Risk factors and outcomes of pediatric non-invasive respiratory support failure in Latin America

This study identified key risk factors for predicting NRS failure in children with acute ARF in PICUs, including younger age, prematurity, malnutrition, suspected bacterial infection, FiO<sub>2</sub> >30 %, severe hypoxemia (SpO<sub>2</sub>/FiO<sub>2</sub> ≤150), tachypnea, tachycardia, and radiological findings such as lung consolidation and interstitial infiltrates. Compared to patients managed with IMV from the start, those who experienced NRS failure were more likely to develop withdrawal symptoms and/or delirium, although clinical outcomes such as mortality, IMV duration, and PICU length of stay were similar in both groups.

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Publication Details

Journal
Journal of Intensive Medicine
Published
2024-10-16
DOI
https://doi.org/10.1016/j.jointm.2024.09.001
Primary Topic
Respiratory Support and Mechanisms
Type
article
Field-Weighted Citation Impact
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article

Risk factors and outcomes of pediatric non-invasive respiratory support failure in Latin America

H. Herrera, Sebastián González‐Dambrauskas, Soledad Menta, Diana Paola Escobar-Serna et al.
Journal of Intensive Medicine
Respiratory Support and Mechanisms
article

Risk factors and outcomes of pediatric non-invasive respiratory support failure in Latin America

H. Herrera, Sebastián González‐Dambrauskas, Soledad Menta, Diana Paola Escobar-Serna, Javier Martínez, Franco Díaz, Nicolás Monteverde-Fernández, Jesús Alberto Serra, Paula Caporal, Cristóbal Carvajal, Juan Javier Peralta-Palmezano, Juan Camilo Jaramillo-Bustamante, Rubén Eduardo Lasso Palomino, Eliana Zemanate, Roberto Jabornisky, Pablo Vásquez‐Hoyos, Luis Martínez, M. Decia, F. Castro Zamorano
article en

Abstract

This study identified key risk factors for predicting NRS failure in children with acute ARF in PICUs, including younger age, prematurity, malnutrition, suspected bacterial infection, FiO<sub>2</sub> >30 %, severe hypoxemia (SpO<sub>2</sub>/FiO<sub>2</sub> ≤150), tachypnea, tachycardia, and radiological findings such as lung consolidation and interstitial infiltrates. Compared to patients managed with IMV from the start, those who experienced NRS failure were more likely to develop withdrawal symptoms and/or delirium, although clinical outcomes such as mortality, IMV duration, and PICU length of stay were similar in both groups.

Journal of Intensive MedicineVol. 5(2)
Universidad del Desarrollo (CL), Johns Hopkins University (US), Universidad de la República de Uruguay (UY), Centro Hospitalario Pereira Rossell (UY), Universidad Nacional de Colombia (CO), Fundación Valle del Lili (CO), Municipality of Medellín (CO), Universidad Católica del Uruguay (UY), Universidad de la Empresa (UY), Finis Terrae University (CL), Hospital Pablo Tobon Uribe (CO), RedCLARA (UY), Hospital Padre Hurtado (CL), Fundación Santa Fe de Bogotá (CO), Fundación Universitaria de Ciencias de la Salud (CO), Instituto Nacional de Investigación Agropecuaria (UY), Wikimedia Uruguay (UY), Fundación Universitaria de Popayán (CO), Hospital Central de las Fuerzas Armadas (UY), Hospital de Carabineros (CL), Centro Uruguayo de Imagenología Molecular (UY), Children's Specialized Hospital (US), Icesi University (CO)
Good health and well-being
Openalex Percentile: Top 67%
Respiratory Support and Mechanisms
DOIOpen Access PDFOpenAlex
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