Documentos de Académico
Documentos de Profesional
Documentos de Cultura
Surat Tongyoo
PII: S0883-9441(17)30489-6
DOI: doi: 10.1016/j.jcrc.2017.08.001
Reference: YJCRC 52626
To appear in:
Revised date: ###REVISEDDATE###
Accepted date: ###ACCEPTEDDATE###
Please cite this article as: Surat Tongyoo , Factors predicting failure of noninvasive
ventilation assist for preventing reintubation among medical critically ill patients, (2017),
doi: 10.1016/j.jcrc.2017.08.001
This is a PDF file of an unedited manuscript that has been accepted for publication. As
a service to our customers we are providing this early version of the manuscript. The
manuscript will undergo copyediting, typesetting, and review of the resulting proof before
it is published in its final form. Please note that during the production process errors may
be discovered which could affect the content, and all legal disclaimers that apply to the
journal pertain.
Descargado para Anonymous User (n/a) en Hosp Pablo Tobon Uribe de ClinicalKey.es por Elsevier en septiembre 13, 2017.
Para uso personal exclusivamente. No se permiten otros usos sin autorizacin. Copyright 2017. Elsevier Inc. Todos los derechos reservados.
ACCEPTED MANUSCRIPT
Corresponding author:
Surat Tongyoo
PT
Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University,
RI
Bangkok 10700, Thailand.
SC
E-mail address: surat_Ty@yahoo.co.uk
Competing interests
Funding
PT
This study was supported by Siriraj Hospital Research funding for young
CE
Descargado para Anonymous User (n/a) en Hosp Pablo Tobon Uribe de ClinicalKey.es por Elsevier en septiembre 13, 2017.
Para uso personal exclusivamente. No se permiten otros usos sin autorizacin. Copyright 2017. Elsevier Inc. Todos los derechos reservados.
ACCEPTED MANUSCRIPT
To the Editor:
PT
critiques.
Although, we enrolled the wide range of patients age, starting from 18 years
RI
old, most of our patients were age over 60 years (table 1.). We did not record the
SC
patients baseline nutritional status, however; we did record the patients body mass
index (BMI). A recent study by Compher C, et al. demonstrated that BMI < 18.5
NU
kg/sq.m can be used as a parameter to diagnose malnutrition. Moreover, patient
with low BMI associated with higher hospital mortality rate, especially among
MA
Asian population [2]. The proportion of low BMI among failure NIV group was
slightly higher than the success group, but without statistically significant. From our
D
additional data, the patient age and pre-existing malnourishment had no effect to the
E
We also used the rapid shallow breathing index (RSBI) as a predictor for
successfully discontinues the patient from the ventilator. RSBI before endotracheal
CE
between the success and failure group. Only 2 patients had RSBI more than 100,
one patient was in the success group. The proportion of the patient who had RSBI
before extubation over 50 was similar among the two groups.
As Dr. Karaoren noted, the shorter duration of mechanical ventilator
dependent day among septic shock and pneumonia, which were the majority of our
study population, may associate with failure extubation. We classified the patients
according to the duration of mechanical ventilator dependent, as shown in the table
1. There was no association of failure intubation and the shorter duration of
Descargado para Anonymous User (n/a) en Hosp Pablo Tobon Uribe de ClinicalKey.es por Elsevier en septiembre 13, 2017.
Para uso personal exclusivamente. No se permiten otros usos sin autorizacin. Copyright 2017. Elsevier Inc. Todos los derechos reservados.
ACCEPTED MANUSCRIPT
PT
Reference:
RI
1. Thomrongpairoj P, Tongyoo S, Tragulmongkol, Permpikul C. Factors
predicting failure of noninvasive ventilation assist for preventing reintubation
SC
among medical critically ill patients. J Crit Care 2017:38; 177-81.
NU
2. Compher C, Higashiguchi T, Yu J, Jensen G L. Does low body mass index
predict the hospital mortality of adult Western or Asian patients? JPEN J
MA
Table 1. Patients characters, comparing between successful and failure NIV for
D
prevent re-intubation
E
PT
Success Failure P
Variable
(n = 57) (n = 48) value
CE
Descargado para Anonymous User (n/a) en Hosp Pablo Tobon Uribe de ClinicalKey.es por Elsevier en septiembre 13, 2017.
Para uso personal exclusivamente. No se permiten otros usos sin autorizacin. Copyright 2017. Elsevier Inc. Todos los derechos reservados.