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Acute hypoxaemic respiratory failure in immunocompromised patients: abandon bronchoscopy or make it better?
European Respiratory Journal ( IF 24.3 ) Pub Date : 2019-12-01 , DOI: 10.1183/13993003.02177-2019
Philippe R Bauer 1 , Sylvie Chevret 2 , Elie Azoulay 3 ,
Affiliation  

In their letter to the Editor, M.S. Zinter and G-S. Cheng raise concerns about the conclusion of our study that immunocompromised patients with acute hypoxaemic respiratory failure who undergo fibreoptic bronchoscopy have inferior survival relative to those who do not undergo fibreoptic bronchoscopy. They offer an alternative explanation to our findings by emphasising the role of the time-varying nature of the bronchoscopy as well as the time-varying nature of other covariates, including illness severity leading up to bronchoscopy, when performing the propensity score matching. The decision-making process regarding whether to perform bronchoscopy in acute respiratory failure in immunosuppressed patients is complex and does not depend solely on severity http://bit.ly/2O9cjcq

中文翻译:

免疫功能低下患者的急性低氧性呼吸衰竭:放弃支气管镜检查还是改善?

在给编辑的信中,MS Zinter 和 GS。Cheng 对我们的研究结论表示担忧,即接受纤维支气管镜检查的免疫功能低下的急性低氧性呼吸衰竭患者的生存率低于未接受纤维支气管镜检查的患者。在进行倾向评分匹配时,他们通过强调支气管镜检查的时变性质以及其他协变量(包括导致支气管镜检查的疾病严重程度)的时变性质,为我们的发现提供了另一种解释。免疫抑制患者急性呼吸衰竭是否进行支气管镜检查的决策过程很复杂,不仅仅取决于严重程度 http://bit.ly/2O9cjcq
更新日期:2019-12-01
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