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The purpose of the study was to describe early predictors and to develop a prediction tool that accurately identifies the need for mechanical ventilation in pneumonia patients with acute respiratory failure treated with High Flow nasal cannula.
Purpose The purpose of the study is to describe early predictors and to develop a prediction tool that accurately identifies the need for mechanical ventilation (MV) in pneumonia patients with hypoxemic acute respiratory failure (ARF) treated with high-flow nasal cannula (HFNC).
Materials and methods This is a 4-year prospective observational 2-center cohort study including patients with severe pneumonia treated with HFNC. High-flow nasal cannula failure was defined as need for MV. ROX index was defined as the ratio of pulse oximetry/fraction of inspired oxygen to respiratory rate.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| exit | HFNC with no need for mechanical ventilation | ||
| failure | HFNC with need for mechanical ventilation |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| mechanical ventilation | Procedure |
|
| Measure | Description | Time Frame |
|---|---|---|
| prediction of need for mechanical ventilation using ROX index | participants will be followed during their stay in the ICU registering the days with HFNC treatment and their need or not for mechanical ventilation. | through study completion, an average of 1 year |
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Inclusion Criteria:
Exclusion Criteria:
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patients with acute respiratory failure admitted to intensive care unit receiving high-flow nasal cannula treatment.
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| ID | Term |
|---|---|
| D011014 | Pneumonia |
| ID | Term |
|---|---|
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
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| ID | Term |
|---|---|
| D012121 | Respiration, Artificial |
| ID | Term |
|---|---|
| D058109 | Airway Management |
| D013812 | Therapeutics |
| D012151 | Resuscitation |
| D004638 | Emergency Treatment |
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| D012138 |
| Respiratory Therapy |