Κατεύθυνση Αναπνευστική Ανεπάρκεια-Μηχανικός Αερισμός
Library of the School of Health Sciences

2021-10-13

2021

Kaza Evangelia Stavroula

Αντωνία Κουτσούκου, Καθηγήτρια, Ιατρική Σχολή, ΕΚΠΑ
Χριστίνα Μαρβάκη , Ομότιμη Καθηγήτρια, Νοσηλευτική Σχολή, ΠΑΔΑ
Νικολέττα Ροβίνα, Επίκουρη Καθηγήτρια, Ιατρική Σχολή, ΕΚΠΑ

Η επίδραση της αναιμίας στην θνητότητα ασθενών με ΧΑΠ που νοσηλεύονται στην Μονάδα Εντατικής Θεραπείας υπό μηχανικό αερισμό

Greek

The effect of anemia on the outcome of patients with COPD, who admitted to the Intensive Care Unit (ICU) under mechanical ventilation.

Introduction: Anemia is a known comorbidity of Chronic Obstructive Pulmonary Disease (COPD) with a prevalence ranging from 12.3 to 23%. COPD anemia is related to adverse clinical outcomes, including mortality.
Aim: The purpose of this systematic review was to study the effect of anemia on the outcome of patients with COPD, who admitted to the Intensive Care Unit (ICU) under mechanical ventilation.
Method: A systematic review of the literature in the international electronic databases PubMed, Cinalh and Scopus was performed with the following keywords: "Chronic Obstructive Pulmonary Disease", "anemia", "hemoglobin", "hematocrit" and "Intensive Care Unit". The review included studies of adult patients with COPD who were admitted to the ICU under mechanical ventilation and investigated the effect of anemia on mortality in these patients. The studies were published in English until 1/6/2020.
Results: In the review 6 studies, of which 3 were retrospective, 2 prospective studies and 1 follow-up study. According to studies, anemia has been found to be an independent factor in short-term and long-term (90-day, 2-year) mortality. It was also found that failure of non-invasive ventilation was more common in patients with anemia than in patients without anemia. Finally, anemia was found to be an important prognostic factor for the onset of invasive mechanical ventilation.
Conclusion: Anemia is an important factor in predicting short-term and long-term survival, as well as the onset of invasive mechanical ventilation in COPD patients admitted to ICUs under mechanical ventilation.
Keywords: anemia, outcome, mechanical ventilation, chronic obstructive pulmonary disease

Health Sciences

Anemia, Outcome, Mechanical ventilation, Chronic obstructive pulmonary disease

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https://pergamos.lib.uoa.gr/uoa/dl/object/2962016