Validity of a clinical scale in predicting the failure of non-invasive ventilation in hypoxemic patients.
Aged
Aged, 80 and over
Area Under Curve
Female
Glasgow Coma Scale
Hospital Mortality
Humans
Intensive Care Units
Male
Middle Aged
Noninvasive Ventilation
/ mortality
Pneumonia
/ therapy
Prognosis
Prospective Studies
Respiratory Distress Syndrome
/ therapy
Respiratory Insufficiency
/ therapy
Retrospective Studies
Time Factors
Vital Signs
Hypoxemic acute respiratory failure HACOR scale
Non-invasive ventilation
Journal
Journal of critical care
ISSN: 1557-8615
Titre abrégé: J Crit Care
Pays: United States
ID NLM: 8610642
Informations de publication
Date de publication:
12 2020
12 2020
Historique:
received:
22
05
2020
revised:
09
07
2020
accepted:
06
08
2020
pubmed:
20
8
2020
medline:
2
6
2021
entrez:
20
8
2020
Statut:
ppublish
Résumé
The HACOR scale is a clinical score that can predict early failure of NIV in hypoxemic acute respiratory failure (ARF) The aim of this study is to analyze the validity of the HACOR scale. A retrospective study of a cohort of over 2749 episodes on 2711 consecutive patients requiring NIV for hypoxemic ARF in a polyvalent intensive care unit. The scale was measured before starting NIV and at 1, 6, 12, 24 and 48 h after the initiation of NIV. NIV failure occurred in 963 patients (35%). The value of the HACOR scale before NIV did not differ between success and failure. However, at 1, 6, 12, 24 and 48 h of NIV, the scale values clearly differed between the two groups. The HACOR scale at NIV initiation accurately predicts NIV failure in the first hour, with an optimal cut-off value of 8 points. The AUC for predicting NIV failure with HACOR at 1 h is greater than 0.9 in patients with pneumonia and adult respiratory distress syndrome (ARDS). The HACOR scale measured at 1 h after NIV initiation accurately predicts NIV failure, especially in pneumonia and ARDS.
Identifiants
pubmed: 32814270
pii: S0883-9441(20)30653-5
doi: 10.1016/j.jcrc.2020.08.008
pii:
doi:
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
152-158Informations de copyright
Copyright © 2020 Elsevier Inc. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of Competing Interest None.