Ventilatory Support Use in Hospitalized Patients With Community-Acquired Pneumonia. Fifteen-year Trends in Spain (2001-2015).

Abstract:

AIM:We examined fifteen years trends (2001-2015) in the use of non-invasive ventilation (NIV), invasive mechanical ventilation (IMV) or both (NIV+IMV) among patients hospitalized for community acquired pneumonia (CAP). We also analyzed trends overtime and the influence of patient factors in the in-hospital mortality (IHM) after receiving NIV, IMV or NIV+IMV. METHODS:Observational retrospective epidemiological study. Our data source was the Spanish National Hospital Discharge Database. RESULTS:Over a total of 1,486,240 hospitalized patients with CAP, we identified 56,158 who had received ventilator support in Spain over the study period. Of them, 54.82% received NIV, 37.04% IMV and 8.14% both procedures. The use of NIV and NIV+IMV increased significantly (p<0.001) over time (from 0.91 to 12.84 per 100.000 inhabitant and from 0.23 to 1.19 per 100.000 inhabitants, respectively), while the IMV utilization decreased (from 3.55 to 2.79 per 100,000 inhabitants; p<0.001). Patients receiving NIV were the oldest and had the highest mean value in the Charlson comorbidity index (CCI) score and readmission rate. Patients who received only IMV had the highest IHM. Factors associated with IHM for all groups analyzed included age, comorbidities and readmission. IHM decreased significantly over time in patients with CAP who received NIV, IMV and NIV+IMV. CONCLUSIONS:We found an increase in NIV use and a decline in IMV utilization in patients hospitalized for CAP over the study period. Patients receiving NIV were the oldest and had the highest CCI score and readmission rate. IHM decreased significantly over time in patients with CAP who received NIV, IMV and NIV+IMV.

journal_name

Arch Bronconeumol

authors

de Miguel-Díez J,Jiménez-García R,Hernández-Barrera V,Puente-Maestu L,Ji Z,de Miguel-Yanes JM,Méndez-Bailón M,López-de-Andrés A

doi

10.1016/j.arbres.2019.12.008

subject

Has Abstract

pub_date

2020-12-01 00:00:00

pages

792-800

issue

12

eissn

0300-2896

issn

1579-2129

pii

S0300-2896(19)30614-3

journal_volume

56

pub_type

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