CPAP vs therapy in infants being transported due to acute respiratory failure
| Autor: | Cristina Molinos Norniella, María José Bartolomé Albistegui, Verónica García González, Alberto Villanueva, Raquel Manso Ruiz de la Cuesta, Vicent Modesto i Alapont, Pablo del Villar Guerra |
|---|---|
| Jazyk: | Spanish; Castilian |
| Rok vydání: | 2020 |
| Předmět: |
business.industry
medicine.medical_treatment Ventilación no invasiva Lactante Transporte Pediatrics RJ1-570 respiratory tract diseases Acute Bronchiolitis Interquartile range Patient Transport Management of Technology and Innovation Anesthesia Oxygen therapy Heart rate Insuficiencia respiratoria Medicine Acute respiratory failure Observational study Continuous positive airway pressure business |
| Zdroj: | Anales de Pediatría (English Edition), Vol 93, Iss 3, Pp 152-160 (2020) |
| ISSN: | 2341-2879 |
| Popis: | Objective: The aims of our study were to assess the effectiveness and safety of continuous positive airway pressure (CPAP) during the transport of infants with acute respiratory failure (ARF) and to compare the disease course and clinical outcomes of CPAP vs oxygen therapy in the PICU setting. Materials and methods: We conducted a retrospective observational and analytical study by reviewing the health records of infants with ARF aged 0–12 months that required interhospital transfer to the PICU. Results: We included 110 patients: 71 transported with CPAP and 39 with oxygen therapy. The main cause of ARF was acute bronchiolitis (81.8%). The median level of CPAP was 7 cmH2O (interquartile range, 6–7). Controlling for the values prior to transfer in the specific multivariate models, we found that CPAP achieved a significant decrease in the Wood-Downes score (β = –1.08; 95% CI = –1.76 to –0.40; P = .002) and the heart rate ( β = –19.64; 95% CI = –28.46 to –10.81; P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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