지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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초록· 키워드
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Objective: This study aimed to compare the effects of high-flow nasal cannula (HFNC) treatment and conventional oxygen therapy (COT) in patients with heart failure (HF) admitted to the emergency department (ED).
Methods: This study was a single-center, retrospective, observational study. The subjects were divided into HFNC and COT groups. The characteristics were compared, and vital signs and arterial blood gas (ABG) results were analyzed. In addition, mortality, intubation rate, intensive care unit (ICU) admission, and length of stay (LOS) were analyzed for clinical outcome.
Results: Among 252 patients, 91 and 161 were treated with HFNC and COT. Two groups showed differences in vital signs, ABG results, and pulmonary edema. The HFNC group showed no difference in mortality and LOS, but more intubation and ICU admission were observed (P=0.005, P<0.001). Due to the changes in vital signs and ABG results, the HFNC group reduced blood pressure, heart rate and respiratory rate, improved SpO2, increased pH, and decreased PaCO2.
Conclusion: HFNC therapy effectively improved vital signs and ventilation when administered to relatively unstable patients with HF admitted to the ED.
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등록된 정보가 없습니다.
참고문헌 (28)
참고문헌 신청
Yancy CW / 2013 / ACCF/AHA guideline for the management of heart failure: executive summary: a report of the American College of Cardiology Foundation/American Heart Association Task Force on practice guidelines / Circulation 128:1810~1852
이주희 / 2019 / KSHF Guidelines for the Management of Acute Heart Failure; Part I: Definition, Epidemiology and Diagnosis of Acute Heart Failure / Korean Circulation Journal 49(1):1~21
Ponikowski P / 2016 / ESC guidelines for the diagnosis and treatment of acute and chronic heart failure : The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology(ESC)Developed with the special contribution of the Heart Failure Association(HFA)of the ESC / Eur Heart J 37:2129~2200
Kuo DC / 2015 / Diagnosing and managing acute heart failure in the emergency department / Clin Exp Emerg Med 2:141~149
Mace J / 2019 / Early high-flow nasal cannula oxygen therapy in adults with acute hypoxemic respiratory failure in the ED : a before-after study / Am J Emerg Med 37:2091~2096
이주희 / 2019 / KSHF Guidelines for the Management of Acute Heart Failure; Part I: Definition, Epidemiology and Diagnosis of Acute Heart Failure / Korean Circulation Journal 49(1):1~21
Ponikowski P / 2016 / ESC guidelines for the diagnosis and treatment of acute and chronic heart failure : The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology(ESC)Developed with the special contribution of the Heart Failure Association(HFA)of the ESC / Eur Heart J 37:2129~2200
Kuo DC / 2015 / Diagnosing and managing acute heart failure in the emergency department / Clin Exp Emerg Med 2:141~149
Mace J / 2019 / Early high-flow nasal cannula oxygen therapy in adults with acute hypoxemic respiratory failure in the ED : a before-after study / Am J Emerg Med 37:2091~2096
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