dc.contributor
Institut Català de la Salut
dc.contributor
[Longhitano Y] Department of Anesthesiology and Intensive Care, Azienda Ospedaliera SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy. Foundation of “Ospedale Alba-Bra Onlus”, Verduno, Italy. Department of Emergency Medicine, Anesthesia and Critical Care Medicine, Michele and Pietro Ferrero Hospital, Verduno, Italy. [Zanza C] Department of Anesthesiology and Intensive Care, Azienda Ospedaliera SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy. Foundation of “Ospedale Alba-Bra Onlus”, Verduno, Italy. Department of Emergency Medicine, Anesthesia and Critical Care Medicine, Michele and Pietro Ferrero Hospital, Verduno, Italy. Department of Emergency Medicine, Polyclinic Agostino Gemelli University Hospital, Rome, Italy. [Romenskaya T, Leo M] Department of Anesthesiology and Intensive Care, Azienda Ospedaliera SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy. [Saviano A] Department of Emergency Medicine, Polyclinic Agostino Gemelli University Hospital, Rome, Italy. [Persiano T] Department of Medicine and Emergency Medicine, Azienda Ospedaliera SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy. [Rello J] Grup de Recerca Clínica/Innovació en la Pneumònia i Sèpsia (CRIPS), Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. Clinical Research in the ICU, CHU Nimes, Universite de Nimes-Montpellier, Montpellier, France
dc.contributor
Vall d'Hebron Barcelona Hospital Campus
dc.contributor.author
Longhitano, Yaroslava
dc.contributor.author
Zanza, Christian
dc.contributor.author
Romenskaya, Tatsiana
dc.contributor.author
Saviano, Angela
dc.contributor.author
Persiano, Tonia
dc.contributor.author
Leo, Mirco
dc.contributor.author
Rello Condomines, Jordi
dc.date.accessioned
2025-10-24T08:50:10Z
dc.date.available
2025-10-24T08:50:10Z
dc.date.issued
2022-12-09T14:02:01Z
dc.date.issued
2022-12-09T14:02:01Z
dc.date.issued
2022-12-29
dc.identifier
Longhitano Y, Zanza C, Romenskaya T, Saviano A, Persiano T, Leo M, et al. Single-Breath Counting Test Predicts Non-Invasive Respiratory Support Requirements in Patients with COVID-19 Pneumonia. J Clin Med. 2022 Dec 29;11:179.
dc.identifier
https://hdl.handle.net/11351/8640
dc.identifier
10.3390/jcm11010179
dc.identifier
000760255700001
dc.identifier.uri
http://hdl.handle.net/11351/8640
dc.description.abstract
COVID-19; High-flow nasal cannula; Pneumonia
dc.description.abstract
COVID-19; Cánula nasal de alto flujo; Neumonía
dc.description.abstract
COVID-19; Cànula nasal d'alt flux; Pneumònia
dc.description.abstract
The use of non-invasive respiratory strategies (NIRS) is crucial to improve oxygenation in COVID-19 patients with hypoxemia refractory to conventional oxygen therapy. However, the absence of respiratory symptoms may delay the start of NIRS. The aim of this study was to determine whether a simple bedside test such as single-breath counting test (SBCT) can predict the need for NIRS in the 24 h following the access to Emergency Department (ED). We performed a prospective observational study on 120 patients with COVID-19 pneumonia. ROC curves were used to analyze factors which might predict NIRS requirement. We found that 36% of patients had normal respiratory rate and did not experience dyspnea at rest. 65% of study population required NIRS in the 24 h following the access to ED. NIRS-requiring group presented lower PaO2/FiO2 (235.09 vs. 299.02), SpO2/FiO2 ratio (357.83 vs. 431.07), PaCO2 (35.12 vs. 40.08), and SBCT (24.46 vs. 30.36) and showed higher incidence of dyspnea at rest (57.7% vs. 28.6%). Furthermore, SBCT predicted NIRS requirement even in the subgroup of patients without respiratory symptoms (AUC = 0.882, cut-off = 30). SBCT might be a valuable tool for bedside assessment of respiratory function in patients with COVID-19 pneumonia and might be considered as an early clinical sign of impending respiratory deterioration.
dc.format
application/pdf
dc.relation
Journal of Clinical Medicine;11
dc.relation
https://doi.org/10.3390/jcm11010179
dc.rights
Attribution 4.0 International
dc.rights
http://creativecommons.org/licenses/by/4.0/
dc.rights
info:eu-repo/semantics/openAccess
dc.subject
Pneumònia - Tractament
dc.subject
COVID-19 (Malaltia) - Complicacions
dc.subject
Oxigenoteràpia
dc.subject
DISEASES::Virus Diseases::RNA Virus Infections::Nidovirales Infections::Coronaviridae Infections::Coronavirus Infections
dc.subject
Other subheadings::Other subheadings::Other subheadings::/complications
dc.subject
DISEASES::Respiratory Tract Diseases::Lung Diseases::Pneumonia
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ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Therapeutics::Respiratory Therapy::Oxygen Inhalation Therapy
dc.subject
ENFERMEDADES::virosis::infecciones por virus ARN::infecciones por Nidovirales::infecciones por Coronaviridae::infecciones por Coronavirus
dc.subject
Otros calificadores::Otros calificadores::Otros calificadores::/complicaciones
dc.subject
ENFERMEDADES::enfermedades respiratorias::enfermedades pulmonares::neumonía
dc.subject
TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::terapéutica::terapia respiratoria::tratamiento por inhalación de oxígeno
dc.title
Single-Breath Counting Test Predicts Non-Invasive Respiratory Support Requirements in Patients with COVID-19 Pneumonia
dc.type
info:eu-repo/semantics/article
dc.type
info:eu-repo/semantics/publishedVersion
