• Internal medicine journal · Nov 2020

    Midland non-invasive ventilation score: a tool to predict non-invasive ventilation failure in people with acute hypercapnic respiratory failure.

    • David Quigley, Simon Jones, Francesco Piccolo, Taha Huseini, and David Manners.
    • Respiratory Department, St John of God Midland Public and Private Hospital (SJGMPPH), Perth, Western Australia, Australia.
    • Intern Med J. 2020 Nov 1; 50 (11): 1412-1415.

    AbstractUse of non-invasive ventilation (NIV) in patients with hypercapnic respiratory failure has clear benefits over invasive ventilation. Existing risk prediction models are complex and difficult to apply in the acute setting. We developed the Midland NIV score comprising only five parameters for use to predict NIV failure (in-hospital death or intubation) at initiation. Individuals with Midland NIV score of ≤11 (average 13% NIV failure) may be suitable for general ward care, compared to intensive care for those with Midland NIV score ≥12 (average 66% NIV failure rate). Prospective external validation is required.© 2020 Royal Australasian College of Physicians.

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