TITLE

Noninvasive ventilation was cost-effective for reducing in-hospital mortality in COPD: COMMENTARY

AUTHOR(S)
Wiedemann, Herbert
PUB. DATE
January 2004
SOURCE
ACP Journal Club;Jan/Feb2004, Vol. 140 Issue 1, p23
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
This article focuses on a study regarding cost effectiveness of ward based non-invasive ventilation for acute exacerbations of chronic obstructive pulmonary disease (COPD), published in the 2003 issue of "British Medical Journal." In patients with acute exacerbation of COPD, clinical trials have shown that noninvasive positive-pressure ventilation (NIPPV) decreases intubation rates and hospital mortality. In the author's opinion, the study extends our knowledge about the utility of NIPPV for this indication by showing that it is cost-effective in Great Britain. In Great Britain, COPD patients with mild-to-moderate acidosis generally receive NIPPV on the regular hospital ward. In most U.S. hospitals, respiratory therapists would provide NIPPV, which would probably increase personnel costs.
ACCESSION #
12104566

 

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