Increasing use of non-invasive ventilation in asthma: a long-term analysis of the Portuguese national hospitalization database

Alves, Daniela; Jacinto, Tiago; Vaz, Mário; Lopes, Fernando; Fonseca, João

doi:10.3109/02770903.2014.939280

Cited by 10 publications

(8 citation statements)

References 41 publications

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“…The rates of IMV (11.7%) in our study were lower than previous studies but our total (IMV and NIV) rate of ventilation was 78% . More recent data reports a trend for lower rates of IMV use . Within our study the IMV rates for the first 6 years was 16.1% and dropped to 9.3% in the final 10 years.…”

Section: Discussioncontrasting

confidence: 71%

“…[22][23][24] More recent data reports a trend for lower rates of IMV use. 25 Within our study the IMV rates for the first 6 years was 16.1% and dropped to 9.3% in . Failed NIV, group of patients that had NIV prior to IMV they are also included in the IMV group; IMV, invasive mechanical ventilation; MED, medical therapy; n, number of admissions within each mode of therapy who have a blood gas within 2 h of starting therapy or time of admission for the medical therapy group; NIV, non-invasive ventilation.…”

Section: Discussionmentioning

confidence: 43%

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Non‐invasive ventilation use in status asthmaticus: 16 years of experience in a tertiary intensive care

Bond

Horsley

Williams

2017

Emerg Medicine Australasia

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Section: Discussioncontrasting

confidence: 71%

Section: Discussionmentioning

confidence: 43%

Non‐invasive ventilation use in status asthmaticus: 16 years of experience in a tertiary intensive care

Bond

Horsley

Williams

2017

Emerg Medicine Australasia

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“…This case-mix system was not designed with epidemiological, but with financial purposes, and is the first Portuguese database with clinical information 47 . However, its information is used in the academic environment for different purposes, namely studies of epidemiological analysis 48,49,50,51,52 .…”

Section: Datamentioning

confidence: 99%

“…The indicator of hospitalizations in SNS hospitals was used as a mental illness proxy, similarly to what was done in other studies 48,49,51,52 , due to the impossibility of access to all hospital admissions. However, given the nature of the Portuguese SNS (universal and general access, and mainly free of charge), public hospitals provide most of the healthcare and have most of the resources 70 .…”

Section: Limitationsmentioning

confidence: 99%

The socio-spatial context as a risk factor for hospitalization due to mental illness in the metropolitan areas of Portugal

et al. 2015

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This study's aims are: (i) identifying spatial patterns for the risk of hospitalization due to mental illness and for the potential risk resulting from contextual factors with influence on mental health; and (ii) analyzing the spatial association between risk of hospitalization due to mental illness and potential risk resulting from contextual factors in the metropolitan areas of Lisbon and Porto, Portugal. A cross-sectional ecological study was conducted by applying statistical methods for assessing spatial dependency and heterogeneity. Results reveal a spatial association between risk of hospitalization due to mental illness and potential risk resulting from contextual factors with a statistical relevance of moderate intensity. 20% of the population under study lives in areas with a simultaneously high potential risk resulting from contextual factors and risk of hospitalization due to mental illness. Porto Metropolitan Area show the highest percentage of population living in parishes with a significantly high risk of hospitalization due to mental health, which puts forward the need for interventions on territory-adjusted contextual factors influencing mental health.

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“…The data further demonstrate a decrease in mortality versus IMV. They do not show a change in hospital length of stay [31].…”

Section: Non-invasive Positive Pressure Ventilationmentioning

confidence: 99%

Controversies in the Care of the Acute Asthmatic in the Prehospital and Emergency Department Environments

Tennyson

2015

Curr Emerg Hosp Med Rep

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Asthma is an episodic disease of the airways characterized by inflammation and constriction of the bronchi. It has a significant societal impact with over 25 million persons affected in the United States alone and annually accounts for approximately 3300 deaths in the US. Standard therapy for acute severe asthma is effective for most patients, but controversies exist surrounding the care of the impending or actual respiratory failure patient. Non-invasive positive pressure ventilation has been effective in multiple case reports, but lacks large trial evidence to support its use. Intravenous ketamine similarly has supporting case reports, but an absence of rigorous evidence. Finally, parenteral beta-adrenergic medications have a long history of use, but have not been consistently shown to be superior to inhaled short-acting beta agonists. Further, they have been associated with higher rates of adverse effects.

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Increasing use of non-invasive ventilation in asthma: a long-term analysis of the Portuguese national hospitalization database

Cited by 10 publications

References 41 publications

Non‐invasive ventilation use in status asthmaticus: 16 years of experience in a tertiary intensive care

Non‐invasive ventilation use in status asthmaticus: 16 years of experience in a tertiary intensive care

The socio-spatial context as a risk factor for hospitalization due to mental illness in the metropolitan areas of Portugal

Controversies in the Care of the Acute Asthmatic in the Prehospital and Emergency Department Environments

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