Noninvasive mechanical ventilation in emergency services in Catalonia: the VNICat registry cohort study

Objectives: To study how noninvasive ventilation (NIV) is used in prehospital emergency services and hospital emergency departments. To explore associations between NIV use and hospital mortality. Material and methods: Prospective analysis of a consecutive multicenter cohort of patients who were tre...

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Authors: Jacob, Javier, Arranz, Maria J., Sancho Ramoneda, Mariona, Lopez, Àngels, Navarro Sáez, Ma Carmen, Cousiño Chao, José Ramón, López Altimiras, Xavier, López i Vengut, Francesc, García Trallero, Olivia, Zorrilla, José, German, Antonio, Farré Cerdà, Jaume, Lista, Eva
Format: article
Status:Published version
Publication Date:2017
Country:España
Repository:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/185650
Online Access:https://hdl.handle.net/2445/185650
Access Level:Open access
Keyword:Serveis d'urgències mèdiques
Insuficiència respiratòria
Catalunya
Respiració artificial
Emergency medical services
Respiratory insufficiency
Catalonia
Artificial respiration
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network_acronym_str ES
network_name_str España
repository_id_str
spelling Noninvasive mechanical ventilation in emergency services in Catalonia: the VNICat registry cohort studyJacob, JavierArranz, Maria J.Sancho Ramoneda, MarionaLopez, ÀngelsNavarro Sáez, Ma CarmenCousiño Chao, José RamónLópez Altimiras, XavierLópez i Vengut, FrancescGarcía Trallero, OliviaZorrilla, JoséGerman, AntonioFarré Cerdà, JaumeLista, EvaServeis d'urgències mèdiquesInsuficiència respiratòriaCatalunyaRespiració artificialEmergency medical servicesRespiratory insufficiencyCataloniaArtificial respirationObjectives: To study how noninvasive ventilation (NIV) is used in prehospital emergency services and hospital emergency departments. To explore associations between NIV use and hospital mortality. Material and methods: Prospective analysis of a consecutive multicenter cohort of patients who were treated with NIV between February and March 2015. The study was undertaken in emergency medical services in Catalonia and 8 Catalan hospital emergency departments. We collected information during the acute episode and on discharge, as well as data describing the patients' condition when stable. The dependent variable was all-cause hospital mortality. Results: We studied 184 acute episodes requiring NIV, in the prehospital setting in 25 cases (13.6%) and in the hospital in 159 (86.4%). The most common scenario was acute heart failure (AHF) (38.0%). The second most common was chronic obstructive pulmonary disease (COPD) (34.2%). In most cases, NIV was discontinued in the emergency department. Mortality was 7.5% during prehospital care and 21.4% in the hospital. Hospital mortality was associated with limiting the use of life support. We detected no significant differences in mortality between the groups of patients with AHF vs COPD. Conclusion: The use of NIV in prehospital and hospital emergency care follows current evidence-based recommendations and is required more often for AHF than for exacerbated COPD. Hospital mortality is high in this context and is associated with frequent limiting of life support.Saned2017info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/185650Articles publicats en revistes (Ciències Clíniques)reponame:Dipòsit Digital de la UBinstname:InglésReproducció del document publicat a: https://pubmed.ncbi.nlm.nih.gov/28825266/Emergencias, 2017, vol. 29, num. 1, p. 33-38(c) Saned, 2017info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/1856502025-07-25T16:43:42Z
dc.title.none.fl_str_mv Noninvasive mechanical ventilation in emergency services in Catalonia: the VNICat registry cohort study
title Noninvasive mechanical ventilation in emergency services in Catalonia: the VNICat registry cohort study
spellingShingle Noninvasive mechanical ventilation in emergency services in Catalonia: the VNICat registry cohort study
Jacob, Javier
Serveis d'urgències mèdiques
Insuficiència respiratòria
Catalunya
Respiració artificial
Emergency medical services
Respiratory insufficiency
Catalonia
Artificial respiration
title_short Noninvasive mechanical ventilation in emergency services in Catalonia: the VNICat registry cohort study
title_full Noninvasive mechanical ventilation in emergency services in Catalonia: the VNICat registry cohort study
title_fullStr Noninvasive mechanical ventilation in emergency services in Catalonia: the VNICat registry cohort study
title_full_unstemmed Noninvasive mechanical ventilation in emergency services in Catalonia: the VNICat registry cohort study
title_sort Noninvasive mechanical ventilation in emergency services in Catalonia: the VNICat registry cohort study
dc.creator.none.fl_str_mv Jacob, Javier
Arranz, Maria J.
Sancho Ramoneda, Mariona
Lopez, Àngels
Navarro Sáez, Ma Carmen
Cousiño Chao, José Ramón
López Altimiras, Xavier
López i Vengut, Francesc
García Trallero, Olivia
Zorrilla, José
German, Antonio
Farré Cerdà, Jaume
Lista, Eva
author Jacob, Javier
author_facet Jacob, Javier
Arranz, Maria J.
Sancho Ramoneda, Mariona
Lopez, Àngels
Navarro Sáez, Ma Carmen
Cousiño Chao, José Ramón
López Altimiras, Xavier
López i Vengut, Francesc
García Trallero, Olivia
Zorrilla, José
German, Antonio
Farré Cerdà, Jaume
Lista, Eva
author_role author
author2 Arranz, Maria J.
Sancho Ramoneda, Mariona
Lopez, Àngels
Navarro Sáez, Ma Carmen
Cousiño Chao, José Ramón
López Altimiras, Xavier
López i Vengut, Francesc
García Trallero, Olivia
Zorrilla, José
German, Antonio
Farré Cerdà, Jaume
Lista, Eva
author2_role author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Serveis d'urgències mèdiques
Insuficiència respiratòria
Catalunya
Respiració artificial
Emergency medical services
Respiratory insufficiency
Catalonia
Artificial respiration
topic Serveis d'urgències mèdiques
Insuficiència respiratòria
Catalunya
Respiració artificial
Emergency medical services
Respiratory insufficiency
Catalonia
Artificial respiration
description Objectives: To study how noninvasive ventilation (NIV) is used in prehospital emergency services and hospital emergency departments. To explore associations between NIV use and hospital mortality. Material and methods: Prospective analysis of a consecutive multicenter cohort of patients who were treated with NIV between February and March 2015. The study was undertaken in emergency medical services in Catalonia and 8 Catalan hospital emergency departments. We collected information during the acute episode and on discharge, as well as data describing the patients' condition when stable. The dependent variable was all-cause hospital mortality. Results: We studied 184 acute episodes requiring NIV, in the prehospital setting in 25 cases (13.6%) and in the hospital in 159 (86.4%). The most common scenario was acute heart failure (AHF) (38.0%). The second most common was chronic obstructive pulmonary disease (COPD) (34.2%). In most cases, NIV was discontinued in the emergency department. Mortality was 7.5% during prehospital care and 21.4% in the hospital. Hospital mortality was associated with limiting the use of life support. We detected no significant differences in mortality between the groups of patients with AHF vs COPD. Conclusion: The use of NIV in prehospital and hospital emergency care follows current evidence-based recommendations and is required more often for AHF than for exacerbated COPD. Hospital mortality is high in this context and is associated with frequent limiting of life support.
publishDate 2017
dc.date.none.fl_str_mv 2017
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/185650
url https://hdl.handle.net/2445/185650
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://pubmed.ncbi.nlm.nih.gov/28825266/
Emergencias, 2017, vol. 29, num. 1, p. 33-38
dc.rights.none.fl_str_mv (c) Saned, 2017
info:eu-repo/semantics/openAccess
rights_invalid_str_mv (c) Saned, 2017
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Saned
publisher.none.fl_str_mv Saned
dc.source.none.fl_str_mv Articles publicats en revistes (Ciències Clíniques)
reponame:Dipòsit Digital de la UB
instname:
instname_str
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,638193

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