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Risk factors of in-hospital mortality and discriminating capacity of NIVO score in exacerbations of COPD requiring noninvasive ventilation

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单位: [1]Sichuan Univ, West China Hosp, Dept Resp & Crit Care Med, Guo Xue Xiang 37, Chengdu 610041, Peoples R China [2]Univ Elect Sci & Technol China, Sichuan Canc Hosp, Chengdu, Peoples R China [3]Sichuan Univ, West China Hosp, West China Sch Med, Chengdu, Peoples R China [4]Guangzhou Med Univ, State Key Lab Resp Dis, Guangzhou, Peoples R China [5]Peoples Hosp Leshan, Dept Resp & Crit Care Med, Leshan, Peoples R China [6]Zhejiang Univ Sch Med, Sir Run Run Shaw Hosp, Dept Resp & Crit Care Med, Hangzhou, Peoples R China [7]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Dept Resp & Crit Care Med, Wuhan, Peoples R China [8]Huazhong Univ Sci & Technol, Union Hosp, Tongji Med Coll, Dept Resp & Crit Care Med, Wuhan, Peoples R China [9]First Peoples Hosp Neijiang City, Dept Resp & Crit Care Med, Neijiang, Peoples R China [10]Cent South Univ, Xiangya Hosp, Dept Resp & Crit Care Med, Changsha, Peoples R China [11]First Peoples Hosp Jiujiang, Dept Emergency, Jiujiang, Peoples R China [12]Affiliated Hosp Chengdu Univ, Dept Resp & Crit Care Med, Chengdu, Peoples R China
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关键词: Acute exacerbation of chronic obstructive pulmonary disease noninvasive mechanical ventilation in-hospital mortality noninvasive ventilation outcomes score chronic obstructive pulmonary disease

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Background: Noninvasive mechanical ventilation (NIV) is recommended as the initial mode of ventilation to treat acute respiratory failure in patients with AECOPD. The Noninvasive Ventilation Outcomes (NIVO) score has been proposed to evaluate the prognosis in patients with AECOPD requiring assisted NIV. However, it is not validated in Chinese patients. Methods: We used data from the MAGNET AECOPD Registry study, which is a prospective, noninterventional, multicenter, real-world study conducted between September 2017 and July 2021 in China. Data for the potential risk factors of mortality were collected and the NIVO score was calculated, and the in-hospital mortality was evaluated using the NIVO risk score. Results: A total of 1164 patients were included in the study, and 57 patients (4.9%) died during their hospital stay. Multiple logistic regression analysis revealed that age >= 75 years, DBP <60 mmHg, Glasgow Coma Scale <= 14, anemia and BUN >7 mmol/L were independent predictors of in-hospital mortality. The in-hospital mortality was associated with an increase in the risk level of NIVO score and the difference was statistically significant (p < .001). The NIVO risk score showed an acceptable accuracy for predicting the in-hospital mortality in AECOPD requiring assisted NIV (AUC: 0.657, 95% CI: 0.584-0.729, p < .001). Conclusion: Our findings identified predictors of mortality in patients with AECOPD receiving NIV, providing useful information to identify severe patients and guide the management of AECOPD. The NIVO score showed an acceptable predictive value for AECOPD receiving NIV in Chinese patients, and additional studies are needed to develop and validate predictive scores based on specific populations.

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出版当年[2023]版:
大类 | 3 区 医学
小类 | 3 区 呼吸系统
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大类 | 3 区 医学
小类 | 4 区 呼吸系统
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Q2 RESPIRATORY SYSTEM
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第一作者单位: [1]Sichuan Univ, West China Hosp, Dept Resp & Crit Care Med, Guo Xue Xiang 37, Chengdu 610041, Peoples R China
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