Survie à long terme des bronchopathes chroniques obstructifs après la réanimation
| Autor: | Sylvain Salomon, T. Guy, Philippe Delaval, G. Leveiller, Sonia Isslame, Y. Le Tulzo, Arnaud Gacouin, I. Jouannic |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Pulmonary and Respiratory Medicine
Mechanical ventilation COPD medicine.medical_specialty business.industry medicine.medical_treatment Hazard ratio Retrospective cohort study medicine.disease Surgery Pneumonia Respiratory failure Anesthesia Breathing medicine Simplified Acute Physiology Score business |
| Zdroj: | Revue des Maladies Respiratoires. 26:257-265 |
| ISSN: | 0761-8425 |
| DOI: | 10.1016/s0761-8425(09)72582-3 |
| Popis: | OBJECTIVE To compare the one year survival after discharge from ICU of patients with chronic obstructive pulmonary disease (COPD) admitted for acute hypercapnic respiratory failure and who required mechanical ventilation. METHODS Retrospective cohort study on 130 patients, 52 patients were treated with non-invasive ventilation (NIV) and 78 patients with conventional mechanical ventilation (CMV). RESULTS In 73 patients the cause for respiratory failure could not be identified. Long-term survival was significantly better following NIV than with CMV (p=0.02 by log-rank testing), but the better prognosis associated with use of NIV was not found in patients with no documented cause for the respiratory failure. After adjusting for male gender, age>65 years, simplified acute physiology score II>35, prior long-term home oxygen therapy, treatment with steroids, FEV1 |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|