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The Respiratory Rate-Oxygenation Index predicts failure of post-extubation high-flow nasal cannula therapy in intensive care unit patients: a retrospective cohort study
dc.contributor.author | Fuentes, Yuli V. | |
dc.contributor.author | Carvajal, Katherine | |
dc.contributor.author | Cardona, Santiago | |
dc.contributor.author | Ibáñez-Prada, Elsa D. | |
dc.contributor.author | Bastidas, Alirio | |
dc.contributor.author | Reyes, Luis Felipe | |
dc.date.accessioned | 2023-08-16T19:16:43Z | |
dc.date.available | 2023-08-16T19:16:43Z | |
dc.date.issued | 2022 | |
dc.identifier.citation | Fuentes Y.V. (2022).The Respiratory Rate-Oxygenation Index predicts failure of post-extubation high-flow nasal cannula therapy in intensive care unit patients: a retrospective cohort study. Rev Bras Ter Intensiva, 34(3), 1-7 | es_CO |
dc.identifier.issn | 0103-507X | |
dc.identifier.other | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9749095/ | |
dc.identifier.uri | http://hdl.handle.net/10818/56321 | |
dc.description | 8 páginas | |
dc.description.abstract | Objective To investigate the applicability of the Respiratory Rate-Oxygenation Index to identify the risk of high-flow nasal cannula failure in post-extubation pneumonia patients. Methods This was a 2-year retrospective observational study conducted in a reference hospital in Bogotá, Colombia. All patients in whom post-extubation high-flow nasal cannula therapy was used as a bridge to extubation were included in the study. The Respiratory Rate-Oxygenation Index was calculated to assess the risk of post-extubation high-flow nasal cannula failure. Results A total of 162 patients were included in the study. Of these, 23.5% developed high-flow nasal cannula failure. The Respiratory Rate-Oxygenation Index was significantly lower in patients who had high-flow nasal cannula failure [median (IQR): 10.0 (7.7 - 14.4) versus 12.6 (10.1 - 15.6); p = 0.006]. Respiratory Rate-Oxygenation Index > 4.88 showed a crude OR of 0.23 (95%CI 0.17 - 0.30) and an adjusted OR of 0.89 (95%CI 0.81 - 0.98) stratified by severity and comorbidity. After logistic regression analysis, the Respiratory Rate-Oxygenation Index had an adjusted OR of 0.90 (95%CI 0.82 - 0.98; p = 0.026). The area under the Receiver Operating Characteristic curve for extubation failure was 0.64 (95%CI 0.53 - 0.75; p = 0.06). The Respiratory Rate-Oxygenation Index did not show differences between patients who survived and those who died during the intensive care unit stay. Conclusion The Respiratory Rate-Oxygenation Index is an accessible tool to identify patients at risk of failing high-flow nasal cannula post-extubation treatment. Prospective studies are needed to broaden the utility in this scenario. | en |
dc.language.iso | eng | es_CO |
dc.publisher | Rev Bras Ter Intensiva | es_CO |
dc.relation.ispartofseries | Rev Bras Ter Intensiva. 2022 Jul-Sep; 34(3): 360–366 | |
dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 International | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | * |
dc.source | Universidad de La Sabana | es_CO |
dc.source | Intellectum Repositorio Universidad de La Sabana | es_CO |
dc.subject.other | Cannula | en |
dc.subject.other | Oxygenation | en |
dc.subject.other | Respiratory rate | en |
dc.subject.other | Airway extubation | en |
dc.subject.other | Pneumonia | en |
dc.subject.other | Critical care | en |
dc.subject.other | Intensive care units | en |
dc.title | The Respiratory Rate-Oxygenation Index predicts failure of post-extubation high-flow nasal cannula therapy in intensive care unit patients: a retrospective cohort study | en |
dc.type | journal article | es_CO |
dc.type.hasVersion | publishedVersion | es_CO |
dc.rights.accessRights | openAccess | es_CO |
dc.identifier.doi | 10.5935/0103-507X.20220477-en |
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Facultad de Medicina [958]