Survival in Immunocompromised Patients Ultimately Requiring Invasive Mechanical Ventilation: A Pooled Individual Patient Data Analysis
| Autor: | John G. Laffey, Achille Kouatchet, Pia Lebiedz, Jean Pierre Frat, Michael Darmon, Sangeeta Mehta, Frédéric Pène, Vincent Bonny, Rémi Coudroy, Jean-François Timsit, Kyeongman Jeon, Alexandre Demoule, Nisha Rathi, Djamel Mokart, Melda Turkoglu, Jorge I. F. Salluh, Ayman O. Soubani, Virginie Lemiale, Kuang Yao Yang, Elie Azoulay, Emmanuel Canet, Andrea Cortegiani, Pedro Caruso, Tarik Hanane, Marcio Soares, Oriol Roca, Guillermo M. Albaiceta, Guillaume Dumas |
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| Přispěvatelé: | Dumas, Guillaume, Lemiale, Virginie, Rathi, Nisha, Cortegiani, Andrea, Pène, Frédéric, Bonny, Vincent, Salluh, Jorge, M. Albaiceta, Guillermo, Soares, Marcio, Soubani, Ayman O, Canet, Emmanuel, Hanane, Tarik, Kouatchet, Achille, Mokart, Djamel, Lebiedz, Pia, Türkoğlu, Melda, Coudroy, Rémi, Jeon, Kyeongman, Demoule, Alexandre, Mehta, Sangeeta, Caruso, Pedro, Frat, Jean-Pierre, Yang, Kuang-Yao, Roca, Oriol, Laffey, John, Timsit, Jean-Françoi, Azoulay, Elie, Darmon, Michael |
| Rok vydání: | 2021 |
| Předmět: |
Pulmonary and Respiratory Medicine
Mechanical ventilation mechanical ventilation medicine.medical_specialty business.industry medicine.medical_treatment High mortality Patient data Acute respiratory failure Critical Care and Intensive Care Medicine 03 medical and health sciences 0302 clinical medicine 030228 respiratory system Medicine 030212 general & internal medicine business Intensive care medicine Immunocompromised |
| Zdroj: | American Journal of Respiratory and Critical Care Medicine. 204:187-196 |
| ISSN: | 1535-4970 1073-449X |
| Popis: | Rationale: Acute respiratory failure (ARF) is associated with high mortality in immunocompromised patients, particularly when invasive mechanical ventilation is needed. Therefore, noninvasive oxygenation/ventilation strategies have been developed to avoid intubation, with uncertain impact on mortality, especially when intubation is delayed. Objectives: We sought to report trends of survival over time in immunocompromised patients receiving invasive mechanical ventilation. The impact of delayed intubation after failure of noninvasive strategies was also assessed. Methods: Systematic review and meta-analysis using individual data (IPD) of studies which focused on immunocompromised adult patients with ARF requiring invasive mechanical ventilation. Studies published in English were identified through PubMed, Web of science, and Cochrane Central (2008-2018). IPD were requested to corresponding authors for all identified studies. We used mixed-effect models to estimate the effect of delayed intubation on hospital mortality and described mortality rates over time. Measurements and main results: 11087 patients were included (24 studies, 3 controlled trials and 21 cohorts), of whom 7736 (74%) were intubated within 24h of ICU admission (early intubation). Crude mortality rate was 53.2%. Adjusted survivals improved over time (from 1995 to 2017, OR for hospital mortality per year: 0.96[0.95-0.97]). For each elapsed day between ICU admission and intubation, mortality was higher (OR:1.38[1.26-1.52], p |
| Databáze: | OpenAIRE |
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