RT Journal Article
T1 Effects on short term outcome of non-invasive ventilation use in the emergency department to treat patients with acute heart failure: A propensity score-based analysis of the EAHFE Registry.
A1 Miró, Òscar
A1 Martínez, Gemma
A1 Masip, Josep
A1 Gil, Víctor
A1 Martín-Sánchez, Francisco Javier
A1 Llorens, Pere
A1 Herrero-Puente, Pablo
A1 Sánchez, Carolina
A1 Richard, Fernando
A1 Lucas-Invernón, Javier
A1 Garrido, José Manuel
A1 Mebazaa, Alexandre
A1 Ríos, José
A1 Peacock, W Frank
A1 Hollander, Judd E
A1 Jacob, Javier
A1 ICA-SEMES Research Group Researchers, 
K1 Acute heart failure
K1 Emergency department
K1 Heart failure
K1 Non-invasive ventilation
K1 Outcome
AB To assess the effects of non-invasive ventilation (NIV) in emergency department (ED) patients with acute heart failure (AHF) on short term outcomes. Patients from the EAHFE Registry (a multicenter, observational, multipurpose, cohort-designed database including consecutive AHF patients in 41 Spanish EDs) were grouped based on NIV treatment (NIV+ and NIV-groups). Using propensity score (PS) methodology, we identified two subgroups of patients matched by 38 covariates and compared regarding 30-day survival (primary outcome). Interaction was investigated for age, sex, ischemic cardiomyopathy, chronic obstructive pulmonary disease, AHF precipitated by an acute coronary syndrome (ACS), AHF classified as hypertensive or acute pulmonary edema (APE), and systolic blood pressure (SBP). Secondary outcomes were intensive care unit (ICU) admission; mechanical ventilation; in-hospital, 3-day and 7-day mortality; and prolonged hospitalization (>7 days). Of 11,152 patients from the EAHFE (age (SD): 80 (10) years; 55.5% women), 718 (6.4%) were NIV+ and had a higher 30-day mortality (HR = 2.229; 95%CI = 1.861-2.670) (p 85 years, p  The use of NIV to treat AHF in ED is not associated with improved mortality outcomes and should be cautious in old patients and those with ACS and hypotension.
YR 2018
FD 2018-03-21
LK http://hdl.handle.net/10668/12270
UL http://hdl.handle.net/10668/12270
LA en
DS RISalud
RD Apr 17, 2025