Midland non-invasive ventilation score: a tool to predict non-invasive ventilation failure in people with acute hypercapnic respiratory failure.

Internal Medicine Journal
David QuigleyDavid Manners

Abstract

Use of non-invasive ventilation (NIV) in patients with hypercapnic respiratory failure has clear benefits over invasive ventilation. Existing risk prediction models are complex and difficult to apply in the acute setting. We developed the Midland NIV score comprising only five parameters for use to predict NIV failure (in-hospital death or intubation) at initiation. Individuals with Midland NIV score of ≤11 (average 13% NIV failure) may be suitable for general ward care, compared to intensive care for those with Midland NIV score ≥12 (average 66% NIV failure rate). Prospective external validation is required.

References

Aug 27, 2014·Respirology : Official Journal of the Asian Pacific Society of Respirology·Chirag DaveDev Banerjee
Oct 6, 2015·PloS One·Diego Martinez-UrbistondoJuan Felipe Lucena
Sep 2, 2017·The European Respiratory Journal·Bram RochwergSuhail Raoof

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