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Current Status of Noninvasive Ventilation Use in Korean Intensive Care Units: A Prospective Multicenter Observational Study

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Author(s)
Hyunseung NamJae Hwa ChoEun Young ChoiYoujin ChangWon-Il ChoiJae Joon HwangJae Young MoonKwangha LeeSei Won KimHyung Koo KangYun Su SimTai Sun ParkSeung Yong ParkSunghoon Park
Keimyung Author(s)
Choi, Won Il
Department
Dept. of Internal Medicine (내과학)
Journal Title
Tuberculosis and Respiratory Diseases
Issued Date
2019
Volume
82
Issue
3
Keyword
Intensive Care UnitsNoninvasive VentilationMasks
Abstract
Background
Data on noninvasive ventilation (NIV) use in intensive care units (ICUs) are very limited in South Korea.

Methods
A prospective observational study was performed in 20 ICUs of university-affiliated hospitals from June 2017 to February 2018. Adult patients (age>18 years) who were admitted to the ICU and received NIV treatment for acute respiratory failure were included.

Results
A total of 156 patients treated with NIV were enrolled (mean age, 71.9±11.6 years). The most common indications for NIV were acute hypercapnic respiratory failure (AHRF, n=89) and post-extubation respiratory failure (n=44). The main device for NIV was an invasive mechanical ventilator with an NIV module (61.5%), and the majority of patients (87.2%) used an oronasal mask. After the exclusion of 32 do-not-resuscitate patients, NIV success rate was 68.5% (85/124); ICU and hospital mortality rates were 8.9% and 15.3%, respectively. However, the success rate was lower in patients with de novo respiratory failure (27.3%) compared to that of patients with AHRF (72.8%) or post-extubation respiratory failure (75.0%). In multivariate analysis, immunocompromised state, de novo respiratory failure, post-NIV (2 hours) respiratory rate, NIV mode (i.e., non-pressure support ventilation mode), and the change of NIV device were significantly associated with a lower success rate of NIV.

Conclusion
AHRF and post-extubation respiratory failure were the most common indications for NIV in Korean ICUs. Overall NIV success was achieved in 68.5% of patients, with the lowest rate in patients with de novo respiratory failure.
Keimyung Author(s)(Kor)
최원일
Publisher
School of Medicine (의과대학)
Citation
Hyunseung Nam et al. (2019). Current Status of Noninvasive Ventilation Use in Korean Intensive Care Units: A Prospective Multicenter Observational Study. Tuberculosis and Respiratory Diseases, 82(3), 242–250. doi: 10.4046/trd.2018.0064
Type
Article
ISSN
2005-6184
Source
https://e-trd.org/search.php?where=aview&id=10.4046/trd.2018.0064&code=0003TRD&vmode=FULL
DOI
10.4046/trd.2018.0064
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/42464
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
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