Impact of HFNC application on mortality and intensive care length of stay in acute respiratory failure secondary to COVID-19 pneumonia

•HFNC improves oxygenation in COVID-19.•HFNC decreases the need for intubation and mortality in COVID-19.•HFNC does not change the length of stay in intensive care. In Covid-19 pneumonia, high mortality rates reported in intubated patients have raised non-invasive methods of respiratory support. We...

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Veröffentlicht in:Heart & lung 2021-05, Vol.50 (3), p.425-429
Hauptverfasser: Sayan, İsmet, Altınay, Mustafa, Çınar, Ayşe Surhan, Türk, Hacer Şebnem, Peker, Nebia, Şahin, Kerim, Coşkun, Nurcan, Demir, Gamze Dilara
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container_end_page 429
container_issue 3
container_start_page 425
container_title Heart & lung
container_volume 50
creator Sayan, İsmet
Altınay, Mustafa
Çınar, Ayşe Surhan
Türk, Hacer Şebnem
Peker, Nebia
Şahin, Kerim
Coşkun, Nurcan
Demir, Gamze Dilara
description •HFNC improves oxygenation in COVID-19.•HFNC decreases the need for intubation and mortality in COVID-19.•HFNC does not change the length of stay in intensive care. In Covid-19 pneumonia, high mortality rates reported in intubated patients have raised non-invasive methods of respiratory support. We aimed to evaluate the impact of HFNC application on intubation requirement, intensive care length of stay, and short-term mortality in patients with COVID-19 pneumonia. Patients receiving oxygen by reservoir mask or HFNC therapy in our intensive care units due to COVID-19 pneumonia were included in the study. Group H consisted of patients who received HFNC, and Group K consisted of patients who received conventional oxygen therapy (COT). The number of patients intubated, duration of intensive care stay and short-term mortality were recorded. 43 patients were included. The short-term mortality and the number of patients with intubation need was lower in Group H. There was no significant difference between the Groups in the length of intensive care stay. Administration of HFNC in respiratory failure secondary to COVID-19 pneumonia decreases the need for intubation and mortality.
doi_str_mv 10.1016/j.hrtlng.2021.02.009
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subjects Acute respiratory failure
Cannula
Covid 19 pneumonia
COVID-19
Critical Care
High flow nasal cannula
Humans
Intensive care unit
Length of Stay
Oxygen Inhalation Therapy
Respiratory Insufficiency - etiology
Respiratory Insufficiency - therapy
SARS-CoV-2
title Impact of HFNC application on mortality and intensive care length of stay in acute respiratory failure secondary to COVID-19 pneumonia
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