respiratory anaesthesia-icu
HACOR Score for NIV Failure Risk
Heart rate, Acidosis, Consciousness, Oxygenation, and Respiratory rate (HACOR) score predicts the risk of non-invasive ventilation (NIV) failure and need for intubation in patients with acute respiratory failure. Assessed at 1-2 hours after NIV initiation. Score above 5 predicts NIV failure with 72% sensitivity and 89% specificity. Validated by Liu et al. 2017 in 449 patients.
References
- Liu J et al. Early predictors of noninvasive ventilation failure in patients with severe community-acquired pneumonia. Respir Care. 2017;62(10):1271-1279.
- Scala R, Pisani L. Noninvasive ventilation in acute respiratory failure: which recipe for success? Eur Respir Rev. 2018;27(149):180029.
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Dobutamine (Acute HF / Stress Echo) · Inotrope / Acute Heart Failure
- Milrinone · Inodilator / Acute Heart Failure
- Mannitol (Osmotic Diuretic — Renal/Neurological) · Acute Oliguric Renal Failure / Raised ICP
- Doxapram hydrochloride · Respiratory stimulant
- Glyceryl Trinitrate (Sublingual / IV) · Nitrate / Acute Angina
- Vericiguat · Heart Failure
Pathways
- Acute Asthma in Adults · BTS/SIGN British Guideline on Asthma 2019; NICE NG80
- Pulmonary Embolism Assessment · NICE NG158; ESC 2019 PE Guidelines
- COPD Exacerbation Management · NICE NG115 / GOLD 2024
- Community-Acquired Pneumonia (CURB-65) · BTS 2009 / NICE NG138
- Acute Pulmonary Embolism · BTS 2003 / ESC 2019
- Pleural Effusion Assessment · BTS 2010
Decision support only — verify against MDCalc, NICE, or your local guideline before clinical use.