Effect of the presence of pneumonia on noninvasive ventilation success in chronic obstructive pulmonary disease cases with acute hypercapnic respiratory failure

AKPINAR, Evrim Eylem; UÇAR, Nazire; ALAGÖZ, ALİ; ŞİPİT, Yusuf Tuğrul; AKPINAR, Serdar; ROLLAS, KAZIM

Effect of the presence of pneumonia on noninvasive ventilation success in chronic obstructive pulmonary disease cases with acute hypercapnic respiratory failure

Serdar AKPINAR, (Atatürk Göğüs Hastalıkları ve Göğüs Cerrahisi Eğitim ve Araştırma Hastanesi,Göğüs Cerrahisi Anabilim Dalı, Ankara, Türkiye)

Kazım ROLLAS, (Atatürk Göğüs Hastalıkları ve Göğüs Cerrahisi Eğitim ve Araştırma Hastanesi,Göğüs Cerrahisi Anabilim Dalı, Ankara, Türkiye)

Evrim Eylem AKPINAR, (Ufuk Üniversitesi, Tıp Fakültesi, Göğüs Cerrahisi Anabilim Dalı, Ankara, Türkiye)

Ali ALAGÖZ, (Atatürk Göğüs Hastalıkları ve Göğüs Cerrahisi Eğitim ve Araştırma Hastanesi, Anesteziyoloji ve Reanimsayon Kliniği, Ankara, Türkiye)

Nazire UÇAR, (Atatürk Göğüs Hastalıkları ve Göğüs Cerrahisi Eğitim ve Araştırma Hastanesi,Göğüs Cerrahisi Anabilim Dalı, Ankara, Türkiye)

Yusuf Tuğrul ŞİPİT (Atatürk Göğüs Hastalıkları ve Göğüs Cerrahisi Eğitim ve Araştırma Hastanesi,Göğüs Cerrahisi Anabilim Dalı, Ankara, Türkiye)

Turkish Journal of Medical Sciences

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Yıl: 2013 Cilt: 43 Sayı: 3 Sayfa Aralığı: 373 - 378 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Effect of the presence of pneumonia on noninvasive ventilation success in chronic obstructive pulmonary disease cases with acute hypercapnic respiratory failure

Öz:

Aim: To investigate the effect of the presence of pneumonia on the success of noninvasive mechanical ventilation (NIMV) in chronic obstructive pulmonary disease (COPD) cases with acute respiratory failure. Materials and methods: Sixty patients admitted to the intensive care unit (ICU) due to COPD exacerbation were included. The patients were divided into 2 groups as those with pneumonia (Group 1) and without pneumonia (Group 2). According to initial pH values, cases were also divided into 3 subgroups based on pH values. C-reactive protein (CRP), APACHE II scores, requirement of endotracheal intubation, mortality, and duration of ICU and hospital stay were also recorded. Results: NIMV success was found to be 85.5% in Group 1 and 51.1% in Group 2. Endotracheal intubation rates were higher in Group 2 (P = 0.008). NIMV failure was 70.1% in Group 2 and 10% in Group 1 in patients with severe acidosis. The APACHE II scores and CRP levels were significantly higher and independent risk factors in patients with NIMV failure (P < 0.002, P < 0.001). A significant difference was not found between groups in terms of duration of hospital and ICU stays and mortality. Conclusion: The presence of pneumonia in COPD cases is a factor that reduces NIMV success, but this does not affect mortality and the duration of ICU and hospital stay.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	AKPINAR S, ROLLAS K, AKPINAR E, ALAGÖZ A, UÇAR N, ŞİPİT Y (2013). Effect of the presence of pneumonia on noninvasive ventilation success in chronic obstructive pulmonary disease cases with acute hypercapnic respiratory failure. , 373 - 378.
Chicago	AKPINAR Serdar,ROLLAS KAZIM,AKPINAR Evrim Eylem,ALAGÖZ ALİ,UÇAR Nazire,ŞİPİT Yusuf Tuğrul Effect of the presence of pneumonia on noninvasive ventilation success in chronic obstructive pulmonary disease cases with acute hypercapnic respiratory failure. (2013): 373 - 378.
MLA	AKPINAR Serdar,ROLLAS KAZIM,AKPINAR Evrim Eylem,ALAGÖZ ALİ,UÇAR Nazire,ŞİPİT Yusuf Tuğrul Effect of the presence of pneumonia on noninvasive ventilation success in chronic obstructive pulmonary disease cases with acute hypercapnic respiratory failure. , 2013, ss.373 - 378.
AMA	AKPINAR S,ROLLAS K,AKPINAR E,ALAGÖZ A,UÇAR N,ŞİPİT Y Effect of the presence of pneumonia on noninvasive ventilation success in chronic obstructive pulmonary disease cases with acute hypercapnic respiratory failure. . 2013; 373 - 378.
Vancouver	AKPINAR S,ROLLAS K,AKPINAR E,ALAGÖZ A,UÇAR N,ŞİPİT Y Effect of the presence of pneumonia on noninvasive ventilation success in chronic obstructive pulmonary disease cases with acute hypercapnic respiratory failure. . 2013; 373 - 378.
IEEE	AKPINAR S,ROLLAS K,AKPINAR E,ALAGÖZ A,UÇAR N,ŞİPİT Y "Effect of the presence of pneumonia on noninvasive ventilation success in chronic obstructive pulmonary disease cases with acute hypercapnic respiratory failure." , ss.373 - 378, 2013.
ISNAD	AKPINAR, Serdar vd. "Effect of the presence of pneumonia on noninvasive ventilation success in chronic obstructive pulmonary disease cases with acute hypercapnic respiratory failure". (2013), 373-378.

APA	AKPINAR S, ROLLAS K, AKPINAR E, ALAGÖZ A, UÇAR N, ŞİPİT Y (2013). Effect of the presence of pneumonia on noninvasive ventilation success in chronic obstructive pulmonary disease cases with acute hypercapnic respiratory failure. Turkish Journal of Medical Sciences, 43(3), 373 - 378.
Chicago	AKPINAR Serdar,ROLLAS KAZIM,AKPINAR Evrim Eylem,ALAGÖZ ALİ,UÇAR Nazire,ŞİPİT Yusuf Tuğrul Effect of the presence of pneumonia on noninvasive ventilation success in chronic obstructive pulmonary disease cases with acute hypercapnic respiratory failure. Turkish Journal of Medical Sciences 43, no.3 (2013): 373 - 378.
MLA	AKPINAR Serdar,ROLLAS KAZIM,AKPINAR Evrim Eylem,ALAGÖZ ALİ,UÇAR Nazire,ŞİPİT Yusuf Tuğrul Effect of the presence of pneumonia on noninvasive ventilation success in chronic obstructive pulmonary disease cases with acute hypercapnic respiratory failure. Turkish Journal of Medical Sciences, vol.43, no.3, 2013, ss.373 - 378.
AMA	AKPINAR S,ROLLAS K,AKPINAR E,ALAGÖZ A,UÇAR N,ŞİPİT Y Effect of the presence of pneumonia on noninvasive ventilation success in chronic obstructive pulmonary disease cases with acute hypercapnic respiratory failure. Turkish Journal of Medical Sciences. 2013; 43(3): 373 - 378.
Vancouver	AKPINAR S,ROLLAS K,AKPINAR E,ALAGÖZ A,UÇAR N,ŞİPİT Y Effect of the presence of pneumonia on noninvasive ventilation success in chronic obstructive pulmonary disease cases with acute hypercapnic respiratory failure. Turkish Journal of Medical Sciences. 2013; 43(3): 373 - 378.
IEEE	AKPINAR S,ROLLAS K,AKPINAR E,ALAGÖZ A,UÇAR N,ŞİPİT Y "Effect of the presence of pneumonia on noninvasive ventilation success in chronic obstructive pulmonary disease cases with acute hypercapnic respiratory failure." Turkish Journal of Medical Sciences, 43, ss.373 - 378, 2013.
ISNAD	AKPINAR, Serdar vd. "Effect of the presence of pneumonia on noninvasive ventilation success in chronic obstructive pulmonary disease cases with acute hypercapnic respiratory failure". Turkish Journal of Medical Sciences 43/3 (2013), 373-378.