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- W3095985655 abstract "Objectives: To assess the diagnostic performance of HACOR score using bedside variables (heart rate, acidosis, consciousness, oxygenation, and respiratory rate) and to predict failure of HFNO in patients with acute hypoxemic respiratory failure (AHRF); failure defined as a need for intubation or death. Methods: 150 patients with AHRF who were receiving HFNO. A scoring scale (HACOR score) consisted of Heart rate, acidosis (assessed by pH), consciousness (Glasgow coma score), oxygenation, and respiratory rate. Results: Patients were analyzed according to the success or failure of nasal oxygen; 100(66.7%) had a successful treatment while 50 (33.3%) failed with such intervention. Patients with HFNO failure had a higher HACOR score at initiation and after 1, 12, 24 and 48 h than those with successful HFNO. Before intubation, the highest value of the HACOR score was reached in patients with HFNO failure. At 1 h of HFNO assessment, the area under the receiver operating characteristic curve was 0.86, showing good predictive power for failure. We found that HACOR score at cut off point > 4.80 had 81.2% sensitivity and 91% specificity, and 71.4% negative predictive value with a diagnostic accuracy was 85%. A higher mortality rate was noted in failure group [12 (24 %) vs. 3 (3%); p = 0.008]. Conclusions: The HACOR scale is a clinically useful bedside tool for the prediction of HFNO failure in hypoxemic patients. A HACOR score" @default.
- W3095985655 created "2020-11-09" @default.
- W3095985655 creator A5060289463 @default.
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- W3095985655 date "2020-09-07" @default.
- W3095985655 modified "2023-09-23" @default.
- W3095985655 title "The utility of HACOR score in predicting failure of High-flow nasal oxygen (HFNO) in acute hypoxemic respiratory failure" @default.
- W3095985655 doi "https://doi.org/10.1183/13993003.congress-2020.1960" @default.
- W3095985655 hasPublicationYear "2020" @default.
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