Delayed mechanical ventilation with prolonged high‑fow nasal cannula exposure time as a risk factor for mortality in acute respiratory distress syndrome due to SARS‑CoV‑2
Q2
- Autores:
-
López-Ramírez, Viviana Yiset
Sanabria Rodríguez, Oscar Orlando
Bottia-Córdoba, Santiago
Muñoz, Óscar
- Tipo de recurso:
- Article of journal
- Fecha de publicación:
- 2023
- Institución:
- Pontificia Universidad Javeriana
- Repositorio:
- Repositorio Universidad Javeriana
- Idioma:
- eng
- OAI Identifier:
- oai:repository.javeriana.edu.co:10554/65349
- Acceso en línea:
- https://link.springer.com/article/10.1007/s11739-022-03186-4#citeas
http://hdl.handle.net/10554/65349
https://doi.org/10.1007/s11739-022-03186-4
- Palabra clave:
- Coronavirus infections
Acute respiratory distress syndrome
Noninvasive ventilation
Pandemics
Mortality
- Rights
- License
- Atribución-NoComercial 4.0 Internacional
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| dc.title.spa.fl_str_mv |
Delayed mechanical ventilation with prolonged high‑fow nasal cannula exposure time as a risk factor for mortality in acute respiratory distress syndrome due to SARS‑CoV‑2 |
| title |
Delayed mechanical ventilation with prolonged high‑fow nasal cannula exposure time as a risk factor for mortality in acute respiratory distress syndrome due to SARS‑CoV‑2 |
| spellingShingle |
Delayed mechanical ventilation with prolonged high‑fow nasal cannula exposure time as a risk factor for mortality in acute respiratory distress syndrome due to SARS‑CoV‑2 Coronavirus infections Acute respiratory distress syndrome Noninvasive ventilation Pandemics Mortality |
| title_short |
Delayed mechanical ventilation with prolonged high‑fow nasal cannula exposure time as a risk factor for mortality in acute respiratory distress syndrome due to SARS‑CoV‑2 |
| title_full |
Delayed mechanical ventilation with prolonged high‑fow nasal cannula exposure time as a risk factor for mortality in acute respiratory distress syndrome due to SARS‑CoV‑2 |
| title_fullStr |
Delayed mechanical ventilation with prolonged high‑fow nasal cannula exposure time as a risk factor for mortality in acute respiratory distress syndrome due to SARS‑CoV‑2 |
| title_full_unstemmed |
Delayed mechanical ventilation with prolonged high‑fow nasal cannula exposure time as a risk factor for mortality in acute respiratory distress syndrome due to SARS‑CoV‑2 |
| title_sort |
Delayed mechanical ventilation with prolonged high‑fow nasal cannula exposure time as a risk factor for mortality in acute respiratory distress syndrome due to SARS‑CoV‑2 |
| dc.creator.fl_str_mv |
López-Ramírez, Viviana Yiset Sanabria Rodríguez, Oscar Orlando Bottia-Córdoba, Santiago Muñoz, Óscar |
| dc.contributor.author.none.fl_str_mv |
López-Ramírez, Viviana Yiset Sanabria Rodríguez, Oscar Orlando Bottia-Córdoba, Santiago Muñoz, Óscar |
| dc.contributor.corporatename.spa.fl_str_mv |
Pontificia Universidad Javeriana. Facultad de Medicina. Departamento de Medicina Interna. Medicina Interna |
| dc.contributor.corporatename.none.fl_str_mv |
Pontificia Universidad Javeriana. Facultad de Medicina. Departamento de Medicina Interna. Medicina Crítica y Cuidado Intensivo |
| dc.contributor.javerianateacher.none.fl_str_mv |
Sanabria Rodríguez, Oscar Orlando Muñoz, Óscar |
| dc.subject.keyword.spa.fl_str_mv |
Coronavirus infections Acute respiratory distress syndrome Noninvasive ventilation Pandemics Mortality |
| topic |
Coronavirus infections Acute respiratory distress syndrome Noninvasive ventilation Pandemics Mortality |
| description |
Q2 |
| publishDate |
2023 |
| dc.date.accessioned.none.fl_str_mv |
2023-08-30T16:47:48Z |
| dc.date.available.none.fl_str_mv |
2023-08-30T16:47:48Z |
| dc.date.created.none.fl_str_mv |
2023-02-15 |
| dc.type.local.spa.fl_str_mv |
Artículo de revista |
| dc.type.coar.spa.fl_str_mv |
http://purl.org/coar/resource_type/c_6501 |
| format |
http://purl.org/coar/resource_type/c_6501 |
| dc.identifier.spa.fl_str_mv |
https://link.springer.com/article/10.1007/s11739-022-03186-4#citeas |
| dc.identifier.issn.spa.fl_str_mv |
1828-0447 / 1970-9366 (Electrónico) |
| dc.identifier.uri.none.fl_str_mv |
http://hdl.handle.net/10554/65349 |
| dc.identifier.doi.spa.fl_str_mv |
https://doi.org/10.1007/s11739-022-03186-4 |
| dc.identifier.instname.spa.fl_str_mv |
instname:Pontificia Universidad Javeriana |
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reponame:Repositorio Institucional - Pontificia Universidad Javeriana |
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repourl:https://repository.javeriana.edu.co |
| url |
https://link.springer.com/article/10.1007/s11739-022-03186-4#citeas http://hdl.handle.net/10554/65349 https://doi.org/10.1007/s11739-022-03186-4 |
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1828-0447 / 1970-9366 (Electrónico) instname:Pontificia Universidad Javeriana reponame:Repositorio Institucional - Pontificia Universidad Javeriana repourl:https://repository.javeriana.edu.co |
| dc.language.iso.spa.fl_str_mv |
eng |
| language |
eng |
| dc.relation.citationstartpage.spa.fl_str_mv |
429 |
| dc.relation.citationendpage.spa.fl_str_mv |
437 |
| dc.relation.ispartofjournal.spa.fl_str_mv |
Internal and Emergency Medicine |
| dc.relation.citationvolume.spa.fl_str_mv |
18 |
| dc.rights.licence.*.fl_str_mv |
Atribución-NoComercial 4.0 Internacional |
| dc.rights.uri.*.fl_str_mv |
http://creativecommons.org/licenses/by-nc/4.0/ |
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http://purl.org/coar/access_right/c_abf2 |
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Atribución-NoComercial 4.0 Internacional http://creativecommons.org/licenses/by-nc/4.0/ http://purl.org/coar/access_right/c_abf2 |
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PDF |
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application/pdf |
| dc.coverage.spatial.spa.fl_str_mv |
Colombia |
| dc.coverage.temporal.spa.fl_str_mv |
2020-2022 |
| dc.coverage.city.spa.fl_str_mv |
Bogotá (Colombia) |
| institution |
Pontificia Universidad Javeriana |
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Atribución-NoComercial 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc/4.0/http://purl.org/coar/access_right/c_abf2López-Ramírez, Viviana YisetSanabria Rodríguez, Oscar OrlandoBottia-Córdoba, SantiagoMuñoz, ÓscarPontificia Universidad Javeriana. Facultad de Medicina. Departamento de Medicina Interna. Medicina InternaPontificia Universidad Javeriana. Facultad de Medicina. Departamento de Medicina Interna. Medicina Crítica y Cuidado IntensivoSanabria Rodríguez, Oscar OrlandoMuñoz, ÓscarColombia2020-2022Bogotá (Colombia)2023-08-30T16:47:48Z2023-08-30T16:47:48Z2023-02-15https://link.springer.com/article/10.1007/s11739-022-03186-4#citeas1828-0447 / 1970-9366 (Electrónico)http://hdl.handle.net/10554/65349https://doi.org/10.1007/s11739-022-03186-4instname:Pontificia Universidad Javerianareponame:Repositorio Institucional - Pontificia Universidad Javerianarepourl:https://repository.javeriana.edu.coPDFapplication/pdfengDelayed mechanical ventilation with prolonged high‑fow nasal cannula exposure time as a risk factor for mortality in acute respiratory distress syndrome due to SARS‑CoV‑2Artículo de revistahttp://purl.org/coar/resource_type/c_6501Q2Q1Pacientes con Síndrome de dificultad respiratoria agudaIn a high proportion of patients, infection by COVID-19 progresses to acute respiratory distress syndrome (ARDS), requir ing invasive mechanical ventilation (IMV) and admission to an intensive care unit (ICU). Other devices, such as a high-fow nasal cannula (HFNC), have been alternatives to IMV in settings with limited resources. This study evaluates whether HFNC exposure time prior to IMV is associated with mortality. This observational, analytical study was conducted on a historical cohort of adults with ARDS due to SARS-CoV-2 who were exposed to HFNC and subsequently underwent IMV. Univari ate and multivariate logistic regression was used to analyze the impact of HFNC exposure time on mortality, controlling for multiple potential confounders. Of 325 patients with ARDS, 41 received treatment with HFNC for more than 48 h before IMV initiation. These patients had a higher mortality rate (43.9% vs. 27.1%, p: 0.027) than those using HFNC<48 h. Univariate analysis evidenced an association between mortality and HFNC≥48 h (OR 2.16. 95% CI 1.087–4.287. p: 0.028). Such an association persisted in the multivariable analysis (OR 2.21. 95% CI 1.013–4.808. p: 0.046) after controlling for age, sex, comorbidities, basal severity of infection, and complications. This study also identifed a signifcant increase in mortality after 36 h in HFNC (46.3%, p: 0.003). In patients with ARDS due to COVID-19, HFNC exposure≥48 h prior to IMV is a factor associated with mortality after controlling multiple confounders. Physiological mechanisms for such an association are need to be defned.https://orcid.org/0000-0001-9668-6788https://orcid.org/0000-0002-9974-9163https://orcid.org/0000-0001-5401-0018Revista Internacional - IndexadaA1NoCoronavirus infectionsAcute respiratory distress syndromeNoninvasive ventilationPandemicsMortality429437Internal and Emergency Medicine18ORIGINALDelayed mechanical ventilation with prolonged high-flow nasal cannula exposure time as a risk factor for mortality in acute respiratory distre.pdfDelayed mechanical ventilation with prolonged high-flow nasal cannula exposure time as a risk factor for mortality in acute respiratory distre.pdfArtículoapplication/pdf573179http://repository.javeriana.edu.co/bitstream/10554/65349/1/Delayed%20mechanical%20ventilation%20with%20prolonged%20high-flow%20nasal%20cannula%20exposure%20time%20as%20a%20risk%20factor%20for%20mortality%20in%20acute%20respiratory%20distre.pdf09de66a8d72342687c6db41a601bbca6MD51open accessLICENSElicense.txtlicense.txttext/plain; charset=utf-82603http://repository.javeriana.edu.co/bitstream/10554/65349/2/license.txt2070d280cc89439d983d9eee1b17df53MD52open accessTHUMBNAILDelayed mechanical ventilation with prolonged high-flow nasal cannula exposure time as a risk factor for mortality in acute respiratory distre.pdf.jpgDelayed mechanical ventilation with prolonged high-flow nasal cannula exposure time as a risk factor for mortality in acute respiratory distre.pdf.jpgIM Thumbnailimage/jpeg9704http://repository.javeriana.edu.co/bitstream/10554/65349/3/Delayed%20mechanical%20ventilation%20with%20prolonged%20high-flow%20nasal%20cannula%20exposure%20time%20as%20a%20risk%20factor%20for%20mortality%20in%20acute%20respiratory%20distre.pdf.jpg1a329473ebf795541bcdc31c006638caMD53open access10554/65349oai:repository.javeriana.edu.co:10554/653492024-01-10 21:36:30.04Repositorio Institucional - Pontificia Universidad Javerianarepositorio@javeriana.edu.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 |