Respiratory failure & ventilation
Noninvasive ventilation failure in thoracic trauma: A retrospective study on predictive scores, ventilatory strategies and pain management’
Authors' conclusion
Higher HACOR and lower ROX scores at ICU admission were associated with NIV failure in blunt thoracic trauma patients.
Study context
- Population
- ICU patients with blunt thoracic trauma, S. Chiara Hospital (Trento, Italy)
- Participants
- 93 patients
- Exposure
- NIV failure vs NIV success
- NIV failuren = 20
- NIV successn = 73reference
- Outcome
- NIV failure (need for invasive mechanical ventilation)
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
NIV succeeded (patients)
73
78.5 %
Required intubation (NIV failure) (patients)
20
21.5 %
Observational data: associations, not effects.
Further findings
| Outcome | NIV success | NIV failure | P value |
|---|---|---|---|
| HACOR score at ICU admission | 2 | 5 | P = 0.002 |
| ROX index at ICU admission | 14.4 | 8.5 | P = 0.006 |
| NIV failure rate by NIV strategyAlternating helmet CPAP and HFNC vs Helmet CPAP alone | P = 0.05 | ||
| Epidural analgesia use | 46.6 % | — not stated in the abstract | P = 0.004 |
| Opioid use | — not stated in the abstract | 90 % | P = 0.016 |
— not stated in the abstract
- NIV failure rate by NIV strategy: Alternating helmet CPAP and HFNC 13 %
- NIV failure rate by NIV strategy: Helmet CPAP alone 31 %
Original publication
Noninvasive ventilation failure in thoracic trauma: A retrospective study on predictive scores, ventilatory strategies and pain management’. J Crit Care. Published 11 June 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →