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.contributor.authorOzlu, Tevfik
dc.contributor.authorPehlivanlar Kucuk, Mehtap
dc.contributor.authorKaya, Akin
dc.contributor.authorYarar, Esra
dc.contributor.authorKirakli, Cenk
dc.contributor.authorSengoren Dikis, Ozlem
dc.contributor.authorKefeli Celik, Hale
dc.date.accessioned2024-04-24T17:21:10Z
dc.date.available2024-04-24T17:21:10Z
dc.date.issued2019
dc.departmentDicle Üniversitesien_US
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.en_US
dc.identifier.doi10.3906/sag-1904-96
dc.identifier.endpage1673en_US
dc.identifier.issn1300-0144
dc.identifier.issn1303-6165
dc.identifier.issue6en_US
dc.identifier.pmid31655511
dc.identifier.startpage1662en_US
dc.identifier.urihttps://doi.org/10.3906/sag-1904-96
dc.identifier.urihttps://hdl.handle.net/11468/19390
dc.identifier.volume49en_US
dc.identifier.wosWOS:000504051300010
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherTubitak Scientific & Technological Research Council Turkeyen_US
dc.relation.ispartofTurkish Journal of Medical Sciences
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCritical Careen_US
dc.subjectEthicsen_US
dc.subjectIntubationen_US
dc.subjectInvasive Mechanical Ventilationen_US
dc.subjectScoring Systemsen_US
dc.subjectPredictionen_US
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)en_US
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.typeArticleen_US

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