<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0121-0319</journal-id>
<journal-title><![CDATA[Medicas UIS]]></journal-title>
<abbrev-journal-title><![CDATA[Medicas UIS]]></abbrev-journal-title>
<issn>0121-0319</issn>
<publisher>
<publisher-name><![CDATA[Universidad Industrial de Santander]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0121-03192024000100041</article-id>
<article-id pub-id-type="doi">10.18273/revmed.v37n1-2024004</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Oxigenoterapia con cánula de alto flujo en pacientes con insuficiencia respiratoria aguda por COVID-19: estudio de cohorte retrospectivo en Hospital Nacional Universitario, Bogotá, Colombia, 2020-2021]]></article-title>
<article-title xml:lang="en"><![CDATA[Oxygen therapy with high flow cannula in patients with acute respiratory failure due to COVID-19: retrospective cohort study in a national universitary hospital, bogotá, colombia, 2020-2021]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morantes-Caballero]]></surname>
<given-names><![CDATA[Jairo Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cortés-Luna]]></surname>
<given-names><![CDATA[Jorge Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torres-González]]></surname>
<given-names><![CDATA[July Vianneth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez-Cortés]]></surname>
<given-names><![CDATA[Alba del Pilar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez-Fandiño]]></surname>
<given-names><![CDATA[Laura Catalina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Colombia  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Nacional de Colombia  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Nacional de Colombia  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad Nacional de Colombia  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidad Nacional de Colombia  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2024</year>
</pub-date>
<volume>37</volume>
<numero>1</numero>
<fpage>41</fpage>
<lpage>52</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0121-03192024000100041&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0121-03192024000100041&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0121-03192024000100041&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: El soporte ventilatorio es considerado primordial para la insuficiencia respiratoria aguda. Comprender la relación entre el uso del alto flujo y el resultado en pacientes con enfermedad por COVID-19 es relevante ya que ha surgido como alternativa a la intubación orotraqueal.  Objetivo: Determinar el efecto de la cánula nasal de alto flujo en la estancia hospitalaria y la mortalidad de pacientes con infección por SARS-CoV-2 y falla respiratoria hipoxémica durante los años 2020 y 2021 en un hospital universitario nacional.  Metodología: Estudio de cohorte retrospectivo entre marzo 2020 y febrero 2021, de pacientes con neumonía grave por SARS-CoV-2 y falla ventilatoria. Se evaluó la cánula nasal de alto flujo comparado con ventilación mediante intubación orotraqueal utilizando un puntaje de propensión para estancia, mortalidad y desenlaces secundarios (Infección torrente sanguíneo, insuficiencia renal aguda, entre otros). Finalmente se evaluó mortalidad a 30 días y egreso con vida mediante modelo Poisson.  Resultados: Se analizaron 160 pacientes (40 con cánula y 120 con intubación orotraqueal), siendo hombres 66,9 % y edad promedio 63,8 años. Fallecieron 81 pacientes (50,6 %) en los primeros 30 días de hospitalización. Después de ajuste, no se encontró asociación con mortalidad (RTIa 1,13, IC 95 %: 0,93-1,38), pero sí con menor estancia hospitalaria, frecuencia de intubación orotraqueal e insuficiencia renal aguda.  Conclusión: El grupo de pacientes que recibió cánula nasal de alto flujo mostró una menor frecuencia de ventilación mecánica invasiva, estancia hospitalaria e insuficiencia renal aguda no descrita previamente, aunque no se encontró reducción en mortalidad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background: Ventilatory support is considered first line for the treatment of acute respiratory failure. Better understanding the relationship between the use of high flow and outcome in patients with COVID-19 is relevant as it has emerged as an alternative to orotracheal intubation.  Objective: To determine the effect of high-flow nasal cannula on hospital stay and mortality of patients with SARS-CoV-2 infection and hypoxemic respiratory failure during the years 2020 and 2021 in a national university hospital.  Methods: Retrospective cohort study was carried out between March 2020 and February 2021, of patients with severe SARS-CoV-2 pneumonia and ventilatory failure. The High Flow Nasal Cannula was evaluated compared to conventional mechanical ventilation. Propensity score was used for stay, mortality and secondary outcomes (bloodstream infection, acute renal failure, among others). Finally, 30-day mortality and live discharge were evaluated using the Poisson model.  Results: 160 patients were analyzed (40 with Cannula and 120 with Orotracheal Intubation), 66,9 % being men and average age 63,8 years. 81 patients (50,6 %) died in the first 30 days of hospitalization. After adjustment, no association was found with mortality (RaIR 1,13, 95 % CI: 0,93-1,38), but with shorter stay, frequency of Orotracheal Intubation and acute kidney injury.  Conclusion: The group of patients who received a high-flow nasal cannula showed a lower frequency of invasive mechanical ventilation, hospital stay and acute kidney injury not previously described, although no reduction in mortality was found.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[COVID-19]]></kwd>
<kwd lng="es"><![CDATA[SARS-CoV-2]]></kwd>
<kwd lng="es"><![CDATA[Neumonía Viral]]></kwd>
<kwd lng="es"><![CDATA[Insuficiencia Respiratoria]]></kwd>
<kwd lng="es"><![CDATA[Cánula Nasal de Alto Flujo]]></kwd>
<kwd lng="es"><![CDATA[Intubación Intratraqueal]]></kwd>
<kwd lng="en"><![CDATA[COVID-19]]></kwd>
<kwd lng="en"><![CDATA[SARS-CoV-2. Pneumonia]]></kwd>
<kwd lng="en"><![CDATA[Viral]]></kwd>
<kwd lng="en"><![CDATA[Respiratory insufficiency]]></kwd>
<kwd lng="en"><![CDATA[High Flow Nasal Cannula]]></kwd>
<kwd lng="en"><![CDATA[Intubation]]></kwd>
<kwd lng="en"><![CDATA[Intratracheal]]></kwd>
</kwd-group>
</article-meta>
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