Study on some clinical characteristics and initial management outcomes of patients with acute respiratory failure at the emergency-stroke center, Hue university of medicine and pharmacy hospital

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CÁC SỐ TỪ 2011-2023
Tạp chí Y Dược Học

Abstract

Background and Objectives: Acute respiratory failure is a common emergency in the Emergency Department, requiring prompt diagnosis and management to reduce mortality. However, due to its diverse clinical manifestations and rapid deterioration, initial assessment and treatment are often challenging. Early prognostic factors can help clinicians make more accurate clinical decisions. This study aimed to describe the clinical and subclinical characteristics of patients with acute respiratory failure and analyze the factors influencing their initial treatment response in the Emergency Department.

Methods: This was a cross-sectional descriptive study on 53 patients with respiratory failure admitted to the Emergency and Stroke Center at Hue University of Medicine and Pharmacy Hospital.

Results: The average age of patients with acute respiratory failure admitted to the emergency department was 70.62 ± 15.09 years. The mean respiratory rate was 27.47 ± 5.67 breaths/min, and the mean SpO2 was 78.0 ± 10.30%. Common causes included COPD (41.5%), asthma (22.6%), pneumonia (13.2%), and acute decompensated heart failure (9.4%). Factors predicting a poor response to initial treatment were pH < 7.25 (p < 0.05, OR 9.056, 95% CI 1.190-68.993) and respiratory diseases causing respiratory failure (p < 0.05, OR 7.470, 95% CI 1.346-41.440).

Conclusion: The clinical characteristics and causes of acute respiratory failure are diverse, and close monitoring of the patient's clinical status is necessary to detect early signs of treatment failure. The factors influencing initial treatment response are pH < 7.25 and respiratory diseases causing respiratory failure.

Keywords: acute respiratory failure, emergency department, oxygen therapy

https://doi.org/10.34071/jmp.2026.3.661
Published 2026-06-28
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Issue Vol. 16 No. 3 (2026)
Section Original Articles
DOI 10.34071/jmp.2026.3.661
Keywords acute respiratory failure, emergency department, oxygen therapy suy hô hấp, khoa cấp cứu, liệu pháp oxy

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Copyright (c) 2026 Hue Journal of Medicine and Pharmacy

Nguyễn, K. H., & Bùi, T. T. N. (2026). Study on some clinical characteristics and initial management outcomes of patients with acute respiratory failure at the emergency-stroke center, Hue university of medicine and pharmacy hospital. Hue Journal of Medicine and Pharmacy, 16(3), 22–28. https://doi.org/10.34071/jmp.2026.3.661

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