The use of home non-invasive ventilation and the reduction of inhospital mortality of patients with respiratory failure

Objectives: To establish the relationship between the use of home non-invasive ventilation (NIV) and inhospital mortality in people admitted due to exacerbation of their respiratory disease. Methods: Retrospective cohort study with 191 cases of patients attended at the emergency department of the Reina Sofia General University Hospital in Murcia due to ARF of any cause and who required NIV as supportive treatment. Results: Mortality among patients using NIV as routine home treatment was 6.45%, compared to 20.1% among those who did not use it (P<.05). Conclusions: routine domiciliary treatment with NIV has been shown to be a protective factor against inpatient hospital mortality for patients who underwent NIV during their admission, through the emergency department, for acute respiratory failure or acute chronic disease, regardless of the triggering pathology. Copyright (C) 2018 Elsevier Espana, S.L.U. All rights reserved.