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Tanaffos، جلد ۲۳، شماره ۲، صفحات ۱۷۶-۱۸۲

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عنوان انگلیسی Is Non-Invasive Ventilation a Good Choice in All Patients with Severe COVID-19? A Cohort Retrospective Study
چکیده انگلیسی مقاله Background: The recent outbreak of Coronavirus 2019 (COVID-19) is a respiratory disorder caused by the Acute Respiratory Syndrome Coronavirus 2. At the start of the epidemic, early intubation was the optimal strategy for managing ARDS caused by COVID-19. Several non-invasive methods for respiratory support in patients with moderate to severe COVID-19 may reduce intubation, disease severity, ventilator use, and hospitalization in the intensive care unit (ICU). In this study, the characteristics of COVID-19 patients who failed NIV therapy were compared with those who had successful NIV.  Materials and Methods: The present descriptive-analytical study was conducted at the COVID-19 center of KHORSHID University Hospital. Patients were aged > 18 years with confirmed COVID-19 and hospitalized in the ICU from the beginning of January to the end of March 2021. They had an oxygen level of < 88% despite receiving 15 L of oxygen with reserve masks and were undergoing non-invasive ventilation (NIV) treatment. Data collection included patients' demographic information, vital signs, and test results upon hospital admission, and assessed disease severity using APACHE, SAPS, and SOFA scores. Patients were categorized into responders (R) and non-responders (NR) to determine predictors of non-invasive ventilation (NIV) success, with follow-up based on device tolerance and changes in vital signs. Results: 71 Individuals were candidates for NIV. Twenty patients were excluded from the study, and 51 patients were included in the study. Of these, 35 patients underwent NIV treatment failure (NR). On the other hand, 16 (31.4%) patients completely recovered after receiving NIV (R) and they were discharged from the ICU. Conclusion: Serum Albumin and BMI levels of COVID-19 patients undergoing NIV therapy seem to affect their responses to treatment. Hence, it is recommended to evaluate the nutritional status of patients before the start of NIV.
کلیدواژه‌های انگلیسی مقاله Noninvasive ventilation,COVID-19,ARDS

نویسندگان مقاله Ramin Sami |
Department of Internal Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

Babak Amra |
Bamdad Respiratory and Sleep Research Center, Department of Internal Medicine, Pulmonary and Sleep Ward, Isfahan University of Medical Sciences, Isfahan, Iran

Forogh Soltaninejad |
Department of Internal Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

Zohre Naderi |
Department of Internal Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

Marjan Mansourian |
Pediatric Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran

Mina Nickpour |
Department of Internal Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

Media Babahajiani |
Student Research Committee, Vice Chancellor for Research and Technology, Kurdistan University of Medical Sciences, Sanandaj, Iran

Marzieh Hashemi |
Department of Internal Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran


نشانی اینترنتی https://www.tanaffosjournal.ir/article_720278_60191262b08a434eb1e803a66885cb6e.pdf
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