THANG ĐIỂM HACOR TRONG TIÊN LƯỢNG THỞ MÁY KHÔNG XÂM NHẬP Ở BỆNH NHÂN ĐỢT CẤP BỆNH PHỔI TẮC NGHẼN MẠN TÍNH CAO TUỔI

Abstract

Objective: To investigate the value of the HACOR score in predicting non-invasive mechanical ventilation in elderly patients with acute exacerbation of chronic obstructive pulmonary disease. Study subjects: Patients diagnosed with acute exacerbation of elderly chronic obstructive pulmonary disease with indications for non-invasive mechanical ventilation hospitalized for treatment at the Emergency Department, Friendship Hospital from January 2022 to November 2023. Research method: Cross-sectional description. Results: 31 patients studied had an average age of 83,39 ± 6.10 years; 93,5% are men; The age group 80 - 89 years old accounts for 64,5%. The characteristics of comorbidities with the highest rate are hypertension 67,7%, followed by heart failure 58,1%, chronic coronary artery disease 51,6%, chronic renal failure 38,7%, and atrial fibrillation 35,5%, diabetes 29,0% and stroke 25,8%. The failure rate of elderly patients with COPD acute exacerbations is 32.3%. The value of the HACOR score at the time before mechanical ventilation has a predictive value for PE failure in elderly COPD patients of ≥ 5 points with AUC = 0,742, sensitivity and specificity of 71,65% and 86%, respectively 72%. The value of the HACOR score at 3 hours after mechanical ventilation has a predictive value of VT failure over 3 hours in elderly COPD patients of ≥ 6 points with AUC = 0,659, sensitivity and specificity of 71 respectively 65% and 86,72%. The value of the HACOR score at the time before mechanical ventilation has no predictive value for PE failure over 3 hours in elderly COPD exacerbation patients. Conclusion: HACOR score has predictive value for failure of non-invasive mechanical ventilation in elderly patients with acute exacerbation of chronic obstructive pulmonary disease.