Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Respiratory failure, categorized as Type I (hypoxemic) and Type II (hypercapnic), is a critical condition requiring immediate diagnosis and management. Understanding its clinical profile aids in optimizing care, particularly in tertiary care settings where resources and expertise are concentrated. To study the clinical profile of patients presenting with Type I and Type II respiratory failure at a tertiary care hospital, including demographic characteristics, clinical presentations, underlying etiologies, and outcomes. This prospective observational study was conducted over a period of 12 months in the Intensive Care Unit (ICU) of Department of General Medicine, Government Medical College, Nalgonda, Telangana a tertiary care hospital. A total of 150 patients (Type I: n=80, Type II: n=70) were included based on arterial blood gas (ABG) analysis. Data on demographics, clinical presentation, comorbidities, etiologies, management strategies and outcomes were collected and analyzed using descriptive statistics. Among 150 patients, Type I respiratory failure was predominantly associated with pneumonia (40%), ARDS (25%) and pulmonary embolism (15%), while Type II respiratory failure was more common in COPD exacerbations (50%), obesity hypoventilation syndrome (20%) and neuromuscular disorders (10%). The mean age for Type I was 55±12 years and for Type II was 60±10 years. Mortality was higher in Type I (28%) compared to Type II (18%). Type I respiratory failure is commonly caused by acute parenchyma lung diseases, while Type II is primarily linked to chronic respiratory conditions. Early diagnosis and targeted management improve outcomes.
How to cite this article:
T.V. Uday Krishna, K. Venu Gopala Chary and Suresh Kumar Reddy Yenna. Clinical Profile of Type I and II Respiratory Failure Patients at a Tertiary Care Hospital.
DOI: https://doi.org/10.36478/10.36478/makrjms.2025.1.229.232
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2025.1.229.232