Predicting Failure of Non-invasive Ventilation among patients admitted at ShethL.G. General Hospital, Ahmedabad, Gujarat, India-A retrospective study

Abstract

Objective: Purpose of the study, is to find out if Non Invasive Ventilation (NIV) failure can be predicted, on the basis of the information available at initial point of a contact with patient. Methods: This is the retrospective study of patients which were admitted to AMC MET Medical College, ShethL.G.General Hospital, Ahmedabad during the years 2014-2015.Patients were assign, to one of the two groups covering the successful NIV treatment & NIV failure. Results: 90 patients were incorporated in the study& two groups were compare on the variables accessible at initial point of contact with patient. Patients in which NIV treatment failed did had elevated levels of the C-reactive protein (p=0.04). Multivariate analysis showed that an odds ratio, of 1.13 for NIV failure; associated with increased respiratory rate. NIV was less likely to fall short in patients with the recognized Chronic Obstructive Pulmonary Disease (p=0.05). Conclusion: In this current study NIV failure, was found to be associated with the elevated levels of the C-reactive protein tended to have the elevated respiratory rates. Key words: C-reactive protein, Multivariate analysis, Non Invasive Ventilation, Patient, Respiratory rate