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Readmission and mortality after first hospital admission with acute hypercapnic respiratory failure (AHRF) requiring non-invasive ventilation (NIV)

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dc.contributor.authorRebecca D'Cruz,en_US
dc.contributor.authorHarman Saman,en_US
dc.contributor.authorOlliver O'Sullivan,en_US
dc.contributor.authorNorashikin Amran,en_US
dc.contributor.authorJumaa Bwika,en_US
dc.contributor.authorBen Beauchamp,en_US
dc.contributor.authorRahul Mukherjeeen_US
dc.date.accessioned2024-05-28T03:28:42Z
dc.date.available2024-05-28T03:28:42Z
dc.date.issued2013
dc.date.submitted--
dc.description.abstractIntroduction: Longer term data on mortality of patients requiring NIV due to AHRF have been reported (Thomas A et al. ERJ 2010; 36:54. 402s). We report 1-year mortality and readmission rates of a cohort of such patients admitted to a respiratory ward-based 11-bedded physiotherapy-led NIV unit in a hospital providing acute medical services to a population of about 450000. Methods: An observational, single-centre, retrospective, follow-up study of all patients requiring NIV for AHRF (Arterial pH 7.35 and pCO2 6.0 kPa) for the first time between 01 Jan 2009 to 31 Dec 2009 was conducted. Results: Of the 163 patients treated with NIV, data was complete on 149. Mean pH 7.21; mean FEV1 21% predicted.The most common cause for admission was exacerbation of COPD 76 (51%), followed by pneumonia 22 (14.7), Primary obese morbidity 13 (8.7%), left ventricular failure 6 (4.02%) and Multifactorial AHRF 32 (21.4%); Mortality at first admission was 38/149 (25.5%) and at 24 months was 86/149 (57.7%). Readmission for AHRF peaked at 1 year, with 32.9% of patients being readmitted at least once at 12 months after first presentation. Discussion: Respiratory ward based NIV units in UK teaching hospitals tend to treat significantly more acidotic patients in real life than envisaged by the British Thoracic Society/Royal College of Physicians/Intensive Care Society 2008 guidelines. Allowing for that, short term (1-year) mortality and readmission rates remain similar to original studies on less severely acidotic AHRF patients, which probably indicates improved multidisciplinary team work and team learning.en_US
dc.identifier.citationReadmission and mortality after first hospital admission with acute hypercapnic respiratory failure (AHRF) requiring non-invasive ventilation (NIV) Rebecca D'Cruz, Harman Saman, Olliver O'Sullivan, Norashikin Amran, Jumaa Bwika, Ben Beauchamp, Rahul Mukherjee European Respiratory Journal Sep 2013, 42 (Suppl 57) P2490;en_US
dc.identifier.issn0903-1936
dc.identifier.issueSuppl 57
dc.identifier.other2093-3
dc.identifier.urihttps://erj.ersjournals.com/content/42/Suppl_57/P2490.article-info
dc.identifier.urihttps://oarep.usim.edu.my/handle/123456789/4354
dc.identifier.volume42
dc.language.isoenen_US
dc.publisherEuropean Respiratory Societyen_US
dc.relation.ispartofEuropean Respiratory Journalen_US
dc.subjectAcute respiratory failureen_US
dc.subjectVentilation/NIVen_US
dc.subjectEpidemiologyen_US
dc.titleReadmission and mortality after first hospital admission with acute hypercapnic respiratory failure (AHRF) requiring non-invasive ventilation (NIV)en_US
dc.typeArticleen_US
dspace.entity.typePublication

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