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Vol. 28. Issue 6.
Pages 351-358 (November - December 2018)
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Vol. 28. Issue 6.
Pages 351-358 (November - December 2018)
Original Article
The use of home non-invasive ventilation and the reduction of intrahospital mortality of patients with respiratory failure
Uso de ventilación mecánica no invasiva domiciliaria y reducción de mortalidad intrahospitalaria en pacientes con insuficiencia respiratoria
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Manuel Piñero-Zapata,
Corresponding author
mpinero@ucam.edu

Corresponding author.
, Leticia Torres-Corbalán
Facultad de Enfermería, Universidad Católica de Murcia (UCAM), Murcia, Spain
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Tables (5)
Table 1. General characteristics of the patients.
Table 2. General characteristics of the patients. Comparison between survivors and intrahospital deaths during hospitalisation. Quantitative variables.
Table 3. Comparison of the characteristics of the patients between the group who habitually received HNIMV treatment prior to admission and those who did not: Qualitative variables.
Table 4. Comparison of the characteristics of the patients between the group who habitually received HNIMV treatment prior to admission and those who did not. Quantitative variables.
Table 5. Multivariate analysis.
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Abstract
Objectives

To establish the relationship between the use of home non-invasive ventilation (NIV) and inhospital mortality in people admitted due to exacerbation of their respiratory disease.

Methods

Retrospective cohort study with 191 cases of patients attended at the emergency department of the Reina Sofía General University Hospital in Murcia due to ARF of any cause and who required NIV as supportive treatment.

Results

Mortality among patients using NIV as routine home treatment was 6.45%, compared to 20.1% among those who did not use it (P<0.05).

Conclusions

Routine domiciliary treatment with NIV has been shown to be a protective factor against inpatient hospital mortality for patients who underwent NIV during their admission, through the emergency department, for acute respiratory failure or acute chronic disease, regardless of the triggering pathology.

Keywords:
Non-invasive ventilation
Respiratory insufficiency
Mortality
Resumen
Objetivos

Conocer la relación entre el uso de ventilación mecánica no invasiva (VMNI) domiciliaria y la mortalidad intrahospitalaria en personas que ingresan por una agudización de su enfermedad respiratoria.

Método

Estudio retrospectivo de cohortes con 191 casos de pacientes atendidos en el Servicio de Urgencias del Hospital General Universitario Reina Sofía de Murcia por padecer insuficiencia respiratoria aguda o crónica agudizada de cualquier causa y haber precisado VMNI como tratamiento de soporte durante su ingreso.

Resultados

La mortalidad entre los pacientes que incluían la VMNI como tratamiento domiciliario fue del 6,45% frente al 20,1% entre aquellos que no la utilizaban (p<0,05).

Conclusiones

El tratamiento domiciliario habitual con VMNI ha mostrado comportarse como factor protector para la mortalidad intrahospitalaria de los pacientes sometidos a VMNI durante su ingreso, a través del servicio de urgencias, por insuficiencia respiratoria a aguda o crónica agudizada con independencia de la enfermedad desencadenante.

Palabras clave:
Ventilación no invasiva
Insuficiencia respiratoria
Mortalidad

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