The comparative effectiveness of noninvasive and invasive ventilation in patients with pneumonia.

ABSTRACT:

Purpose

To compare the outcomes of patients hospitalized with pneumonia treated with noninvasive ventilation (NIV) and invasive mechanical ventilation (IMV).

Materials and methods

Using the HealthFacts multihospital electronic medical record database, we included patients hospitalized with a diagnosis of pneumonia and treated with NIV or IMV. We developed a propensity model for receipt of initial NIV and assessed the outcomes in a propensity-matched cohort, and in a covariate adjusted and propensity score weighted models.

Results

Among 3971 ventilated patients, 1109 (27.9%) were initially treated with NIV. Patients treated with NIV were older, had lower acuity of illness score, and were more likely to have congestive heart failure and chronic pulmonary disease. Mortal

SUBMITTER: Stefan MS 

PROVIDER: S-EPMC5700851 | biostudies-literature | 2018 Feb

REPOSITORIES: biostudies-literature