NIV in the elderly

Roberto Cosentini

Emergenza Alta Specializzazione

ASTT - Papa Giovanni XXIII - Bergamo

NIV in the elderly

pH 7.21

pCO2 69

pO2 56

HCO3 27

sO2 88% 10 L/min

question 2

NIV

Should I stay or Should I go?

mortality

mortality

24% 7%

mortality

v v v

v v v

v

`

v

`

ACPE_SIMEU Study

1.293 pts

m age = 81 ys

CPAP 61%

Mortality = 9%

Mortality = 9%

A multicenter, prospective, observational study on the use of

non-invasive positive pressure ventilation

in hospitalized patients with pneumonia outside ICU

Brambilla Anna Maria1, Prina Elena2, Ferrari Giovanni 3, Bozzano Viviana 4, Ferrari

Rodolfo5, Groff Paolo6, Petrelli Giuseppina6, Scala Raffaele7, Causin Fabio8, Noto Paola9,

Bresciani Emanuela10 Voza Antonio11, Aliberti Stefano12, 3P study group13, Cosentini

Roberto14

347 patients with ARF pneumonia

median age: 77 [IQR 66-85] years old

Mortality = 23%

DNI status

Charlson Comorbidity Index (CCI) ≥3

independent risk factors for in-hospital mortality

indication

ACPE

COPD ex

ARDS

pneumonia indication

ACPE

COPD ex

ARDS

pneumonia

performance

indication

ACPE

COPD ex

ARDS

pneumonia

v

`

v

`

performance

DNI

indication

NIV in the elderly?

NIV in the elderly

NIV in the elderly

indication

NIV in the elderly?

performance indication