Use of the modified Glasgow Coma Scale score to guide sequential invasive‑noninvasive mechanical ventilation weaning in patients with AECOPD and respiratory failure

Autor:	Yu‑Kang Song, Jun‑Yang Zhou, Xian‑Dan Wu, Hui Fu, Lai‑Chao Yan, Lie‑Xiang Cao, Jin‑Bo Zhang, Jin‑Zhong Xu, Yan‑Qiu Wang, Jin‑Qiang Zhu, Hui‑Ping Wang, Xiao‑Hong Jin, Mei‑Ping Dong, Li‑Li Chen, Shi‑Fang Zhou, Ji‑Hong Ma
Rok vydání:	2020
Předmět:	invasive mechanical ventilation Mechanical ventilation Cancer Research Acute exacerbation of chronic obstructive pulmonary disease medicine.medical_specialty business.industry medicine.medical_treatment Incidence (epidemiology) respiratory failure Glasgow Coma Scale noninvasive ventilation Articles General Medicine acute exacerbation of chronic obstructive pulmonary disease medicine.disease Pneumonia Immunology and Microbiology (miscellaneous) Respiratory failure Emergency medicine medicine Breathing Weaning business
Zdroj:	Experimental and Therapeutic Medicine
ISSN:	1792-1015 1792-0981
DOI:	10.3892/etm.2020.8884
Popis:	Sequential invasive-noninvasive ventilation (NIV) improves the outcomes of patients with respiratory failure caused by acute exacerbation of chronic obstructive pulmonary disease (AECOPD); however, there is no clear consensus on the optimal timing of the switch to sequential invasive-NIV in these patients. In the present study, a potential role for the modified Glasgow Coma Scale (GCS) score to guide sequential weaning was investigated. Patients with AECOPD and respiratory failure were prospectively recruited from three study centers (Wenling Hospital Affiliated to Wenzhou Medical University, the First Affiliated Hospital of Wenzhou Medical University and Changsha Central Hospital) between January 1st 2016 and December 31st 2018. Patients were randomly assigned to group A and B, with the switching point for sequential weaning strategy in the two groups being a modified GCS score ≥13 and 10 points, respectively. Each group included 240 patients. Baseline demographic characteristics were comparable in the two groups. The duration of invasive mechanical ventilation (IMV) in group A was significantly shorter than that in group B. However, there were no significant between-group differences with respect to the incidence of re-intubation, ventilator-associated pneumonia, in-hospital mortality or the length of hospital stay. Use of a modified GCS score ≥13 as the switching point for sequential invasive-NIV may help decrease the duration of IMV in patients with AECOPD and respiratory failure.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::5988a5f427a156a7963283f4869bbdb8 https://doi.org/10.3892/etm.2020.8884 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
Nepřihlášeným uživatelům se plný text nezobrazuje	K zobrazení výsledku je třeba se přihlásit.