Factors for Predicting Noninvasive Ventilation Failure in Elderly Patients with Respiratory Failure.

ABSTRACT: Noninvasive ventilation (NIV) is useful when managing critically ill patients. However, it is not easy to apply to elderly patients, particularly those with pneumonia, due to the possibility of NIV failure and the increased mortality caused by delayed intubation. In this prospective observational study, we explored whether NIV was appropriate for elderly patients with pneumonia, defined factors that independently predicted NIV failure, and built an optimal model for prediction of such failure. We evaluated 78 patients with a median age of 77 years. A low PaCO2 level, a high heart rate, and the presence of pneumonia were statistically significant independent predictors of NIV failure. The predictive power for NIV failure of Model III (pneumonia, PaCO2 level, and heart rate) was better than

SUBMITTER: Park MJ 

PROVIDER: S-EPMC7408979 | biostudies-literature | 2020 Jul

REPOSITORIES: biostudies-literature