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Predictors of Outcome of NIV in Elder, Palliative, and End-of-Life Care Patients

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Ventilatory Support and Oxygen Therapy in Elder, Palliative and End-of-Life Care Patients
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Abstract

Age has never been demonstrated itself as a predictor of failure; even among elder people, NIV success depends on the same variables as among younger ones: cause of ARF, disease and hypoxia severity. Specific variables such as chronic health status and cough strength may influence NIV success. Therefore, age itself should not be considered a limit for NIV use.

Evidences about cancer and DNI patients are even more lacking and almost only pertain hematologic neoplasms; nevertheless, usual predictors of failure (pO22/FiO2, respiratory rate, pH, disease severity) hold true. Infection and progression of solid cancers may be risk factors for NIV failure.

Future studies should focus on some unknown points: predictors of failure among end-stage chronic disease other than neoplasia (COPD, end-stage cardiomyopathy), among terminally ill neuromuscular and restrictive patients or predictors of NIV intolerance.

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Panero, F., Aprà, F. (2020). Predictors of Outcome of NIV in Elder, Palliative, and End-of-Life Care Patients. In: Esquinas, A., Vargas, N. (eds) Ventilatory Support and Oxygen Therapy in Elder, Palliative and End-of-Life Care Patients . Springer, Cham. https://doi.org/10.1007/978-3-030-26664-6_30

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  • DOI: https://doi.org/10.1007/978-3-030-26664-6_30

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-26663-9

  • Online ISBN: 978-3-030-26664-6

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