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Airwaves

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LONGER TERM OUTCOME AFTER ACUTE NIV
Non-invasive ventilation (NIV) has proven benefits in patients with COPD exacerbations complicated by hypercapnic respiratory failure, although there have been few data on the longer term outcome after the use of NIV for exacerbations. Patients admitted to hospital with COPD exacerbations and respiratory failure are often frequent exacerbators and one would therefore expect poorer outcomes in this group. In this month’s Thorax Chu and colleagues describe a study of post-discharge outcomes in these patients and show that, within 1 year, 79.9% had been readmitted; 49% had died by 1 month and 63.3% had another life threatening event. In the accompanying editorial, Elliott discusses how the use of home long term NIV may reduce the impact of the exacerbation and prevent hospital readmission and mortality. There are some preliminary data to suggest that long term NIV may reduce exacerbations and hospital admission, but now the time has come for larger, controlled, . . . [Full text of this article]

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Non-invasive ventilation in acute exacerbations of COPD: what happens after hospital discharge?

M W Elliott
Thorax 2004 59: 1006-1008. [Extract] [Full Text] [PDF]

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