f9zdxv47QxrMxicHXWcD9DkZqZmuNBMjSI-gi31KEVqzjX5j495QYg4CzVGgGQWag0DzM3buTuO53kDz1zgZG4HyCKQxCiuIZt3nGMaH_1n9Bev6fxM</recordid><startdate>2008</startdate><enddate>2008</enddate><creator>Yoshida, Yuko</creator><creator>Takeda, Shinhiro</creator><creator>Akada, Shinji</creator><creator>Hongo, Takashi</creator><creator>Tanaka, Keiji</creator><creator>Sakamoto, Atsuhiro</creator><general>Springer Japan</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>7X8</scope></search><sort><creationdate>2008</creationdate><title>Factors predicting successful noninvasive ventilation in acute lung injury</title><author>Yoshida, Yuko ; Takeda, Shinhiro ; Akada, Shinji ; Hongo, Takashi ; Tanaka, Keiji ; Sakamoto, Atsuhiro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c461t-9e3af42b5d1c9ec75d018e9eabe5ffe6c4adbb92cacea1285827e43acb424fad3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Acute Lung Injury - therapy</topic><topic>Aged</topic><topic>Anesthesiology</topic><topic>APACHE</topic><topic>Critical Care Medicine</topic><topic>Emergency Medicine</topic><topic>Female</topic><topic>Hospital Mortality</topic><topic>Humans</topic><topic>Hydrogen-Ion Concentration</topic><topic>Intensive</topic><topic>Intubation, Intratracheal - utilization</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Pain Medicine</topic><topic>Respiration</topic><topic>Respiration, Artificial - methods</topic><topic>Respiratory Function Tests</topic><topic>Retrospective Studies</topic><topic>Sensitivity and Specificity</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yoshida, Yuko</creatorcontrib><creatorcontrib>Takeda, Shinhiro</creatorcontrib><creatorcontrib>Akada, Shinji</creatorcontrib><creatorcontrib>Hongo, Takashi</creatorcontrib><creatorcontrib>Tanaka, Keiji</creatorcontrib><creatorcontrib>Sakamoto, Atsuhiro</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of anesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yoshida, Yuko</au><au>Takeda, Shinhiro</au><au>Akada, Shinji</au><au>Hongo, Takashi</au><au>Tanaka, Keiji</au><au>Sakamoto, Atsuhiro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Factors predicting successful noninvasive ventilation in acute lung injury</atitle><jtitle>Journal of anesthesia</jtitle><stitle>J Anesth</stitle><addtitle>J Anesth</addtitle><date>2008</date><risdate>2008</risdate><volume>22</volume><issue>3</issue><spage>201</spage><epage>206</epage><pages>201-206</pages><issn>0913-8668</issn><eissn>1438-8359</eissn><abstract>Purpose
Noninvasive ventilation (NIV) has been successfully used to treat various forms of acute respiratory failure. It remains unclear whether NIV has potential as an effective therapeutic method in patients with acute lung injury (ALI). The aims of this study were to determine factors predicting the need for endotracheal intubation in ALI patients treated with NIV, and to promote the selection of patients suitable for NIV.
Methods
We conducted a retrospective study of all patients admitted to the intensive care unit (ICU) of the Nippon Medical School Hospital from 2000 to 2006 with a diagnosis of ALI, in whom NIV was initiated.
Results
A total of 47 patients with ALI received NIV, and 33 patients (70%) successfully avoided endotracheal intubation. Patients who required endotracheal intubation had a significantly higher Acute Physiology and Chronic Health Evaluation (APACHE) II score and a significantly higher Simplified Acute Physiology Score (SAPS) II, and a significantly lower arterial pH. The respiratory rate decreased significantly within 1 h of starting NIV only in patients successfully treated with NIV. An APACHE II score of more than 17 (
P
= 0.022) and a respiratory rate of more than 25 breaths·min
−1
after 1 h of NIV (
P
= 0.024) were independent factors associated with the need for endotracheal intubation. Patients who avoided endotracheal intubation had a significantly lower ICU mortality rate and in-hospital mortality rate than patients who required endotracheal intubation.
Conclusion
We determined an APACHE II score of more than 17 and a respiratory rate of more than 25 breaths·min
−1
after 1 h of NIV as factors predicting the need for endotracheal intubation in ALI patients treated with NIV.</abstract><cop>Japan</cop><pub>Springer Japan</pub><pmid>18685924</pmid><doi>10.1007/s00540-008-0637-z</doi><tpages>6</tpages></addata></record> |
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| subjects | Acute Lung Injury - therapy Aged Anesthesiology APACHE Critical Care Medicine Emergency Medicine Female Hospital Mortality Humans Hydrogen-Ion Concentration Intensive Intubation, Intratracheal - utilization Male Medicine Medicine & Public Health Original Article Pain Medicine Respiration Respiration, Artificial - methods Respiratory Function Tests Retrospective Studies Sensitivity and Specificity Treatment Outcome |
| title | Factors predicting successful noninvasive ventilation in acute lung injury |
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