Evolution of the Use of Noninvasive Mechanical Ventilation in Chronic Obstructive Pulmonary Disease in a Spanish Region, 1997-2010
Evolution of the Use of Noninvasive Mechanical Ventilation in Chronic Obstructive Pulmonary Disease in a Spanish Region, 1997-2010
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DOI：
10.1016/j.arbres.2013.04.006
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发表时间：
2013-08-01
影响因子：
8
通讯作者：
Esquinas-Rodriguez, Antonio M.
中科院分区：
文献类型：
--
作者：
Carpe-Carpe, Bienvenida;Hernando-Arizaleta, Lauro;Esquinas-Rodriguez, Antonio M.
简介：无创机械通气（NIV）出现于20世纪80年代，作为急性呼吸衰竭患者有创机械通气（IMV）的替代方案。我们评估了引进NIV和慢性阻塞性肺疾病急性加重患者在该地区的穆尔西亚（西班牙）的结果。主题和方法：一项回顾性观察性研究的基础上，最低限度的基本出院数据的所有患者在该地区的所有公立医院在1997年和2010年之间的病理住院。我们进行了一个时间趋势分析，通过joinpoint regression.Results，我们确定了30.027出院的医院出勤率，使用每一个干预措施和医院死亡率。联合点分析：出勤率呈下降趋势（年百分比变化[APC] =-3.4，95% CI：-4.8;-2.0，P
Introduction: Noninvasive mechanical ventilation (NIV) appeared in the 1980s as an alternative to invasive mechanical ventilation (IMV) in patients with acute respiratory failure. We evaluated the introduction of NIV and the results in patients with acute exacerbation of chronic obstructive pulmonary disease in the Region of Murcia (Spain).Subjects and methods: A retrospective observational study based on the minimum basic hospital discharge data of all patients hospitalised for this pathology in all public hospitals in the region between 1997 and 2010. We performed a time trend analysis on hospital attendance, the use of each ventilatory intervention and hospital mortality through joinpoint regression.Results: We identified 30.027 hospital discharges. Joinpoint analysis: downward trend in attendance (annual percentage change [APC] = -3.4, 95% CI: -4.8; -2.0, P