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Cited by 194Respiratory Support and MechanismsObstructive Sleep Apnea ResearchNosocomial Infections in ICU

Changing use of noninvasive ventilation in critically ill patients: trends over 15 years in francophone countries

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Demoule, Alexandre, Chevret, Sylvie, Carlucci, Annalisa, Kouatchet, Achille, Jaber, Samir, Meziani, Ferhat, Schmidt, Matthieu, Schnell, David +15 more·2016·Intensive Care Medicine
DOI 10.1007/s00134-015-4087-4
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Abstract

Purpose Over the last two decades, noninvasive ventilation (NIV) has been proposed in various causes of acute respiratory failure (ARF) but some indications are debated. Current trends in NIV use are unknown.Methods Comparison of three multicenter prospective audits including all patients receiving mechanical ventilation and conducted in 1997, 2002, and 2011 in francophone countries.Results Among the 4132 patients enrolled, 2094 (51%) required ventilatory support for ARF and 2038 (49 %) for non-respiratory conditions. Overall NIV use was markedly increased in 2010/11 compared to 1997 and 2002 (37% of mechanically ventilated patients vs. 16% and 28%, P < 0.05). In 2010/11, the use of first-line NIV for ARF had reached a plateau (24% vs. 16% and 23%, P < 0.05) whereas pre-ICU and post-extubation NIV had substantially increased (11% vs. 4% and 11% vs. 7%, respectively, P < 0.05). First-line NIV remained stable in acute-on-chronic RF, continued to increase in cardiogenic pulmonary edema, but decreased in de novo ARF (16% in 2010/11 vs. 23% in 2002, P < 0.05). The NIV success rate increased from 56% in 2002 to 70% in 2010/11 and remained the lowest in de novo ARF. NIV failure in de novo ARF was associated with increased mortality in 2002 but not in 2010/11. Mortality decreased over time, and overall, NIV use was associated with a lower mortality.Conclusion Increases in NIV use and success rate, an overall decrease in mortality, and a decrease of the adverse impact NIV failure has in de novo ARF suggest better patient selection and greater proficiency of staff in administering NIV.Trial registration Clinicaltrials.gov Identifier NCT01449331.

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  • Studies have suggested that NIV failure is an independent risk factor for mortality specifically in this population, although careful patient selection may reduce this risk.

    “Studies have suggested that NIV failure is an independent risk factor for mortality specifically in this population, although careful patient selection may reduce this risk [415, 416].”

    From Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021 (2021) · cites this paper as [415]

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Authors
Demoule, A., Chevret, S., Carlucci, A., Kouatchet, A., Jaber, S., Meziani, F., Schmidt, M., Schnell, D., Clergue, C., Aboab, J., Rabbat, A., Eon, B., Guérin, C., Georges, H., Zuber, B., Dellamonica, J., Das, V., Cousson, J., Perez, D., Brochard, L., Azoulay, E., oVNI Study Group, & REVA Network (Research Network in Mechanical Ventilation)
Affiliations
  • Inserm (FR)
  • Istituti Clinici Scientifici Maugeri (IT)
  • Centre Hospitalier Universitaire d'Angers (FR)
  • Hôpitaux Universitaires de Strasbourg (FR)
  • Hôpital Saint-Louis (FR)
  • Centre Hospitalier Sud Francilien (FR)
  • Centre Hospitalier Universitaire Henri-Mondor (FR)
  • Hôpital Cochin (FR)
  • Hôpital de la Croix-Rousse (FR)
  • Centre Hospitalier de Tourcoing (FR)
  • Centre Hospitalier Universitaire de Nice (FR)
  • Centre Hospitalier Intercommunal André Grégoire Montreuil (FR)
  • Centre Hospitalier Universitaire de Reims (FR)
  • St. Michael's Hospital (CA)
Corresponding author
Demoule, Alexandre
ORCID
Venue
Intensive Care Medicine
Publisher
Springer Science and Business Media LLC
Published
2015-10-13
Volume
42
Issue
1
Pages
82-92
ISSN
  • 0342-4642 (ISSN-L)
  • 1432-1238
DOI
10.1007/s00134-015-4087-4
OpenAlex
W1938806933
Cited by
194
References
48
Citations by year
2026: 3 · 2025: 15 · 2024: 12 · 2023: 15 · 2022: 19 · 2021: 19 · 2020: 21 · 2019: 29 · 2018: 25 · 2017: 19 · 2016: 16 · 2015: 1
FWCI
16.07
Type
journal article
Language
en
Open access
Licence
Locations
  • Intensive Care Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • HAL (submittedVersion, other-oa)
  • IrInSubria (University of Insubria) (submittedVersion)
Funders
2005 Programme Hospitalier de Recherche Clinique (PHRC) grant from the French Ministry of Health
Topics
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Respiratory Support and Mechanisms
  • Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
  • Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Nosocomial Infections in ICU
Keywords
non-invasive ventilation, acute respiratory failure, critically ill patients, NIV failure, mortality, acute-on-chronic respiratory failure, cardiogenic pulmonary edema, patient selection, French-speaking countries
MeSH terms
Acute Disease, Aged, Belgium, Female, France, Humans, Intensive Care Units, Male, Middle Aged, Prospective Studies, Respiration, Artificial, Respiratory Insufficiency, Survival Rate, Critical Illness, Noninvasive Ventilation

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