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{
    "pk": 61792,
    "title": "Non-Invasive Ventilation in the Elderly in the Emergency Department: Epidemiological Data and Results",
    "subtitle": null,
    "abstract": "Introduction: Non-invasive ventilation (NIV) could be a good alternative in elderly people with acute respiratory failure (ARF), to procure them a respiratory support while avoiding as much as possible the complications of invasive ventilation.\nMethods: This is an observational retrospective study conducted at the emergency department (ED) of a tertiary care, university-based teaching hospital. Data of elderly patients (≥ 65 years) admitted to ED between January 2017 and April 2018 for ARF and requiring NIV were collected and analyzed using SPSS 22 software.\nResults: Sixty six patients (≥ 65 years) requiring NIV for acute respiratory failure (ARF) were included. The mean age was 76 years (± 7), the median Charlson index was 5. Acute respiratory failure was related to acute heart failure in 68%, acute exacerbation of chronic obstructive pulmonary disease in 53% and pneumonia in 39% of cases. Forty eight percent had more than one etiologic diagnosis. Hypercapnic acute respiratory failure was observed in 61%. On initiation of NIV, the average pH was 7.31 (± 0.11) and PaCO2 56 mmHg (± 21), After NIV, the average pH was 7.38 (± 0.11) and PaCO2 53 mmHg (± 26). Improvement of pH was significant (p < 0.05). 61% of patients were discharged at home, 9% were admitted to intensive care unit. Invasive ventilation was performed in 4%, of which 23% died. Success of NIV was observed in 68% of patients.\nConclusion: NIV can be of a great interest in elderly people. Our study showed that it can be used successfully in the studied settings.",
    "language": "english",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\n\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Emergency Medicine"
        },
        {
            "word": "ventilation"
        },
        {
            "word": "acute care"
        }
    ],
    "section": "Original Research",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/4fv2k09r",
    "frozenauthors": [
        {
            "first_name": "Yosra",
            "middle_name": "",
            "last_name": "Yahia",
            "name_suffix": "",
            "institution": "Faculty of Medicine of Tunis",
            "department": ""
        },
        {
            "first_name": "Hamida",
            "middle_name": "",
            "last_name": "Maghraoui",
            "name_suffix": "",
            "institution": "Faculty of Medicine of Tunis",
            "department": ""
        },
        {
            "first_name": "Khedija",
            "middle_name": "",
            "last_name": "Zaouche",
            "name_suffix": "",
            "institution": "Faculty of Medicine of Tunis",
            "department": ""
        },
        {
            "first_name": "Abdelwahab",
            "middle_name": "",
            "last_name": "Mghirbi",
            "name_suffix": "",
            "institution": "Faculty of Medicine of Tunis",
            "department": ""
        },
        {
            "first_name": "Amani",
            "middle_name": "",
            "last_name": "Slama",
            "name_suffix": "",
            "institution": "Faculty of Medicine of Tunis",
            "department": ""
        },
        {
            "first_name": "Mohamed",
            "middle_name": "",
            "last_name": "Kilani",
            "name_suffix": "",
            "institution": "Faculty of Medicine of Tunis",
            "department": ""
        },
        {
            "first_name": "Abderrahim",
            "middle_name": "",
            "last_name": "Achouri",
            "name_suffix": "",
            "institution": "Faculty of Medicine of Tunis",
            "department": ""
        },
        {
            "first_name": "Manel",
            "middle_name": "",
            "last_name": "Kallel",
            "name_suffix": "",
            "institution": "Faculty of Medicine of Tunis",
            "department": ""
        },
        {
            "first_name": "Hedia",
            "middle_name": "",
            "last_name": "Gnenna",
            "name_suffix": "",
            "institution": "Faculty of Medicine of Tunis",
            "department": ""
        },
        {
            "first_name": "Kamel",
            "middle_name": "",
            "last_name": "Majed",
            "name_suffix": "",
            "institution": "Faculty of Medicine of Tunis",
            "department": ""
        }
    ],
    "date_submitted": "2020-08-03T06:21:25-07:00",
    "date_accepted": "2020-08-03T06:21:25-07:00",
    "date_published": "2020-08-22T00:00:00-07:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/uciem_medjem/article/61792/galley/47672/download/"
        }
    ]
}