{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T10:51:32Z","timestamp":1777891892189,"version":"3.51.4"},"reference-count":16,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2015,10,1]],"date-time":"2015-10-01T00:00:00Z","timestamp":1443657600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Respir Care"],"published-print":{"date-parts":[[2015,10]]},"abstract":"\n BACKGROUND:<\/jats:title>\n Compared with usual care, noninvasive ventilation (NIV) lowers the risk of intubation and death for subjects with respiratory failure secondary to COPD exacerbations, but whether administration of NIV by a specialized, dedicated team improves its efficiency remains uncertain. Our aim was to test whether a dedicated team of respiratory therapists applying all acute NIV treatments would reduce the risk of intubation or death for subjects with COPD admitted for respiratory failure.<\/jats:p>\n <\/jats:sec>\n \n METHODS:<\/jats:title>\n We carried out a retrospective study comparing subjects with COPD admitted to the ICU before (2001\u20132003) and after (2010\u20132012) the creation of a dedicated NIV team in a regional acute care hospital. The primary outcome was the risk of intubation or death. The secondary outcomes were the individual components of the primary outcome and ICU\/hospital stay.<\/jats:p>\n <\/jats:sec>\n \n RESULTS:<\/jats:title>\n \n A total of 126 subjects were included: 53 in the first cohort and 73 in the second. There was no significant difference in the demographic characteristics and severity of respiratory failure. Fifteen subjects (28.3%) died or had to undergo tracheal intubation in the first cohort, and only 10 subjects (13.7%) in the second cohort (odds ratio 0.40, 95% CI 0.16\u20130.99,\n P<\/jats:italic>\n = .04). In-hospital mortality (15.1% vs 4.1%,\n P<\/jats:italic>\n = .03) and median stay (ICU: 3.1 vs 1.9 d,\n P<\/jats:italic>\n = .04; hospital: 11.5 vs 9.6 d,\n P<\/jats:italic>\n = .04) were significantly lower in the second cohort, and a trend for a lower intubation risk was observed (20.8% vs 11%\n P<\/jats:italic>\n = .13).\n <\/jats:p>\n <\/jats:sec>\n \n CONCLUSIONS:<\/jats:title>\n The delivery of NIV by a dedicated team was associated with a lower risk of death or intubation in subjects with respiratory failure secondary to COPD exacerbations. Therefore, the implementation of a team administering all NIV treatments on a 24-h basis should be considered in institutions admitting subjects with COPD exacerbations.<\/jats:p>\n <\/jats:sec>","DOI":"10.4187\/respcare.03844","type":"journal-article","created":{"date-parts":[[2015,7,7]],"date-time":"2015-07-07T22:20:47Z","timestamp":1436307647000},"page":"1404-1408","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["Impact of a Dedicated Noninvasive Ventilation Team on Intubation and Mortality Rates in Severe COPD Exacerbations"],"prefix":"10.1177","volume":"60","author":[{"given":"St\u00e9phanie","family":"Vaudan","sequence":"first","affiliation":[{"name":"Department of Physiotherapy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Damian","family":"Ratano","sequence":"additional","affiliation":[{"name":"Department of Intensive Care, University Hospital of Lausanne, Lausanne, Switzerland."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philippe","family":"Beuret","sequence":"additional","affiliation":[{"name":"Department of Intensive Care"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Hauptmann","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olivier","family":"Contal","sequence":"additional","affiliation":[{"name":"University of Health Sciences (HESAV) and University of Applied Sciences and Arts Western Switzerland (HES-SO), Lausanne, Switzerland."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicolas","family":"Garin","sequence":"additional","affiliation":[{"name":"Department of Medicine, Hospital Riviera-Chablais, Monthey, Switzerland."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2015,10,1]]},"reference":[{"issue":"1","key":"e_1_3_2_2_2","first-page":"48","article-title":"Noninvasive mechanical ventilation","volume":"18","author":"Boldrini R","year":"2012","unstructured":"Boldrini R, , Fasano L, , Nava S. Noninvasive mechanical ventilation. Curr Opin Crit Care, 2012; 18(1):48\u201353.","journal-title":"Curr Opin Crit Care"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.100071"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003246-200203000-00010"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-138-11-200306030-00007"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.326.7382.185"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.326.7396.956"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003246-200006000-00072"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-014-3222-y"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.02319"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.02.00297202"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.113.5.1339"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.290.22.2985"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.04490295"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)60496-7"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.12-0489"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afr003"}],"container-title":["Respiratory Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.4187\/respcare.03844","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.4187\/respcare.03844","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.4187\/respcare.03844","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T06:14:03Z","timestamp":1777616043000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.4187\/respcare.03844"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,10]]},"references-count":16,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2015,10]]}},"alternative-id":["10.4187\/respcare.03844"],"URL":"https:\/\/doi.org\/10.4187\/respcare.03844","relation":{},"ISSN":["0020-1324"],"issn-type":[{"value":"0020-1324","type":"print"}],"subject":[],"published":{"date-parts":[[2015,10]]}}}