Current Status of Noninvasive Ventilation Use in Korean Intensive Care Units: A Prospective Multicenter Observational Studyopen access
- Authors
- Nam, Hyunseung; Cho, Jae Hwa; Choi, Eun Young; Chang, Youjin; Choi, Won-Il; Hwang, Jae Joon; Moon, Jae Young; Lee, Kwangha; Kim, Sei Won; Kang, Hyung Koo; Sim, Yun Su; Park, Tai Sun; Park, Seung Yong; Park, Sunghoon
- Issue Date
- Jul-2019
- Publisher
- TAEHAN KYORHAEK HYOPHOE-KOREAN ACAD TUBERCULOSIS & RESPIRATORY DISEASES
- Keywords
- Intensive Care Units; Noninvasive Ventilation; Masks
- Citation
- TUBERCULOSIS AND RESPIRATORY DISEASES, v.82, no.3, pp.242 - 250
- Indexed
- SCOPUS
KCI
- Journal Title
- TUBERCULOSIS AND RESPIRATORY DISEASES
- Volume
- 82
- Number
- 3
- Start Page
- 242
- End Page
- 250
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/13346
- DOI
- 10.4046/trd.2018.0064
- ISSN
- 1738-3536
- 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.
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