The DOI matches its Crossref record; 2 of the 2 references it cites were found in a registry or an index.
Effect of Noninvasive Ventilation vs Oxygen Therapy on Mortality Among Immunocompromised Patients With Acute Respiratory Failure: A Randomized Clinical Trial
Abstract
IMPORTANCE: Noninvasive ventilation has been recommended to decrease mortality among immunocompromised patients with hypoxemic acute respiratory failure. However, its effectiveness for this indication remains unclear. OBJECTIVE: To determine whether early noninvasive ventilation improved survival in immunocompromised patients with nonhypercapnic acute hypoxemic respiratory failure. DESIGN, SETTING, AND PARTICIPANTS: Multicenter randomized trial conducted among 374 critically ill immunocompromised patients, of whom 317 (84.7%) were receiving treatment for hematologic malignancies or solid tumors, at 28 intensive care units (ICUs) in France and Belgium between August 12, 2013, and January 2, 2015. INTERVENTIONS: Patients were randomly assigned to early noninvasive ventilation (n = 191) or oxygen therapy alone (n = 183). MAIN OUTCOMES AND MEASURES: The primary outcome was day-28 mortality. Secondary outcomes were intubation, Sequential Organ Failure Assessment score on day 3, ICU-acquired infections, duration of mechanical ventilation, and ICU length of stay. RESULTS: At randomization, median oxygen flow was 9 L/min (interquartile range, 5-15) in the noninvasive ventilation group and 9 L/min (interquartile range, 6-15) in the oxygen group. All patients in the noninvasive ventilation group received the first noninvasive ventilation session immediately after randomization. On day 28 after randomization, 46 deaths (24.1%) had occurred in the noninvasive ventilation group vs 50 (27.3%) in the oxygen group (absolute difference, -3.2 [95% CI, -12.1 to 5.6]; P = .47). Oxygenation failure occurred in 155 patients overall (41.4%), 73 (38.2%) in the noninvasive ventilation group and 82 (44.8%) in the oxygen group (absolute difference, -6.6 [95% CI, -16.6 to 3.4]; P = .20). There were no significant differences in ICU-acquired infections, duration of mechanical ventilation, or lengths of ICU or hospital stays. CONCLUSIONS AND RELEVANCE: Among immunocompromised patients admitted to the ICU with hypoxemic acute respiratory failure, early noninvasive ventilation compared with oxygen therapy alone did not reduce 28-day mortality. However, study power was limited. TRIAL REGISTRATION: clinicaltrials.gov Identifier: NCT01915719.
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Vincent, J. L., Moreno, R., Takala, J., Willatts, S., De Mendonça, A., Bruining, H., Reinhart, C. K., Suter, P. M., & Thijs, L. G. (1996) · Intensive Care Medicine · doi:10.1007/bf01709751 · Cited by 11,674
Neuromuscular Blockers in Early Acute Respiratory Distress Syndrome
Papazian, L., Forel, J.-M., Gacouin, A., Penot-Ragon, C., Perrin, G., Loundou, A., Jaber, S., Arnal, J.-M., Perez, D., Seghboyan, J.-M., et al. (2010) · New England Journal of Medicine · doi:10.1056/nejmoa1005372 · Cited by 2,432
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Official ERS/ATS clinical practice guidelines: noninvasive ventilation for acute respiratory failure
Rochwerg, B., Brochard, L., Elliott, M. W., Hess, D., Hill, N. S., Nava, S., Navalesi, P., Antonelli, M., Brozek, J., Conti, G., et al. (2017) · European Respiratory Journal · doi:10.1183/13993003.02426-2016 · Cited by 1,668
Diagnosis of severe respiratory infections in immunocompromised patients
Azoulay, E., Russell, L., Van de Louw, A., Metaxa, V., Bauer, P., Povoa, P., Montero, J. G., Loeches, I. M., Mehta, S., Puxty, K., et al. (2020) · Intensive Care Medicine · doi:10.1007/s00134-019-05906-5 · Cited by 346
Self-citationExhaled air dispersion during high-flow nasal cannula therapy versus CPAP via different masks
Hui, D. S., Chow, B. K., Lo, T., Tsang, O. T. Y., Ko, F. W., Ng, S. S., Gin, T., & Chan, M. T. V. (2019) · European Respiratory Journal · doi:10.1183/13993003.02339-2018 · Cited by 328
Use of high-flow nasal cannula oxygenation in ICU adults: a narrative review
Papazian, L., Corley, A., Hess, D., Fraser, J. F., Frat, J.-P., Guitton, C., Jaber, S., Maggiore, S. M., Nava, S., Rello, J., et al. (2016) · Intensive Care Medicine · doi:10.1007/s00134-016-4277-8 · Cited by 304
Self-citationClinical Significance of Upper Airway Virus Detection in Critically Ill Hematology Patients
Legoff, J., Zucman, N., Lemiale, V., Mokart, D., Pène, F., Lambert, J., Kouatchet, A., Demoule, A., Vincent, F., Nyunga, M., et al. (2019) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.201804-0681oc · Cited by 80
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Metadata
- Authors
- Lemiale, V., Mokart, D., Resche-Rigon, M., Pène, F., Mayaux, J., Faucher, E., Nyunga, M., Girault, C., Perez, P., Guitton, C., Ekpe, K., Kouatchet, A., Théodose, I., Benoit, D., Canet, E., Barbier, F., Rabbat, A., Bruneel, F., Vincent, F., Klouche, K., Loay, K., Mariotte, E., Bouadma, L., Moreau, A.-S., Seguin, A., Meert, A.-P., Reignier, J., Papazian, L., Mehzari, I., Cohen, Y., Schenck, M., Hamidfar, R., Darmon, M., Demoule, A., Chevret, S., & Azoulay, E.
- Venue
- JAMA
- Publisher
- American Medical Association (AMA)
- Published
- 2015-10-27
- Volume
- 314
- Issue
- 16
- Pages
- 1711
- ISSN
- 0002-9955 (ISSN-L)
- 0098-7484
- OpenAlex
- W1922120322
- Cited by
- 378
- References
- 2
- FWCI
- 31.16
- Type
- journal article
- Language
- en
- Open access
- closed
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- The paper
- Lemiale, V., Mokart, D., Resche-Rigon, M., Pène, F., Mayaux, J., Faucher, E., Nyunga, M., Girault, C., Perez, P., Guitton, C., Ekpe, K., Kouatchet, A., Théodose, I., Benoit, D., Canet, E., Barbier, F., Rabbat, A., Bruneel, F., Vincent, F., . . . Azoulay, E. (2015). Effect of Noninvasive Ventilation vs Oxygen Therapy on Mortality Among Immunocompromised Patients With Acute Respiratory Failure: A Randomized Clinical Trial. JAMA. https://doi.org/10.1001/jama.2015.12402
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