Bilevel positive airway pressure ventilation for non-COPD acute hypercapnic respiratory failure patients: A systematic review and meta-analysis

The effectiveness of bi-level positive airway pressure (BiPAP) in patients with acute hypercapnic respiratory failure (AHRF) due to etiologies other than chronic obstructive pulmonary disease (COPD) is unclear. To systematically review the evidence regarding the effectiveness of BiPAP in non-COPD pa...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Bandar M Faqihi, Samuel P Trethewey, Julien Morlet, Dhruv Parekh, Alice M Turner
Formato:	article
Lenguaje:	EN
Publicado:	Wolters Kluwer Medknow Publications 2021
Materias:	acute hypercapnic respiratory failure bi-level positive airway pressure endotracheal intubation meta-analysis mortality noninvasive ventilation systematic review Diseases of the circulatory (Cardiovascular) system RC666-701 Diseases of the respiratory system RC705-779
Acceso en línea:	https://doaj.org/article/33f1dc5187014bcc874f74e895f34dd4
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:33f1dc5187014bcc874f74e895f34dd4
record_format	dspace
spelling	oai:doaj.org-article:33f1dc5187014bcc874f74e895f34dd42021-11-12T10:08:17ZBilevel positive airway pressure ventilation for non-COPD acute hypercapnic respiratory failure patients: A systematic review and meta-analysis1817-17371998-355710.4103/atm.atm_683_20https://doaj.org/article/33f1dc5187014bcc874f74e895f34dd42021-01-01T00:00:00Zhttp://www.thoracicmedicine.org/article.asp?issn=1817-1737;year=2021;volume=16;issue=4;spage=306;epage=322;aulast=Faqihihttps://doaj.org/toc/1817-1737https://doaj.org/toc/1998-3557The effectiveness of bi-level positive airway pressure (BiPAP) in patients with acute hypercapnic respiratory failure (AHRF) due to etiologies other than chronic obstructive pulmonary disease (COPD) is unclear. To systematically review the evidence regarding the effectiveness of BiPAP in non-COPD patients with AHRF. The Cochrane Library, MEDLINE, EMBASE, and CINAHL Plus were searched according to prespecified criteria (PROSPERO-CRD42018089875). Randomized controlled trials (RCTs) assessing the effectiveness of BiPAP versus continuous positive airway pressure (CPAP), invasive mechanical ventilation, or O2 therapy in adults with non-COPD AHRF were included. The primary outcomes of interest were the rate of endotracheal intubation (ETI) and mortality. Risk-of-bias assessment was performed, and data were synthesized and meta-analyzed where appropriate. Two thousand four hundred and eighty-five records were identified after removing duplicates. Eighty-eight articles were identified for full-text assessment, of which 82 articles were excluded. Six studies, of generally low or uncertain risk-of-bias, were included involving 320 participants with acute cardiogenic pulmonary edema (ACPO) and solid tumors. No significant differences were seen between BiPAP ventilation and CPAP with regard to the rate of progression to ETI (risk ratio [RR] = 1.49, 95% confidence interval [CI], 0.63–3.62, P = 0.37) and in-hospital mortality rate (RR = 0.71, 95% CI, 0.25–1.99, P = 0.51) in patients with AHRF due to ACPO. The efficacy of BiPAP appears similar to CPAP in reducing the rates of ETI and mortality in patients with AHRF due to ACPO. Further research on other non-COPD conditions which commonly cause AHRF such as obesity hypoventilation syndrome is needed.Bandar M FaqihiSamuel P TretheweyJulien MorletDhruv ParekhAlice M TurnerWolters Kluwer Medknow Publicationsarticleacute hypercapnic respiratory failurebi-level positive airway pressureendotracheal intubationmeta-analysismortalitynoninvasive ventilationsystematic reviewDiseases of the circulatory (Cardiovascular) systemRC666-701Diseases of the respiratory systemRC705-779ENAnnals of Thoracic Medicine, Vol 16, Iss 4, Pp 306-322 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	acute hypercapnic respiratory failure bi-level positive airway pressure endotracheal intubation meta-analysis mortality noninvasive ventilation systematic review Diseases of the circulatory (Cardiovascular) system RC666-701 Diseases of the respiratory system RC705-779
spellingShingle	acute hypercapnic respiratory failure bi-level positive airway pressure endotracheal intubation meta-analysis mortality noninvasive ventilation systematic review Diseases of the circulatory (Cardiovascular) system RC666-701 Diseases of the respiratory system RC705-779 Bandar M Faqihi Samuel P Trethewey Julien Morlet Dhruv Parekh Alice M Turner Bilevel positive airway pressure ventilation for non-COPD acute hypercapnic respiratory failure patients: A systematic review and meta-analysis
description	The effectiveness of bi-level positive airway pressure (BiPAP) in patients with acute hypercapnic respiratory failure (AHRF) due to etiologies other than chronic obstructive pulmonary disease (COPD) is unclear. To systematically review the evidence regarding the effectiveness of BiPAP in non-COPD patients with AHRF. The Cochrane Library, MEDLINE, EMBASE, and CINAHL Plus were searched according to prespecified criteria (PROSPERO-CRD42018089875). Randomized controlled trials (RCTs) assessing the effectiveness of BiPAP versus continuous positive airway pressure (CPAP), invasive mechanical ventilation, or O2 therapy in adults with non-COPD AHRF were included. The primary outcomes of interest were the rate of endotracheal intubation (ETI) and mortality. Risk-of-bias assessment was performed, and data were synthesized and meta-analyzed where appropriate. Two thousand four hundred and eighty-five records were identified after removing duplicates. Eighty-eight articles were identified for full-text assessment, of which 82 articles were excluded. Six studies, of generally low or uncertain risk-of-bias, were included involving 320 participants with acute cardiogenic pulmonary edema (ACPO) and solid tumors. No significant differences were seen between BiPAP ventilation and CPAP with regard to the rate of progression to ETI (risk ratio [RR] = 1.49, 95% confidence interval [CI], 0.63–3.62, P = 0.37) and in-hospital mortality rate (RR = 0.71, 95% CI, 0.25–1.99, P = 0.51) in patients with AHRF due to ACPO. The efficacy of BiPAP appears similar to CPAP in reducing the rates of ETI and mortality in patients with AHRF due to ACPO. Further research on other non-COPD conditions which commonly cause AHRF such as obesity hypoventilation syndrome is needed.
format	article
author	Bandar M Faqihi Samuel P Trethewey Julien Morlet Dhruv Parekh Alice M Turner
author_facet	Bandar M Faqihi Samuel P Trethewey Julien Morlet Dhruv Parekh Alice M Turner
author_sort	Bandar M Faqihi
title	Bilevel positive airway pressure ventilation for non-COPD acute hypercapnic respiratory failure patients: A systematic review and meta-analysis
title_short	Bilevel positive airway pressure ventilation for non-COPD acute hypercapnic respiratory failure patients: A systematic review and meta-analysis
title_full	Bilevel positive airway pressure ventilation for non-COPD acute hypercapnic respiratory failure patients: A systematic review and meta-analysis
title_fullStr	Bilevel positive airway pressure ventilation for non-COPD acute hypercapnic respiratory failure patients: A systematic review and meta-analysis
title_full_unstemmed	Bilevel positive airway pressure ventilation for non-COPD acute hypercapnic respiratory failure patients: A systematic review and meta-analysis
title_sort	bilevel positive airway pressure ventilation for non-copd acute hypercapnic respiratory failure patients: a systematic review and meta-analysis
publisher	Wolters Kluwer Medknow Publications
publishDate	2021
url	https://doaj.org/article/33f1dc5187014bcc874f74e895f34dd4
work_keys_str_mv	AT bandarmfaqihi bilevelpositiveairwaypressureventilationfornoncopdacutehypercapnicrespiratoryfailurepatientsasystematicreviewandmetaanalysis AT samuelptrethewey bilevelpositiveairwaypressureventilationfornoncopdacutehypercapnicrespiratoryfailurepatientsasystematicreviewandmetaanalysis AT julienmorlet bilevelpositiveairwaypressureventilationfornoncopdacutehypercapnicrespiratoryfailurepatientsasystematicreviewandmetaanalysis AT dhruvparekh bilevelpositiveairwaypressureventilationfornoncopdacutehypercapnicrespiratoryfailurepatientsasystematicreviewandmetaanalysis AT alicemturner bilevelpositiveairwaypressureventilationfornoncopdacutehypercapnicrespiratoryfailurepatientsasystematicreviewandmetaanalysis
_version_	1718431040896237568

Bilevel positive airway pressure ventilation for non-COPD acute hypercapnic respiratory failure patients: A systematic review and meta-analysis

Ejemplares similares