Non-invasive Ventilation in an Elderly Population Admitted to a Respiratory Monitoring Unit: Causes, Complications and One-year Evolution

Calvo, Gonzalo; García, Enrique Zamora; Moreno, Rosa Girón; Espinosa, Emma Vázquez; Punter, Rosa Mar Gómez; Vasconcelos, Gilda Fernandes; Valenzuela, Claudia; Bermúdez, Julio Ancochea

doi:10.1016/j.arbr.2012.07.011

Cited by 9 publications

(9 citation statements)

References 10 publications

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“…This position is supported by a recent Italian study in which the authors reported a NIV success rate of 62% among DNI patients despite their poorer clinical condition . Further studies should focus on the outcome of this group of patients . By necessity, these studies involve ethical questions and concerns regarding the decision‐making process at the end of life .…”

Section: Discussionmentioning

confidence: 88%

“…Inpatients aged 70 years or older complications during the course of mechanical ventilation can increase hospital mortality . The effectiveness of ventilator support in very old patients has been studied only in the last 5 years . Most studies have demonstrated that NIV for hypercapnic ARF is associated with a higher survival rate and a faster resolution of respiratory distress compared with standard medical treatment .…”

Section: Discussionmentioning

confidence: 99%

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The use of non-invasive ventilation in very old patients with hypercapnic acute respiratory failure because of COPD exacerbation

Nicolini¹,

Santo

Ferrera

et al. 2014

Int J Clin Pract

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Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 99%

The use of non-invasive ventilation in very old patients with hypercapnic acute respiratory failure because of COPD exacerbation

Nicolini¹,

Santo

Ferrera

et al. 2014

Int J Clin Pract

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“…Other studies conducted in respiratory monitoring unit and ED compared patients above and below 75 years. 5,18 These studies showed a mortality rate lower than ours for patients over 75 years old. 5,18 Additionally, the study of Nicolini et al 5 showed a mortality rate of 19.8% and included only AECOPD requiring Bilevel ventilation.…”

Section: Discussionmentioning

confidence: 48%

“…In the literature, the results of NIV during ARF from any cause and regardless of age, differ according to inclusion criteria showing an overall rate of NIV failure that can range from 20 to 30%. 16 Several studies tackled elderly patients with hypercapnic ARF 5,17,18 ; our study also included hypoxaemic respiratory failure. Among these studies, that of Çiftci et al 17 which enrolled prospectively patients aged more than 65 years old and which showed a mortality rate of 18% with a need for intubation concerning 24.6% of the patients.…”

Section: Discussionmentioning

confidence: 99%

Non-Invasive Ventilation in the Elderly at Emergency Department: Epidemiological Data and Results

2020

MedJEM

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Introduction: Non-invasive ventilation (NIV) could be a good alternative in elderly people with acute respiratory failure (ARF), to procure them a respiratory support while avoiding as much as possible the complications of invasive ventilation. Methods: This is an observational retrospective study conducted at the emergency department (ED) of a tertiary care, university-based teaching hospital. Data of elderly patients (≥ 65 years) admitted to ED between January 2017 and April 2018 for ARF and requiring NIV were collected and analyzed using SPSS 22 software. Results: Sixty six patients (≥ 65 years) requiring NIV for acute respiratory failure (ARF) were included. The mean age was 76 years (± 7), the median Charlson index was 5. Acute respiratory failure was related to acute heart failure in 68%, acute exacerbation of chronic obstructive pulmonary disease in 53% and pneumonia in 39% of cases. Forty eight percent had more than one etiologic diagnosis. Hypercapnic acute respiratory failure was observed in 61%. On initiation of NIV, the average pH was 7.31 (± 0.11) and PaCO2 56 mmHg (± 21), After NIV, the average pH was 7.38 (± 0.11) and PaCO2 53 mmHg (± 26). Improvement of pH was significant (p < 0.05). 61% of patients were discharged at home, 9% were admitted to intensive care unit. Invasive ventilation was performed in 4%, of which 23% died. Success of NIV was observed in 68% of patients. Conclusion: NIV can be of a great interest in elderly people. Our study showed that it can be used successfully in the studied settings.

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“…Segrelles Calvo et al . provided an important assessment of the effectiveness of NIV in elderly patients, but showed some limiting factors: severe comorbidities and frequent readmission . The success of applying NIV in the respiratory monitoring unit in elderly patients highlights the need to promote the creation and consolidation of these specific healthcare areas for elderly patients who require NIV outside the ICU …”

Section: Acute‐on‐chronic Respiratory Failurementioning

confidence: 99%

Non‐invasive mechanical ventilation in elderly patients: A narrative review

Piroddi¹,

Barlascini²,

Esquinas

et al. 2016

Geriatrics Gerontology Int

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The treatment of acute respiratory failure with non-invasive ventilation (NIV) as a first-line therapy is increasingly common in intensive care units. The reduced invasiveness of NIV leads to better outcomes than endotracheal intubation in carefully selected groups of patients. Furthermore, the use of NIV as a palliative treatment for respiratory failure and dyspnea has become increasingly common. NIV also has an impact on the use of "do not intubate" orders. In the present narrative review, we explore the use and outcome of NIV in elderly patients. To accomplish this, we reviewed the most recent available medical literature. Geriatr Gerontol Int 2017; 17: 689-696.

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Non-invasive Ventilation in an Elderly Population Admitted to a Respiratory Monitoring Unit: Causes, Complications and One-year Evolution

Cited by 9 publications

References 10 publications

The use of non-invasive ventilation in very old patients with hypercapnic acute respiratory failure because of COPD exacerbation

The use of non-invasive ventilation in very old patients with hypercapnic acute respiratory failure because of COPD exacerbation

Non-Invasive Ventilation in the Elderly at Emergency Department: Epidemiological Data and Results

Non‐invasive mechanical ventilation in elderly patients: A narrative review

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