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Insufficienza respiratoria acuta nell'anziano nel dipartimento di emergenza

Insufficienza respiratoria acuta nell'anziano nel dipartimento di emergenza


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About the Book

La terapia ventilatoria non invasiva è spesso offerta per assistere soggetti anziani con insufficienza respiratoria acuta (ARF) nel dipartimento di emergenza. Il nostro obiettivo era quello di evidenziare le difficoltà incontrate durante questa pratica e i fattori predittivi di fallimento. Lo studio è stato retrospettivo, condotto nel dipartimento di emergenza del CHU La Rabta (Tunisia). Sono stati inclusi 75 pazienti di età superiore ai 65 anni con ARF e ricorso alla ventilazione non invasiva (NIV). Le diagnosi eziologiche di ARF erano spesso associate al 72% di scompenso acuto da BPCO, al 61% di insufficienza cardiaca acuta, al 37% di pneumopatia e all'1% di embolia polmonare. Il fallimento della NIV ha comportato il 24% di mortalità ospedaliera e l'8% di ricovero in unità di terapia intensiva. L'ipertensione pregressa (p=0,026), il reflusso epato-giugulare (p=0,028), l'edema degli arti inferiori (p=0,016), l'uremia (p=0,005), la CRP (p=0,004) e il pH iniziale (p=0,044) erano correlati alla mortalità. Nel nostro studio sono stati quindi identificati diversi fattori predittivi di fallimento della terapia ventilatoria non invasiva. La frequenza delle comorbilità acute potrebbe spiegare le difficoltà incontrate.


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Product Details
  • ISBN-13: 9786205244715
  • Publisher: KS Omniscriptum Publishing
  • Publisher Imprint: Edizioni Sapienza
  • Height: 229 mm
  • No of Pages: 52
  • Spine Width: 3 mm
  • Width: 152 mm
  • ISBN-10: 6205244713
  • Publisher Date: 23 Nov 2022
  • Binding: Paperback
  • Language: Italian
  • Returnable: N
  • Weight: 141 gr


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