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Predicting High-Flow Nasal Cannula Oxygen Therapy Failure in Patients With Acute Hypoxaemic Respiratory Failure Using Machine Learning: Model Development and External Validation.
J Clin Nurs
October 2024
Department of Clinical Research, The First Affiliated Hospital of Jinan University, Guangzhou, Guangdong, China.
Aims And Objectives: To develop and validate a prediction model for high-flow nasal cannula (HFNC) failure in patients with acute hypoxaemic respiratory failure (AHRF).
Background: AHRF accounts for a major proportion of intensive care unit (ICU) admissions and is associated with high mortality. HFNC is a non-invasive respiratory support technique that can improve patient oxygenation.
Use of the neutrophil-to-lymphocyte ratio and an oxygen requirement to predict disease severity in patients with COVID-19.
Respir Investig
July 2023
Division of Pulmonary Medicine, Department of Medicine, Keio University School of Medicine, Shinjuku-ku, Tokyo, Japan.
Article Synopsis
- The study examined the link between complete blood count metrics, especially the neutrophil-to-lymphocyte ratio (NLR), and the outcomes of COVID-19 patients in Japan from February 2020 to November 2021.* -
- Out of 2425 patients analyzed, 19.5% faced severe complications, and NLR emerged as the best predictor for these outcomes, with a good area under the curve (AUC) of 0.81.* -
- Combining NLR with patients' oxygen requirements at admission provided an even better prediction (AUC of 0.88) for identifying those at risk of severe disease progression.*
Impact of upper and lower respiratory symptoms on COVID-19 outcomes: a multicenter retrospective cohort study.
Respir Res
November 2022
Division of Pulmonary Medicine, Department of Medicine, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-Ku, Tokyo, 160-8582, Japan.
Background: Respiratory symptoms are associated with coronavirus disease 2019 (COVID-19) outcomes. However, the impacts of upper and lower respiratory symptoms on COVID-19 outcomes in the same population have not been compared. The objective of this study was to characterize upper and lower respiratory symptoms and compare their impacts on outcomes of hospitalized COVID-19 patients.
View Article and Find Full Text PDFTraumatic high flow arterioportal fistula. Correction by a covered stent.
Rev Esp Enferm Dig
January 2023
Frontier Translation, McMaster University, Canadá.
The arterio-portal fistula is a rare entity, generally associated with different causes, among which penetrating trauma stands out. They can occur at the beginning asymptomatic or manifest by a wide spectrum of signs and symptoms with severe limitation of the patient's quality of life and even compromise it. Immediate therapeutic action, whether surgical or endovascular, is vital for the definitive solution of the primary triggering cause.
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