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Validity of a Clinical Scale in Predicting the Failure of Non-Invasive Ventilation in Hypoxemic Patients

2020-12Journal article Open access
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dc.contributor.authorCarrillo, A
dc.contributor.authorLopez, A
dc.contributor.authorCarrillo, L
dc.contributor.authorCaldeira, V
dc.contributor.authorGuia, M
dc.contributor.authorAlonso, N
dc.contributor.authorRenedo, A
dc.contributor.authorQuintana, M
dc.contributor.authorSanchez, J
dc.contributor.authorEsquinas, A
dc.date.accessioned2023-08-17T15:05:07Z
dc.date.available2023-08-17T15:05:07Z
dc.date.issued2020-12
dc.description.abstractIntroduction: The HACOR scale is a clinical score that can predict early failure of NIV in hypoxemic acute respiratory failure (ARF) The aim of this study is to analyze the validity of the HACOR scale. Methods: A retrospective study of a cohort of over 2749 episodes on 2711 consecutive patients requiring NIV for hypoxemic ARF in a polyvalent intensive care unit. The scale was measured before starting NIV and at 1, 6, 12, 24 and 48 h after the initiation of NIV. Results: NIV failure occurred in 963 patients (35%). The value of the HACOR scale before NIV did not differ between success and failure. However, at 1, 6, 12, 24 and 48 h of NIV, the scale values clearly differed between the two groups. The HACOR scale at NIV initiation accurately predicts NIV failure in the first hour, with an optimal cut-off value of 8 points. The AUC for predicting NIV failure with HACOR at 1 h is greater than 0.9 in patients with pneumonia and adult respiratory distress syndrome (ARDS). Conclusions: The HACOR scale measured at 1 h after NIV initiation accurately predicts NIV failure, especially in pneumonia and ARDS.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationJ Crit Care . 2020 Dec;60:152-158.pt_PT
dc.identifier.doi10.1016/j.jcrc.2020.08.008pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/4647
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevierpt_PT
dc.subjectHSM PNEUpt_PT
dc.subjectHumanspt_PT
dc.subjectAgedpt_PT
dc.subjectMalept_PT
dc.subjectFemalept_PT
dc.subjectMiddle Agedpt_PT
dc.subjectAged, 80 and overpt_PT
dc.subjectArea Under Curvept_PT
dc.subjectGlasgow Coma Scale*pt_PT
dc.subjectHospital Mortalitypt_PT
dc.subjectIntensive Care Unitspt_PT
dc.subjectNoninvasive Ventilation / mortality*pt_PT
dc.subjectPneumonia / therapy*pt_PT
dc.subjectPrognosispt_PT
dc.subjectProspective Studiespt_PT
dc.subjectRespiratory Distress Syndrome / therapy*pt_PT
dc.subjectRespiratory Insufficiency / therapy*pt_PT
dc.subjectRetrospective Studiespt_PT
dc.subjectTime Factorspt_PT
dc.subjectVital Signs*pt_PT
dc.titleValidity of a Clinical Scale in Predicting the Failure of Non-Invasive Ventilation in Hypoxemic Patientspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage158pt_PT
oaire.citation.startPage152pt_PT
oaire.citation.titleJournal of Critical Carept_PT
oaire.citation.volume60pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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