Can we predict patients that will not benefit from invasive mechanical ventilation? A novel scoring system in intensive care: the IMV Mortality Prediction Score (IMPRES)

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dc.authorid0000-0001-6013-7330
dc.authorid0000-0003-3407-7359
dc.authorid0000-0003-4881-3097
dc.authorid0000-0003-1645-7761
dc.authorid0000-0002-5377-3870
dc.authorid0000-0001-8388-9500
dc.authorid0000-0003-2247-4074
dc.authorwosidKirakli, Cenk/AAE-2202-2020
dc.authorwosidYalçınsoy, Murat/ABI-1421-2020
dc.authorwosidOzlu, Tevfik/AAN-2845-2021
dc.authorwosidAraz, Ömer/Y-1711-2019
dc.authorwosidKAYA, AKIN/AAF-8545-2020
dc.authorwosidEkren, Pervin Korkmaz/AAG-9860-2021
dc.authorwosidCinemre, Hakan/AAD-7506-2021
dc.contributor.authorÖzlü, Tevfik
dc.contributor.authorPehlivanlar Küçük, Mehtap
dc.contributor.authorKaya, Akın
dc.contributor.authorYarar, Esra
dc.contributor.authorKıraklı, Cenk
dc.contributor.authorŞengören Dikiş, Özlem
dc.contributor.authorÖnem, Yalçın
dc.contributor.authorFazlıoğlu, Nevin
dc.date.accessioned2022-05-11T14:39:48Z
dc.date.available2022-05-11T14:39:48Z
dc.date.issued2019
dc.departmentFakülteler, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Göğüs Hastalıkları Ana Bilim Dalı
dc.description.abstractBackground/aim: The present study aimed to define the clinical and laboratory criteria for predicting patients that will not benefit from invasive mechanical ventilation (IMV) treatment and determine the prediction of mortality and prognosis of these critical ill patients. Materials and methods: The study was designed as an observational, multicenter, prospective, and cross-sectional clinical study. It was conducted by 75 researchers at 41 centers in intensive care units (ICUs) located in various geographical areas of Turkey. It included a total of 1463 ICU patients who were receiving invasive mechanical ventilation (IMV) treatment. A total of 158 parameters were examined via logistic regression analysis to identify independent risk factors for mortality; using these data, the IMV Mortality Prediction Score (IMPRES) scoring system was developed. Results: The following cut-off scores were used to indicate mortality risk: <2, low risk; 2-5, moderate risk; 5.1-8, high risk; >8, very high risk. There was a 26.8% mortality rate among the 254 patients who had a total IMPRES score of lower than 2. The mortality rate was 93.3% for patients with total 1M PRES scores of greater than 8 (P < 0.001). Conclusion: The present study included a large number of patients from various geographical areas of the country who were admitted to various types of ICUs, had diverse diagnoses and comorbidities, were intubated with various indications in either urgent or elective settings, and were followed by physicians from various specialties. Therefore, our data are more general and can be applied to a broader population. This study devised a new scoring system for decision-making for critically ill patients as to whether they need to be intubated or not and presents a rapid and accurate prediction of mortality and prognosis prior to ICU admission using simple clinical data.
dc.identifier.doi10.3906/sag-1904-96
dc.identifier.endpage1673
dc.identifier.issn1300-0144
dc.identifier.issn1303-6165
dc.identifier.issue6en_US
dc.identifier.pmid31655511
dc.identifier.startpage1662
dc.identifier.urihttps://doi.org/10.3906/sag-1904-96
dc.identifier.urihttps://hdl.handle.net/20.500.11776/8730
dc.identifier.volume49
dc.identifier.wosWOS:000504051300010
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.institutionauthorFazlıoğlu, Nevin
dc.language.isoen
dc.publisherTubitak Scientific & Technical Research Council Turkey
dc.relation.ispartofTurkish Journal of Medical Sciences
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectCritical care
dc.subjectethics
dc.subjectintubation
dc.subjectinvasive mechanical ventilation
dc.subjectscoring systems
dc.subjectprediction
dc.subjectAcute Respiratory-Failure
dc.subjectHospital Mortality
dc.subjectApache-Ii
dc.subjectPrognostic-Factors
dc.subjectAcute Physiology
dc.subjectSaps-Ii
dc.subjectUnit
dc.subjectMulticenter
dc.subjectOutcomes
dc.subjectAdmission
dc.titleCan we predict patients that will not benefit from invasive mechanical ventilation? A novel scoring system in intensive care: the IMV Mortality Prediction Score (IMPRES)
dc.typeArticle

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