ArticleInternational journal of chronic obstructive pulmonary disease2026
The Prognostic Value of PaCO
Article in International journal of chronic obstructive pulmonary disease, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Acute exacerbation of chronic obstructive pulmonary disease (AECOPD) complicated by Type II respiratory failure frequently requires noninvasive ventilation (NIV). However, 10-25% of patients fail NIV and require intubation. The optimal timing and threshold of partial pressure of arterial carbon dioxide (PaCO Methods: In this two-center retrospective cohort study of 676 patients with AECOPD and Type II respiratory failure treated with NIV between 2012 and 2025, we used multivariable logistic regression and restricted cubic spline (RCS) analysis (4 knots at the 5th, 35th, 65th, and 95th percentiles) to assess the dose-response relationship between 24-hour post-treatment PaCO Results: NIV failure occurred in 73 patients (10.8%). After full adjustment for age, heart rate, white blood cell count, hemoglobin, albumin, blood urea nitrogen, D-dimer, and baseline HACOR score, each 1 mmHg increase in 24h PaCO Conclusion: A 24-hour post-treatment PaCO
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