Respiratory rate responses to both hypercapnia and acidaemia are modified by age in patients with acidosis.

Respir Physiol Neurobiol

Lifespan and Population Health, School of Medicine, University of Nottingham, NG5 1PB, United Kingdom; NIHR Nottingham Biomedical Research Centre (BRC), Nottingham University Hospitals NHS Trust and the University of Nottingham, NG7 2UH, United Kingdom; Nottingham University Hospitals NHS Trust, NG7 2UH, United Kingdom. Electronic address:

Published: September 2023

Objective: To explore the associations between arterial pO, pCO and pH and how these are modified by age.

Methods: An analysis of 2598 patients admitted with a diagnosis of Covid-19 infection to a large UK teaching hospital.

Results: There were inverse associations for arterial pO, pCO and pH with respiratory rate. The effects of pCO and pH on respiratory rate were modified by age; older patients had higher respiratory rates at higher pCO (p = 0.004) and lower pH (p = 0.007) values.

Conclusions: This suggests that ageing is associated with complex changes in the physiological feedback loops that control respiratory rate. As well as having clinical relevance, this may also impact on the use of respiratory rate in early warning scores across the age range.

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.resp.2023.104098DOI Listing

Publication Analysis

Top Keywords

respiratory rate
20
modified age
8
associations arterial
8
arterial pco
8
pco respiratory
8
respiratory
6
rate responses
4
responses hypercapnia
4
hypercapnia acidaemia
4
acidaemia modified
4

Similar Publications

Objective: To provide an updated evaluation of clinical effectiveness and sequelae of maxillomandibular advancement surgery in obstructive sleep apnea.

Data Sources: PubMed, Scopus, CINAHL.

Review Methods: Included studies described patients with obstructive sleep apnea that completed maxillomandibular advancement with any reported sequelae.

View Article and Find Full Text PDF

Impact analysis of infant antibiotic exposure on the burden of asthma: a simulation modeling study.

Front Allergy

December 2024

Respiratory Evaluation Sciences Program, Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, BC, Canada.

Background: Infant antibiotic use is associated with increased risk of asthma. We examined the population impact of antibiotic exposure in the first year of life on the burden of pediatric asthma in British Columbia, Canada, using simulation modeling.

Methods: We performed a Bayesian meta-analysis of empirical studies to construct dose-response equations between antibiotic exposure in the first year of life and pediatric (<19 years of age) asthma.

View Article and Find Full Text PDF

Background: Lower respiratory tract infections (LRTIs) are the most common infections in humans accounting for significant morbidity and mortality. Management of LRTIs is complicated due to increasing antimicrobial resistance. This study investigated the prevalence and trends of antimicrobial resistance for bacteria isolated from respiratory samples of patients with LRTIs.

View Article and Find Full Text PDF

Background: Sepsis is a systemic inflammatory response caused by infection. When this inflammatory response spreads to the lungs, it can lead to acute lung injury (ALI) or more severe acute respiratory distress syndrome (ARDS). Pulmonary fibrosis is a potential complication of these conditions, and the early occurrence of pulmonary fibrosis is associated with a higher mortality rate.

View Article and Find Full Text PDF

Background: In COPD patients with severe right-sided emphysema, complete major and incomplete minor fissure, implantation of one-way valves in both the right upper (RUL) and middle lobes (ML) is a possible approach for endoscopic lung volume reduction. The aim of this retrospective analysis was to evaluate the response to therapy and the complication rate at 90 days (90d-FU) after combined RUL-ML valve implantation.

Methods: This retrospective, monocentric study included all patients from the Thoraxklinik Heidelberg who underwent RUL-ML valve treatment between 2012 and 2023 with available follow-up data.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!