Evidence-based Utilization of Noninvasive Ventilation and Patient Outcomes.

ABSTRACT: RATIONALE:Strong evidence supports use of noninvasive ventilation (NIV) for patients with respiratory distress from chronic obstructive pulmonary disease and heart failure (strong evidence conditions [SECs]). Despite unclear benefits of NIV for other causes of acute respiratory failure, utilization for conditions with weaker evidence is increasing, despite evidence demonstrating higher mortality for patients who suffer NIV failure (progression from NIV to invasive mechanical ventilation [IMV])) compared with being treated initially with IMV. OBJECTIVES:To determine the association of hospital variation in evidence-based utilization of NIV with patient outcomes. METHODS:Using the California State Inpatient Database 2011, we identified adult patients who received NIV. Patients were considere

SUBMITTER: Mehta AB 

PROVIDER: S-EPMC5711281 | biostudies-literature | 2017 Nov

REPOSITORIES: biostudies-literature