Hospital variation in noninvasive positive pressure ventilation for acute decompensated heart failure.

ABSTRACT:

Background

Although noninvasive positive pressure ventilation (NIPPV) for patients with acute decompensated heart failure was introduced almost 20 years ago, the variation in its use among hospitals remains unknown. We sought to define hospital practice patterns of NIPPV use for acute decompensated heart failure and their relationship with intubation and mortality.

Methods and results

We conducted a cross-sectional study using a database maintained by Premier, Inc., that includes a date-stamped log of all billed items for hospitalizations at >400 hospitals. We examined hospitalizations for acute decompensated heart failure in this database from 2005 to 2010 and included hospitals with annual average volume of >25 such hospitalizations. We identified 384 hospitals that encomp

SUBMITTER: Kulkarni VT 

PROVIDER: S-EPMC4386575 | biostudies-literature | 2014 May

REPOSITORIES: biostudies-literature