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http://hdl.handle.net/2445/185650
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DC Field | Value | Language |
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dc.contributor.author | Jacob, Javier | - |
dc.contributor.author | Arranz, Maria J. | - |
dc.contributor.author | Sancho Ramoneda, Mariona | - |
dc.contributor.author | Lopez, Àngels | - |
dc.contributor.author | Navarro Sáez, Ma Carmen | - |
dc.contributor.author | Cousiño Chao, José Ramón | - |
dc.contributor.author | López Altimiras, Xavier | - |
dc.contributor.author | López i Vengut, Francesc | - |
dc.contributor.author | García Trallero, Olivia | - |
dc.contributor.author | Zorrilla, José | - |
dc.contributor.author | German, Antonio | - |
dc.contributor.author | Farré Cerdà, Jaume | - |
dc.contributor.author | Lista, Eva | - |
dc.date.accessioned | 2022-05-16T17:57:46Z | - |
dc.date.available | 2022-05-16T17:57:46Z | - |
dc.date.issued | 2017-02-01 | - |
dc.identifier.issn | 1137-6821 | - |
dc.identifier.uri | http://hdl.handle.net/2445/185650 | - |
dc.description.abstract | Objectives: To study how noninvasive ventilation (NIV) is used in prehospital emergency services and hospital emergency departments. To explore associations between NIV use and hospital mortality. Material and methods: Prospective analysis of a consecutive multicenter cohort of patients who were treated with NIV between February and March 2015. The study was undertaken in emergency medical services in Catalonia and 8 Catalan hospital emergency departments. We collected information during the acute episode and on discharge, as well as data describing the patients' condition when stable. The dependent variable was all-cause hospital mortality. Results: We studied 184 acute episodes requiring NIV, in the prehospital setting in 25 cases (13.6%) and in the hospital in 159 (86.4%). The most common scenario was acute heart failure (AHF) (38.0%). The second most common was chronic obstructive pulmonary disease (COPD) (34.2%). In most cases, NIV was discontinued in the emergency department. Mortality was 7.5% during prehospital care and 21.4% in the hospital. Hospital mortality was associated with limiting the use of life support. We detected no significant differences in mortality between the groups of patients with AHF vs COPD. Conclusion: The use of NIV in prehospital and hospital emergency care follows current evidence-based recommendations and is required more often for AHF than for exacerbated COPD. Hospital mortality is high in this context and is associated with frequent limiting of life support. | - |
dc.format.extent | 6 p. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.publisher | Saned | - |
dc.relation.isformatof | Reproducció del document publicat a: https://pubmed.ncbi.nlm.nih.gov/28825266/ | - |
dc.relation.ispartof | Emergencias, 2017, vol. 29, num. 1, p. 33-38 | - |
dc.rights | (c) Saned, 2017 | - |
dc.source | Articles publicats en revistes (Ciències Clíniques) | - |
dc.subject.classification | Serveis d'urgències mèdiques | - |
dc.subject.classification | Insuficiència respiratòria | - |
dc.subject.classification | Catalunya | - |
dc.subject.classification | Respiració artificial | - |
dc.subject.other | Emergency medical services | - |
dc.subject.other | Respiratory insufficiency | - |
dc.subject.other | Catalonia | - |
dc.subject.other | Artificial respiration | - |
dc.title | Noninvasive mechanical ventilation in emergency services in Catalonia: the VNICat registry cohort study | - |
dc.type | info:eu-repo/semantics/article | - |
dc.type | info:eu-repo/semantics/publishedVersion | - |
dc.identifier.idgrec | 708472 | - |
dc.date.updated | 2022-05-16T17:57:46Z | - |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | - |
dc.identifier.pmid | 28825266 | - |
Appears in Collections: | Articles publicats en revistes (Ciències Clíniques) |
Files in This Item:
File | Description | Size | Format | |
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708472.pdf | 151.69 kB | Adobe PDF | View/Open |
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