Non-invasive ventilation in a DGH ICU: The North Middlesex Hospital experience
Romero, G.
Non-invasive ventilation in a DGH ICU: The North Middlesex Hospital experience - 2016
NMUH Staff Publications EMBASE 17
<span style="font-size: 10pt;">Non-invasive ventilation (NIV) is currently an essential procedure to treat patients with respiratory failure. New ventilators and devices have improved tolerability and safety during its administration. The North Middlesex Hospital (NMH) intensive care unit (ICU) assumed the responsibility of the NIV unit after the Enfield and Haringey strategy in 2013. This study presents a comparison between NIV patients treated currently at NMH ICU (Group A) with a 2014 ICU historical database (Group B). Patients and methods: ICNARC data available for NIV patients since October 2015 until March 2016 (N=183). The historical database compromises data from 1 January to 30 November 2014 (N=110). Variables are presented as mean+/-SD. Pearson chisquare and Student's t-test were used for qualitative and quantitative variables, respectively, to compare groups. When the distribution of the sample was not normal (Hospital LOS) a U-Mann-Whitney was employed to compare both groups. The statistical analysis software employed was Systat, Inc. (v 13.1). Results: From October 2015 to March 2016, 34% of the NMH ICU patients were on NIV. The mean Apache II and ICNARC scores were 18.3+/-7.2 and 17.5+/-8.3, respectively. There were not statistically differences in age, sex and unit length of stay (LOS) (Table 1). The Hospital LOS was significantly prolonged, and the Hospital outcome was significantly better (p<0.001 and p<0.05, respectively, Table 1) in Group A. COPD patients for both groups is shown in Table 2. There was a significant increase in hospital LOS (p<0.01) in COPD patients in Group A. No difference was observed in hospital mortality in COPD between both groups. Conclusion: There is an improvement of the overall mortality for patients on NIV during the years. The hospital LOS has prolonged compared with the historical data. The significance of this finding warrants further investigation, but a possible explanation could be the initiation of the domiciliary NIV service at NMH and a need of improvement of the community respiratory and social support in our area. (Table presented). </span>
Non-invasive ventilation in a DGH ICU: The North Middlesex Hospital experience - 2016
NMUH Staff Publications EMBASE 17
<span style="font-size: 10pt;">Non-invasive ventilation (NIV) is currently an essential procedure to treat patients with respiratory failure. New ventilators and devices have improved tolerability and safety during its administration. The North Middlesex Hospital (NMH) intensive care unit (ICU) assumed the responsibility of the NIV unit after the Enfield and Haringey strategy in 2013. This study presents a comparison between NIV patients treated currently at NMH ICU (Group A) with a 2014 ICU historical database (Group B). Patients and methods: ICNARC data available for NIV patients since October 2015 until March 2016 (N=183). The historical database compromises data from 1 January to 30 November 2014 (N=110). Variables are presented as mean+/-SD. Pearson chisquare and Student's t-test were used for qualitative and quantitative variables, respectively, to compare groups. When the distribution of the sample was not normal (Hospital LOS) a U-Mann-Whitney was employed to compare both groups. The statistical analysis software employed was Systat, Inc. (v 13.1). Results: From October 2015 to March 2016, 34% of the NMH ICU patients were on NIV. The mean Apache II and ICNARC scores were 18.3+/-7.2 and 17.5+/-8.3, respectively. There were not statistically differences in age, sex and unit length of stay (LOS) (Table 1). The Hospital LOS was significantly prolonged, and the Hospital outcome was significantly better (p<0.001 and p<0.05, respectively, Table 1) in Group A. COPD patients for both groups is shown in Table 2. There was a significant increase in hospital LOS (p<0.01) in COPD patients in Group A. No difference was observed in hospital mortality in COPD between both groups. Conclusion: There is an improvement of the overall mortality for patients on NIV during the years. The hospital LOS has prolonged compared with the historical data. The significance of this finding warrants further investigation, but a possible explanation could be the initiation of the domiciliary NIV service at NMH and a need of improvement of the community respiratory and social support in our area. (Table presented). </span>