Application of improved Glasgow coma scale score as switching point for sequential invasive-noninvasive mechanical ventilation on chronic obstructive pulmonary disease (COPD) with respiratory failure

doi:10.1097/MD.0000000000031857

科研成果详情

题名	Application of improved Glasgow coma scale score as switching point for sequential invasive-noninvasive mechanical ventilation on chronic obstructive pulmonary disease (COPD) with respiratory failure
作者	Zhang, Jin-Bo 1; Li, Li-Hong2; Zhu, Jin-Qiang 1; Zhou, Shi-Fang 3; Ma, Ji-Hong4; Li, Zhi-Qiang 5; Jin, Xiao-Hong1; Lin, Xiao-Qin 6
发表日期	2022-11-18
发表期刊	MEDICINE 影响因子和分区
语种	英语
原始文献类型	Article
关键词	chronic obstructive pulmonary disease Glasgow coma scale mechanical respiratory failure ventilation
其他关键词	PNEUMONIA
摘要	Background: To compare the efficacy and feasibility of using a modified Glasgow coma scale (GCS) score of 13 or 15 as the criterion for switching chronic obstructive pulmonary disease (COPD) patients with respiratory failure to sequential invasive-noninvasive ventilation. Methods: COPD patients with respiratory failure who had undergone endotracheal intubation and invasive mechanical ventilation (IMV) between June 2017 and June 2020 at 4 different hospitals in China were included. A total of 296 patients were randomly divided into 2 groups. In group A, the patients were extubated and immediately placed on noninvasive ventilation (NIV) when the modified GCS score reached 13. In group B, the same was done when the modified GCS score reached 15. Results: No significant differences in the mean blood pressure, oxygenation index, arterial partial pressure of oxygen, and arterial partial pressure of carbon dioxide were seen between groups A and B before extubation and 3 hours after NIV. The re-intubation times were also similar in the 2 groups. Compared to group B, the length of hospital stay, incidence of ventilator associated pneumonia, and time of invasive ventilation were all significantly lower in group A (P = .041, .001, <.001). Conclusion: Using a modified GCS score of 13 as the criterion for switching from IMV to NIV can significantly reduce the duration of IMV, length of hospital stay, and incidence of ventilator associated pneumonia in COPD patients with respiratory failure.
出版者	LIPPINCOTT WILLIAMS & WILKINS
出版地	PHILADELPHIA
ISSN	0025-7974
EISSN	1536-5964
卷号	101 期号:46
DOI	10.1097/MD.0000000000031857
页数	6
WOS类目	Medicine, General & Internal
WOS研究方向	General & Internal Medicine
WOS记录号	WOS:000890207100091
收录类别	SCIE ; SCOPUS ; PUBMED
URL	查看原文
PubMed ID	36401492
SCOPUSEID	2-s2.0-85142401755
通讯作者地址	[Lin, Xiao-Qin]Department of Hepatopancreatobiliary Surgery,Wenling Hospital,Wenzhou Medical University,First People's Hospital of Wenling,No. 333 Chuan an south Road, Wenling,Zhejiang,317500,China
Scopus学科分类	Medicine (all)
引用统计
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/171652
专题	附属第一医院其他_附属温岭医院（温岭市第一人民医院）
通讯作者	Lin, Xiao-Qin
作者单位	1.Emergency Intensive Care Unit,Wenling Hospital,Wenzhou Medical University,First People's Hospital of Wenling,Wenling,Zhejiang,China; 2.Infection Division,Wenling Hospital,Wenzhou Medical University,First People's Hospital of Wenling,Wenling,Zhejiang,China; 3.Department of Emergency Care,Changsha Central Hospital,Changsha,Hunan,China; 4.Intensive Care Unit,First Hospital,Wenzhou Medical University,Wenling,Zhejiang,China; 5.Intensive Care Unit,First People's Hospital of Jingmen,Jingmen,Hubei,China; 6.Department of Hepatopancreatobiliary Surgery,Wenling Hospital,Wenzhou Medical University,First People's Hospital of Wenling,Wenling,Zhejiang,China
第一作者单位	附属温岭医院（温岭市第一人民医院）
通讯作者单位	附属温岭医院（温岭市第一人民医院）
第一作者的第一单位	附属温岭医院（温岭市第一人民医院）
推荐引用方式 GB/T 7714	Zhang, Jin-Bo,Li, Li-Hong,Zhu, Jin-Qiang,et al. Application of improved Glasgow coma scale score as switching point for sequential invasive-noninvasive mechanical ventilation on chronic obstructive pulmonary disease (COPD) with respiratory failure[J]. MEDICINE,2022,101(46).
APA	Zhang, Jin-Bo., Li, Li-Hong., Zhu, Jin-Qiang., Zhou, Shi-Fang., Ma, Ji-Hong., ... & Lin, Xiao-Qin. (2022). Application of improved Glasgow coma scale score as switching point for sequential invasive-noninvasive mechanical ventilation on chronic obstructive pulmonary disease (COPD) with respiratory failure. MEDICINE, 101(46).
MLA	Zhang, Jin-Bo,et al."Application of improved Glasgow coma scale score as switching point for sequential invasive-noninvasive mechanical ventilation on chronic obstructive pulmonary disease (COPD) with respiratory failure".MEDICINE 101.46(2022).