We use cookies to understand how you use our site and to improve your experience. This includes personalizing content and advertising. To learn more, click here. By continuing to use our site, you accept our use of cookies. Cookie Policy.

Features Partner Sites Information LinkXpress
Sign In
Advertise with Us

Download Mobile App




Noninvasive Ventilators Improve COPD Outcomes

By HospiMedica International staff writers
Posted on 17 Feb 2020
Print article
Home bilevel positive airway pressure (BiPAP) is associated with lower risk of mortality, all-cause hospital admission, and intubation, according to a new study.

Researchers at the Mayo Clinic (Rochester, MN, USA) conducted a meta-analysis of randomized clinical trials (RCTs) and comparative observational studies that enrolled adults with chronic obstructive pulmonary disease (COPD) with hypercapnia who used home noninvasive positive pressure ventilation (NIPPV) devices for more than one month in order to evaluate associations between BiPAP and NIPPV devices and long-term outcomes. In all, 33 studies evaluating outcomes for 51,085 patients were included in the analysis.

The primary outcomes including mortality, all-cause hospital admissions, need for intubation, and quality of life. The results revealed that use of a noninvasive ventilator device (either BiPAP or NIPPV) was significantly associated with lower mortality (29.2%) compared to no device (22.3%). The use of a noninvasive ventilator device also led to fewer emergency department visits and hospitalizations, and lower rates of intubation if the patients were subsequently admitted to the hospital. The study was published on February 4, 2020, in JAMA.

“While there does seem to be some clear benefits to using devices such as BiPAP, we should be cautious as the studies included a lot of different types of patients with COPD. We still have a lot more to learn about which machine settings are best for different types of patients,” said lead author pulmonary and critical care physician Michael Wilson, MD. “In addition, although many studies in our review included quality of life measurements, we didn't see an improvement. While some studies showed better quality of life, other studies showed no difference.”

COPD is a debilitating lung disease that makes it difficult to breathe. Many of those who suffer from COPD also suffer from hypercapnia, the retention of carbon dioxide (CO2), a metabolism waste product normally expelled by the lungs during breathing. The combination of COPD and chronic hypercapnia may lead to acute respiratory failure and hospitalization. One of the recommended treatment options is NIPPV using a respiration machine with a mask that helps to improve breathing.

Related Links:
Mayo Clinic

Gold Member
Disposable Protective Suit For Medical Use
Disposable Protective Suit For Medical Use
Gold Member
Solid State Kv/Dose Multi-Sensor
AGMS-DM+
Silver Member
Compact 14-Day Uninterrupted Holter ECG
NR-314P
New
Vital Signs Monitor
M3/M3A

Print article

Channels

Surgical Techniques

view channel
Image: The Early Bird Bleed Monitoring System provides visual and audible indicators of the onset and progression of bleeding events (Photo courtesy of Saranas)

Novel Technology Monitors and Lowers Bleeding Complications in Patients Undergoing Heart Procedures

Bleeding complications at the femoral access site can significantly hamper recovery, affecting the success of procedures, patient satisfaction, and overall healthcare costs. It is crucial for surgeons... Read more

Patient Care

view channel
Image: The newly-launched solution can transform operating room scheduling and boost utilization rates (Photo courtesy of Fujitsu)

Surgical Capacity Optimization Solution Helps Hospitals Boost OR Utilization

An innovative solution has the capability to transform surgical capacity utilization by targeting the root cause of surgical block time inefficiencies. Fujitsu Limited’s (Tokyo, Japan) Surgical Capacity... Read more

Health IT

view channel
Image: First ever institution-specific model provides significant performance advantage over current population-derived models (Photo courtesy of Mount Sinai)

Machine Learning Model Improves Mortality Risk Prediction for Cardiac Surgery Patients

Machine learning algorithms have been deployed to create predictive models in various medical fields, with some demonstrating improved outcomes compared to their standard-of-care counterparts.... Read more

Point of Care

view channel
Image: The new eye-safe laser technology can diagnose traumatic brain injury (Photo courtesy of 123RF)

Novel Diagnostic Hand-Held Device Detects Known Biomarkers for Traumatic Brain Injury

The growing need for prompt and efficient diagnosis of traumatic brain injury (TBI), a major cause of mortality globally, has spurred the development of innovative diagnostic technologies.... Read more
Copyright © 2000-2024 Globetech Media. All rights reserved.