Comparison of HACOR scoring system with Diaphragm ultrasound in predicting outcomes of non-invasive ventilation - A prospective observational study
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 79
- 试验地点
- 1
- 主要终点
- To calculate specificity of HACOR scoring system and diaphragm ultrasound in predicting outcomes of NIV.
研究概览
简要总结
Non-invasive Ventilation decreases the effort of inspiratory muscles and helps in oxygenation in patients with hypoxia due to acute respiratory failure. It is widely used to avoid intubation, and it’s failure requires tracheal intubation which further increases morbidity. Therefore, early identification of patients at risk for NIV failure and intubation can result in better outcome. The decision to wean patient from NIV is based on clinical and physiological parameters (RSBI - Rapid Shallow Breathing Index and HACOR - Heart rate, Acidosis, GCS, Oxygenation and Respiratory rate). However high failure rates and can lead to premature NIV termination. We have devised this study to compare the efficacy of HACOR scoring system with Diaphragm Ultrasound in predicting the outcomes of weaning from NIV.
研究设计
- 研究类型
- Observational
入排标准
- 年龄范围
- 18.00 Year(s) 至 65.00 Year(s)（—）
- 性别
- Female
入选标准
- •Patients on NIV with RSBI less than 105.
排除标准
- •Pregnancy Obesity (BMI more than 35) Age more than 65 GCS less than 8 Prophylactic or rescue use of NIV after extubation Pre-existing diaphragm palsy Skeletal deformity Recent gastric surgeries.
结局指标
主要结局
To calculate specificity of HACOR scoring system and diaphragm ultrasound in predicting outcomes of NIV.
时间窗: 6 hours from NIV
次要结局
- To estimate duration of NIV in ICU, To estimate mortality in ICU, To estimate percentage of patients requiring intubation(18 months)
研究者
Dr. Theyjes
SRM Institute of Science and Technology