Covid-19, Respiratory Failure
Conditions
Keywords
noninvasive ventilation, CPAP, Covid-19, Respiratory failure, HACOR score
Brief summary
Evaluate HACOR socre utility and efficacy in predicting NIV and/or CPAP failure in patients with COVID-19 associated respiratory failure. Propose adaptations to HACOR score based on the state of art of COVID-19
Detailed description
Evaluate HACOR socre utility and efficacy in predicting NIV and/or CPAP failure in patients with COVID-19 associated respiratory failure. Propose adaptations to HACOR score based on the state of art of COVID-19 \- this adaptations may include radiologic aggravation and monitoring of CRF, ferritin, LDH, d-dimers, NT-proBNP, troponin I, GOT, GPT, blood count
Interventions
Monitor patients on CPAP or NIV and analyzing possible variables that may predict failure, namely: * lymphopenia * thrombocytopenia * CRP * ferritin * LDH * troponin I * NT-ProBNP * Liver enzymes * D-dimers * radiologic aggravation 1 day and 1 week after starting NIV or CPAP
Apply the HACOR score after starting NIV and CPAP and later verify if it was effective in predicting NIV/CPAP failure
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with acute respiratory failure due to COVID-19 who have initiated NIV or CPAP based on assistant clinician decision
Exclusion criteria
* Patients with imediate indication to invasive mechanical ventilation * Patients with any formal contraindication to noninvasive respiratory support
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| HACOR score efficacy | 1 hour after initation of CPAP or NIV | Analyze if HACOR score is effective in predicting nonivasive ventilation failure in COVID-19 associated respiratory failure |
| HACOR score addaptation | 1 - 2 weeks | Analyze the role of possible variables to be added to HACOR score in order to improve efficay in COVID-19 patients |
Countries
Spain