Use of the modified Glasgow Coma Scale score to guide sequential invasive‑noninvasive mechanical ventilation weaning in patients with AECOPD and respiratory failure
Sequential invasive-noninvasive ventilation (NIV) improves the outcomes of patients with respiratory failure caused by acute exacerbation of chronic obstructive pulmonary disease (AECOPD); however, there is no clear consensus on the optimal timing of the switch to sequential invasive-NIV in these pa...
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| Veröffentlicht in: | Experimental and therapeutic medicine 2020-08, Vol.20 (2), p.1441-1446 |
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| creator | Zhang, Jin-Bo Zhu, Jin-Qiang Cao, Lie-Xiang Jin, Xiao-Hong Chen, Li-Li Song, Yu-Kang Zhou, Shi-Fang Ma, Ji-Hong Fu, Hui Xu, Jin-Zhong Dong, Mei-Ping Yan, Lai-Chao Wu, Xian-Dan Wang, Hui-Ping Zhou, Jun-Yang Wang, Yan-Qiu |
| description | Sequential invasive-noninvasive ventilation (NIV) improves the outcomes of patients with respiratory failure caused by acute exacerbation of chronic obstructive pulmonary disease (AECOPD); however, there is no clear consensus on the optimal timing of the switch to sequential invasive-NIV in these patients. In the present study, a potential role for the modified Glasgow Coma Scale (GCS) score to guide sequential weaning was investigated. Patients with AECOPD and respiratory failure were prospectively recruited from three study centers (Wenling Hospital Affiliated to Wenzhou Medical University, the First Affiliated Hospital of Wenzhou Medical University and Changsha Central Hospital) between January 1st 2016 and December 31st 2018. Patients were randomly assigned to group A and B, with the switching point for sequential weaning strategy in the two groups being a modified GCS score [greater than or equal to] 13 and 10 points, respectively. Each group included 240 patients. Baseline demographic characteristics were comparable in the two groups. The duration of invasive mechanical ventilation (IMV) in group A was significantly shorter than that in group B. However, there were no significant between-group differences with respect to the incidence of re-intubation, ventilator-associated pneumonia, in-hospital mortality or the length of hospital stay. Use of a modified GCS score >13 as the switching point for sequential invasive-NIV may help decrease the duration of IMV in patients with AECOPD and respiratory failure. Key words: acute exacerbation of chronic obstructive pulmonary disease, respiratory failure, invasive mechanical ventilation, noninvasive ventilation, Glasgow Coma Scale |
| doi_str_mv | 10.3892/etm.2020.8884 |
| format | Article |
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In the present study, a potential role for the modified Glasgow Coma Scale (GCS) score to guide sequential weaning was investigated. Patients with AECOPD and respiratory failure were prospectively recruited from three study centers (Wenling Hospital Affiliated to Wenzhou Medical University, the First Affiliated Hospital of Wenzhou Medical University and Changsha Central Hospital) between January 1st 2016 and December 31st 2018. Patients were randomly assigned to group A and B, with the switching point for sequential weaning strategy in the two groups being a modified GCS score [greater than or equal to] 13 and 10 points, respectively. Each group included 240 patients. Baseline demographic characteristics were comparable in the two groups. The duration of invasive mechanical ventilation (IMV) in group A was significantly shorter than that in group B. However, there were no significant between-group differences with respect to the incidence of re-intubation, ventilator-associated pneumonia, in-hospital mortality or the length of hospital stay. Use of a modified GCS score >13 as the switching point for sequential invasive-NIV may help decrease the duration of IMV in patients with AECOPD and respiratory failure. Key words: acute exacerbation of chronic obstructive pulmonary disease, respiratory failure, invasive mechanical ventilation, noninvasive ventilation, Glasgow Coma Scale</description><identifier>ISSN: 1792-0981</identifier><identifier>EISSN: 1792-1015</identifier><identifier>DOI: 10.3892/etm.2020.8884</identifier><identifier>PMID: 32742377</identifier><language>eng</language><publisher>Athens: Spandidos Publications</publisher><subject>Age ; Anesthesia ; Care and treatment ; Chronic obstructive lung disease ; Chronic obstructive pulmonary disease ; Coma ; Consciousness ; Dexmedetomidine ; Disease ; Glasgow Coma Scale ; Health aspects ; Hospital patients ; Hospitals ; Intubation ; Medical research ; Medical schools ; Mortality ; Pneumonia ; Respiratory failure ; Respiratory insufficiency ; Studies ; United Kingdom ; Ventilators ; Weaning</subject><ispartof>Experimental and therapeutic medicine, 2020-08, Vol.20 (2), p.1441-1446</ispartof><rights>COPYRIGHT 2020 Spandidos Publications</rights><rights>Copyright Spandidos Publications UK Ltd. 2020</rights><rights>Copyright: © Zhang et al. 2020</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c389t-a7d0a1b487ab870f889c4bd1c7a225fc1082738b9934e30c8aa6a0776d9fa47e3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7388266/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7388266/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids></links><search><creatorcontrib>Zhang, Jin-Bo</creatorcontrib><creatorcontrib>Zhu, Jin-Qiang</creatorcontrib><creatorcontrib>Cao, Lie-Xiang</creatorcontrib><creatorcontrib>Jin, Xiao-Hong</creatorcontrib><creatorcontrib>Chen, Li-Li</creatorcontrib><creatorcontrib>Song, Yu-Kang</creatorcontrib><creatorcontrib>Zhou, Shi-Fang</creatorcontrib><creatorcontrib>Ma, Ji-Hong</creatorcontrib><creatorcontrib>Fu, Hui</creatorcontrib><creatorcontrib>Xu, Jin-Zhong</creatorcontrib><creatorcontrib>Dong, Mei-Ping</creatorcontrib><creatorcontrib>Yan, Lai-Chao</creatorcontrib><creatorcontrib>Wu, Xian-Dan</creatorcontrib><creatorcontrib>Wang, Hui-Ping</creatorcontrib><creatorcontrib>Zhou, Jun-Yang</creatorcontrib><creatorcontrib>Wang, Yan-Qiu</creatorcontrib><title>Use of the modified Glasgow Coma Scale score to guide sequential invasive‑noninvasive mechanical ventilation weaning in patients with AECOPD and respiratory failure</title><title>Experimental and therapeutic medicine</title><description>Sequential invasive-noninvasive ventilation (NIV) improves the outcomes of patients with respiratory failure caused by acute exacerbation of chronic obstructive pulmonary disease (AECOPD); however, there is no clear consensus on the optimal timing of the switch to sequential invasive-NIV in these patients. In the present study, a potential role for the modified Glasgow Coma Scale (GCS) score to guide sequential weaning was investigated. Patients with AECOPD and respiratory failure were prospectively recruited from three study centers (Wenling Hospital Affiliated to Wenzhou Medical University, the First Affiliated Hospital of Wenzhou Medical University and Changsha Central Hospital) between January 1st 2016 and December 31st 2018. Patients were randomly assigned to group A and B, with the switching point for sequential weaning strategy in the two groups being a modified GCS score [greater than or equal to] 13 and 10 points, respectively. Each group included 240 patients. Baseline demographic characteristics were comparable in the two groups. The duration of invasive mechanical ventilation (IMV) in group A was significantly shorter than that in group B. However, there were no significant between-group differences with respect to the incidence of re-intubation, ventilator-associated pneumonia, in-hospital mortality or the length of hospital stay. Use of a modified GCS score >13 as the switching point for sequential invasive-NIV may help decrease the duration of IMV in patients with AECOPD and respiratory failure. Key words: acute exacerbation of chronic obstructive pulmonary disease, respiratory failure, invasive mechanical ventilation, noninvasive ventilation, Glasgow Coma Scale</description><subject>Age</subject><subject>Anesthesia</subject><subject>Care and treatment</subject><subject>Chronic obstructive lung disease</subject><subject>Chronic obstructive pulmonary disease</subject><subject>Coma</subject><subject>Consciousness</subject><subject>Dexmedetomidine</subject><subject>Disease</subject><subject>Glasgow Coma Scale</subject><subject>Health aspects</subject><subject>Hospital patients</subject><subject>Hospitals</subject><subject>Intubation</subject><subject>Medical research</subject><subject>Medical schools</subject><subject>Mortality</subject><subject>Pneumonia</subject><subject>Respiratory failure</subject><subject>Respiratory insufficiency</subject><subject>Studies</subject><subject>United Kingdom</subject><subject>Ventilators</subject><subject>Weaning</subject><issn>1792-0981</issn><issn>1792-1015</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNptUs1u1DAQjhCIVqVH7pa4cMniOD92LkirpRSkSkWCnq2JM8m6SuzFTnbVW1-Bl-DBeBImdAEVYR_smfnms2fmS5KXGV_lqhZvcBpXggu-UkoVT5LTTNYizXhWPj3eea2yk-Q8xltOq6wypcrnyUkuZCFyKU-T7zcRme_YtEU2-tZ2Flt2OUDs_YFt_Ajss4EBWTQ-IJs862fbkolfZ3SThYFZt4do9_jj_pvz7rfFRjRbcJaS2X5BDjBZ79gByel6ymI78lAksoOdtmx9sbn-9I6Ba1nAuLMBJh_uWAd2mAO-SJ51MEQ8P55nyc37iy-bD-nV9eXHzfoqNdSPKQXZcsiaQklolOSdUrUpmjYzEoQoO5NxJWSumrrOC8y5UQAVcCmrtu6gkJifJW8feHdzM2Jr6H8BBr0LdoRwpz1Y_Tji7Fb3fq-JVYmqIoLXR4LgqUVx0qONBocBHPo5alHknNeSmk_QV_9Ab_0cHJX3C1Xxsqz4X1RPY9DWdZ7eNQupXld5STNVZUmo1X9QtFscrfEOO0v-RwnpQ4IJPsaA3Z8aM64XbWnSll60pRdt5T8BcsXDrw</recordid><startdate>20200801</startdate><enddate>20200801</enddate><creator>Zhang, Jin-Bo</creator><creator>Zhu, Jin-Qiang</creator><creator>Cao, Lie-Xiang</creator><creator>Jin, Xiao-Hong</creator><creator>Chen, Li-Li</creator><creator>Song, Yu-Kang</creator><creator>Zhou, Shi-Fang</creator><creator>Ma, Ji-Hong</creator><creator>Fu, Hui</creator><creator>Xu, Jin-Zhong</creator><creator>Dong, Mei-Ping</creator><creator>Yan, Lai-Chao</creator><creator>Wu, Xian-Dan</creator><creator>Wang, Hui-Ping</creator><creator>Zhou, Jun-Yang</creator><creator>Wang, Yan-Qiu</creator><general>Spandidos Publications</general><general>Spandidos Publications UK Ltd</general><general>D.A. 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Experimental and therapeutic medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhang, Jin-Bo</au><au>Zhu, Jin-Qiang</au><au>Cao, Lie-Xiang</au><au>Jin, Xiao-Hong</au><au>Chen, Li-Li</au><au>Song, Yu-Kang</au><au>Zhou, Shi-Fang</au><au>Ma, Ji-Hong</au><au>Fu, Hui</au><au>Xu, Jin-Zhong</au><au>Dong, Mei-Ping</au><au>Yan, Lai-Chao</au><au>Wu, Xian-Dan</au><au>Wang, Hui-Ping</au><au>Zhou, Jun-Yang</au><au>Wang, Yan-Qiu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Use of the modified Glasgow Coma Scale score to guide sequential invasive‑noninvasive mechanical ventilation weaning in patients with AECOPD and respiratory failure</atitle><jtitle>Experimental and therapeutic medicine</jtitle><date>2020-08-01</date><risdate>2020</risdate><volume>20</volume><issue>2</issue><spage>1441</spage><epage>1446</epage><pages>1441-1446</pages><issn>1792-0981</issn><eissn>1792-1015</eissn><abstract>Sequential invasive-noninvasive ventilation (NIV) improves the outcomes of patients with respiratory failure caused by acute exacerbation of chronic obstructive pulmonary disease (AECOPD); however, there is no clear consensus on the optimal timing of the switch to sequential invasive-NIV in these patients. In the present study, a potential role for the modified Glasgow Coma Scale (GCS) score to guide sequential weaning was investigated. Patients with AECOPD and respiratory failure were prospectively recruited from three study centers (Wenling Hospital Affiliated to Wenzhou Medical University, the First Affiliated Hospital of Wenzhou Medical University and Changsha Central Hospital) between January 1st 2016 and December 31st 2018. Patients were randomly assigned to group A and B, with the switching point for sequential weaning strategy in the two groups being a modified GCS score [greater than or equal to] 13 and 10 points, respectively. Each group included 240 patients. Baseline demographic characteristics were comparable in the two groups. The duration of invasive mechanical ventilation (IMV) in group A was significantly shorter than that in group B. However, there were no significant between-group differences with respect to the incidence of re-intubation, ventilator-associated pneumonia, in-hospital mortality or the length of hospital stay. Use of a modified GCS score >13 as the switching point for sequential invasive-NIV may help decrease the duration of IMV in patients with AECOPD and respiratory failure. Key words: acute exacerbation of chronic obstructive pulmonary disease, respiratory failure, invasive mechanical ventilation, noninvasive ventilation, Glasgow Coma Scale</abstract><cop>Athens</cop><pub>Spandidos Publications</pub><pmid>32742377</pmid><doi>10.3892/etm.2020.8884</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Age Anesthesia Care and treatment Chronic obstructive lung disease Chronic obstructive pulmonary disease Coma Consciousness Dexmedetomidine Disease Glasgow Coma Scale Health aspects Hospital patients Hospitals Intubation Medical research Medical schools Mortality Pneumonia Respiratory failure Respiratory insufficiency Studies United Kingdom Ventilators Weaning |
| title | Use of the modified Glasgow Coma Scale score to guide sequential invasive‑noninvasive mechanical ventilation weaning in patients with AECOPD and respiratory failure |
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