Summary
Nasal flaring as a predictor of mortality in patients with severe dyspnea
Zorrilla Riveiro JG, Arnau Bartés A, García Pérez D, Rafat Sellarés R, Mas Serra A, Fernández Fernández R
Affiliation of the authors
Servicio de Urgencias y Emergencias, Althaia Xarxa Assistencial Universitaria de Manresa, Barcelona Spain. Unidad de Investigación e Innovación, Althaia Xarxa Assistencial Universitaria de Manresa, Barcelona Spain. Unidad de Cuidados Intensivos, Althaia Xarxa Assistencial Universitaria de Manresa, Barcelona Spain. Universitat Internacional de Catalunya (UIC), Sant Cugat del Vallès, Barcelona, Spain. Unidad de Cuidados Intensivos, Hospital Sant Joan Despi Moisés Broggi, Barcelona, Spain.
DOI
Quote
Zorrilla Riveiro JG, Arnau Bartés A, García Pérez D, Rafat Sellarés R, Mas Serra A, Fernández Fernández R. Nasal flaring as a predictor of mortality in patients with severe dyspnea. Emergencias. 2015;27:27-33
Summary
Objective.
Methods.
respiratory effort, vital signs, arterial blood gases, and clinical course (hospital admission and mortality). Bivariable analysis was performed and multivariable logistic regression models were constructed.
Results.
were associated with mortality: age (odds ratio [OR], 1.05; 95% CI, 1.011.10), prehospital care from the emergency medical service (OR, 3.97; 95% CI, 1.3911.39), triage level II (OR, 4.19; 95% CI, 1.6310.78), signs of respiratory effort such as nasal flaring (OR, 3.79; 95% CI, 1.658.69), presence of acidosis (OR, 7.09; 95% CI, 2.9716.94), and hypercapnia (OR, 2.67; 95% CI, 1,116,45). The factors that remained independent predictors of mortality in the multivariable analysis were age, severity (triage level), and nasal flaring.
Conclusions.
of mortality.