Use and Outcomes of Noninvasive Ventilation for Acute Respiratory Failure in Different Age Groups
dc.contributor.author | Ugurlu, Aylin Ozsancak | |
dc.contributor.author | Sidhom, Samy S. | |
dc.contributor.author | Khodabandeh, Ali | |
dc.contributor.author | leong, Michael | |
dc.contributor.author | Mohr, Chester | |
dc.contributor.author | Lin, Denis Y. | |
dc.contributor.author | Buchwald, Irwin | |
dc.contributor.author | Bahhady, Imad | |
dc.contributor.author | Wengryn, John | |
dc.contributor.author | Maheshwari, Vinay | |
dc.contributor.author | Hill, Nicholas S. | |
dc.date.accessioned | 2019-09-19T11:43:18Z | |
dc.date.available | 2019-09-19T11:43:18Z | |
dc.date.issued | 2016 | |
dc.identifier.issn | 0020-1324 | |
dc.identifier.uri | http://rc.rcjournal.com/content/respcare/61/1/36.full.pdf | |
dc.identifier.uri | http://hdl.handle.net/11727/3967 | |
dc.description.abstract | BACKGROUND: The prevalence of chronic disease and do-not-intubate status increases with age. Thus, we aimed to determine characteristics and outcomes associated with noninvasive ventilation (NIV) use for acute respiratory failure (ARF) in different age groups. METHODS: A database comprising prospective data collected on site on all adult patients with ARF requiring ventilatory support from 8 acute care hospitals in Massachusetts was used. RESULTS: From a total of 1,225 ventilator starts, overall NIV utilization, success, and in-hospital mortality rates were 22, 54, and 18% in younger (18-44 y); 34, 65, and 13% in middle-aged (45-64 y); 49, 68, and 17% in elderly (65-79 y); and 47, 76, and 24% in aged (>= 80 y) groups, respectively (P < .001, P = .08, and P = .11, respectively). NIV use for cardiogenic pulmonary edema and subjects with a do-not-intubate order increased significantly with advancing age (25, 57, 57, and 74% and 7, 12, 18, and 31%, respectively, in the 4 age groups [P < .001 and P = .046, respectively]). For subjects receiving NIV with a do-not-intubate order, success and in-hospital mortality rates were similar in different age groups (P = .27 and P = .98, respectively). CONCLUSIONS: NIV use and a do-not-intubate status are more frequent in subjects with ARF >= 65 y than in those < 65 y, especially for subjects with cardiogenic pulmonary edema. However, NIV success and mortality rates were similar between age groups. | en_US |
dc.language.iso | eng | en_US |
dc.relation.isversionof | 10.4187/respcare.03966 | en_US |
dc.rights | info:eu-repo/semantics/openAccess | en_US |
dc.subject | noninvasive ventilation | en_US |
dc.subject | acute respiratory failure | en_US |
dc.subject | elderly | en_US |
dc.subject | aged | en_US |
dc.subject | middle-aged | en_US |
dc.title | Use and Outcomes of Noninvasive Ventilation for Acute Respiratory Failure in Different Age Groups | en_US |
dc.type | article | en_US |
dc.relation.journal | RESPIRATORY CARE | en_US |
dc.identifier.volume | 61 | en_US |
dc.identifier.issue | 1 | en_US |
dc.identifier.startpage | 36 | en_US |
dc.identifier.endpage | 43 | en_US |
dc.identifier.wos | 000367062300008 | en_US |
dc.identifier.scopus | 2-s2.0-84949986693 | en_US |
dc.contributor.pubmedID | 26374908 | en_US |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi | en_US |