Background. Head-to-head comparison of treatment failure and costs among chronic obstruct pulmonary disease (COPD) patients who used noninvasive ventilation (NIV) in the ward versus in the ICU is lacking. Methods. This retrospective study was performed in a department of respiratory and critical care medicine in a teaching hospital. COPD patients who used NIV in the respiratory ward or respiratory ICU were screened. We enrolled patients with PaCO₂ more than 45 mmHg and pH less than 7.35 before the use of NIV. Results. We enrolled 83 patients who initiated NIV in the ward and 319 patients in the ICU. Only 5 (6%) patients in the ward were required to transfer to ICU for intensive care. The vital signs were worse but improved faster within 24 h of NIV among patients in the ICU than those in the ward. The NIV failure, hospital mortality, and the length of stay in hospital did not differ between the two groups. However, the duration of NIV was shorter (median 4.0 vs. 6.1 days, ) and hospital costs were higher (median 4638 vs. 3093 $USD, ) among patients in the ICU than those in the ward. After propensity matching, 42 patients were left in each group, and the baseline data were comparable between the two groups. The findings in the overall cohort were confirmed again in the propensity-matched cohort. Conclusions. Among COPD patients, the use of NIV in the ward leads to longer duration of NIV, but lower hospital costs, and similar NIV failure and mortality compared with those in the ICU.

加拿大呼吸杂志

目录

目录

CCD使用非侵入性通风病人与ICU:批量匹配Chort研究头对头比较处理失败和费用

新建实验室测试和成像模式快速精确诊断COVID-19:路由RT-PCR和CT-A文献评审替代建议

多时聚合链反应检测病毒

法质X受体作用

mir-146aSNPs2910164和Mir-155SNPr767649

多维药理干预对Astma和CCD病人吸入技术

CT特征对COVID-19诊断

夜间脉冲吸附疑似沉睡呼吸器

偏向脉冲流道剖析非中度病人渗透性肺动脉寄生症特殊存储测试

子语言阴极米滴子对多求和单求复发性疾病儿童肺功能和排出的氮氧化物

剖析Corona病毒2019(COVID-19)患者第一次后续

高光 Nasal Cannula超卡分解故障:系统审查和元解析

与慢性阻塞脉冲疾病患者晚退非渗透性通风相关风险因素

COVID-19病人HydroyCLOKINE结果:系统审查和元解析

MontgomeryTUPE插件功能安全剖析