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10.12788/jhm.3548

http://scihub22266oqcxt.onion/10.12788/jhm.3548
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33231547!8034674!33231547
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suck abstract from ncbi


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pmid33231547      J+Hosp+Med 2020 ; 15 (12): 734-738
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  • Safety Assessment of a Noninvasive Respiratory Protocol for Adults With COVID-19 #MMPMID33231547
  • Soares WE 3rd; Schoenfeld EM; Visintainer P; Elia T; Medarametla V; Schoenfeld DA; Deutsch A; Salvador D; Dietzen D; Tidswell MA; DePergola PA 2nd; Marie PS; Westafer LM
  • J Hosp Med 2020[Dec]; 15 (12): 734-738 PMID33231547show ga
  • As evidence emerged supporting noninvasive strategies for coronavirus disease 2019 (COVID-19)-related respiratory distress, we implemented a noninvasive COVID-19 respiratory protocol (NCRP) that encouraged high-flow nasal cannula (HFNC) and self-proning across our healthcare system. To assess safety, we conducted a retrospective chart review evaluating mortality and other patient safety outcomes after implementation of the NCRP protocol (April 3, 2020, to April 15, 2020) for adult patients hospitalized with COVID-19, compared with preimplementation outcomes (March 15, 2020, to April 2, 2020). During the study, there were 469 COVID-19 admissions. Fewer patients underwent intubation after implementation (10.7% [23 of 215]), compared with before implementation (25.2% [64 of 254]) (P < .01). Overall, 26.2% of patients died (24% before implementation vs 28.8% after implementation; P = .14). In patients without a do not resuscitate/do not intubate order prior to admission, mortality was 21.8% before implementation vs 21.9% after implementation. Overall, we found no significant increase in mortality following implementation of a noninvasive respiratory protocol that decreased intubations in patients with COVID-19.
  • |*Cannula[MESH]
  • |*Patient Safety[MESH]
  • |Aged[MESH]
  • |COVID-19/mortality/*therapy[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Intubation, Intratracheal/statistics & numerical data[MESH]
  • |Male[MESH]
  • |Noninvasive Ventilation/*statistics & numerical data[MESH]


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