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Date Published: 01/11/2023
Abstract Views: 131
Views PDF: 121
DOI: https://doi.org/10.51298/vmj.v531i1B.7081
Issue
Vol. 531 No. 1B (2023)
Section
Các bài báo
How to Cite
Nguyễn , T. A. ., Đỗ , N. S. ., & Bùi , T. H. G. . (2023). PREDICTING FACTORS IN PATIENTS WITH ACUTE RESPIRATORY FAILURE ON HELMET-NON-INVASIVE VENTILATION. Vietnam Medical Journal, 531(1B). https://doi.org/10.51298/vmj.v531i1B.7081

PREDICTING FACTORS IN PATIENTS WITH ACUTE RESPIRATORY FAILURE ON HELMET-NON-INVASIVE VENTILATION

Tuấn Anh Nguyễn 1, Ngọc Sơn Đỗ 1,2,, Thị Hương Giang Bùi 1,2
1 HMU
2 Bach Mai hospital

Main Article Content

Abstract

Objectives: To evaluate predicting factors patients with acute respiratory failure on helmet-non-invasive ventilation. Method: a prospective interventional study, data was collected on all patients diagnosed with mild and modrate acute respiratory failure who were on Helmet NIV during the period from June 2022 to June 2023. Results: 30 patients were inrolved in this study  in which male/female ratio was 2:1, mean age: 67.7±12.805; the common age group was 60-80 years old. The most common cause of acute respiratory failure was pneumonia (23.3%), followed by acute pulmonary edema (30%) and COPD exacerbations (23.3%). The success rate with helmet NIV was 33.3% (10/30 patients). The acute pulmonary edema had a higher success rate than that on patients withpneumonia and COPD exacerbations (OR: 4.0; 95% CI: 1.255-12.754). Borg score less than 6 (OR: 4.3; 95%CI: 0.845-22.23), PaCO2 below 42.5 (OR:16.714; 95%CI: 1.742-160.35), HACOR score less than 7.5 (OR: 7.36; 95% CI: 0.779-69.58) were valuablable predicting indicators. Conclusions: The Borg score, PaCO2, and HACOR score can be used to predict helemt-non-invasive ventilation in patients with respiratory failure. Acute pulmonary edema is most successful group when helmet-non-invasive ventilation applied.

Article Details

Keywords

respiratory failure, non invasive ventilatin, helmet – noninvasive ventilation, helmet-cpap system

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