From: Non-invasive ventilation for acute hypoxemic respiratory failure: intubation rate and risk factors
NIV Success N = 52 | NIV Failure N = 61 | Univariate HR [95% CI]; P-value | Cox regression aHR [95% CI]; P-value | |
---|---|---|---|---|
Age, years | 58.0 (± 17.1) | 62.6 (± 14.4) | 1.47 [0.99 to 1.02]; P = 0.142 | - |
Male sex, n (%) | 36 (69%) | 39 (64%) | 0.85 [0.51 to 1.44]; P = 0.551 | - |
SAPS II | 31.4 (± 10.9) | 46.3 (± 18.2) | 1.05 [1.03 to 1.06]; P <0.001 | Not included |
Immunosuppression/cancer, n (%) | 20 (38%) | 30 (49%) | 1.30 [0.79 to 2.16]; P = 0.169 | - |
Cancer, n (%) | 0 (0%) | 8 (13%) | 4.36 [2.01 to 9.44]; P <0.001 | 2.74 [1.22 to 6.15]; P = 0.014 |
At Admission before VNI | ||||
Sepsis, n (%) | 37 (71%) | 43 (70%) | 0.97 [0.56 to 1.68]; P = 0.913 | - |
Glasgow coma score | 14.9 (± 0.5) | 14.6 (± 1.2) | 0.84 [0.69 to 1.03]; P = 0.098 | 0.77 [0.63 to 0.96]; P = 0.018 |
Respiratory Rate, breaths/minute | 32.7 (± 7.0) | 33.3 (± 6.6) | 1.01 [0.97 to 1.05]; P = 0.517 | - |
pH | 7.44 (± 0.06) | 7.44 (± 0.08) | 2.16 [0.05 to 89.3]; P = 0.685 | - |
PaO2, mm Hg | 78.7 (± 43.0) | 84.1 (± 53.2) | 1.00 [0.99 to 1.01]; P = 0.442 | - |
PaCO2, mm Hg | 34.8 (± 5.6) | 35.3 (± 6.0) | 1.01 [0.97 to 1.06]; P = 0.669 | - |
Bicarbonates, mmol/L | 24.4 (± 4.8) | 25.5 (± 5.0) | 1.01 [0.96 to 1.06]; P = 0.547 | - |
Lactates, mmol/L | 2.0 (± 1.8) | 1.9 (± 1.2) | 1.00 [0.85 to 1.18]; P = 0.940 | - |
Heart rate, beats/minute | 114 (± 27) | 110 (± 25) | 0.99 [0.98 to 1.01]; P = 0.467 | - |
Shock, n (%) | 4 (8%) | 14 (23%) | 2.08 [1.14 to 3.79]; P = 0.017 | 1.89 [1.01 to 3.53]; P = 0.047 |
Systolic arterial pressure, mmHg | 134 (± 27) | 124 (± 24) | 0.99 [0.98 to 1.00]; P = 0.055 | Not included |
At NIV initiation | ||||
Altered consciousness, n (%) | 3 (6%) | 8 (13%) | 1.71 [0.81 to 3.59]; P = 0.158 | - |
pH | 7.43 (± 0.06) | 7.41 (± 0.10) | 0.12 [0.00 to 4.31]; P = 0.244 | - |
PCO2, mm Hg | 36.6 (± 6.7) | 37.5 (± 7.5) | 1.02 [0.98 to 1.05]; P = 0.327 | - |
PaO2/FiO2, mm Hg | 211 (± 86) | 163 (± 92) | 0.99 [0.99 to 0.99]; P = 0.003 | Not included |
Moderate or severe ARDS, n (%) | 21 (40%) | 45 (74%) | 2.79 [1.57 to 4.95]; P < 0.001 | 2.57 [1.33 to 4.75]; P = 0.003 |
PaO2/FiO2 <150 mm Hg, n (%) | 12 (23%) | 37 (61%) | 2.97 [1.77 to 4.99]; P < 0.001 | Not included |
PEEP level, cm H2O | 4.8 (± 1.0) | 4.4 (± 1.3) | 0.77 [0.62 to 0.94]; P = 0.011 | 0.71 [0.57 to 0.88]; 0.002 |
PS level, cm H2O | 8.1 (± 2.2) | 8.0 (± 1.9) | 0.98 [0.86 to 1.13]; P = 0.915 | - |
Tidal volume, ml | 576 (± 144) | 619 (± 196) | 1.00 [0.99 to 1.00]; P = 0.157 | - |
Respiratory rate, breaths/minute | 32.7 (± 12.9) | 33.9 (± 9.0) | 1.01 [0.98 to 1.03]; P = 0.601 | - |
Important leaks, n (%) | 2/43 (5%) | 3/48 (6%) | 1.39 [0.43 to 4.48]; P = 0.720 | - |
Poor tolerance, n (%) | 3/43 (7%) | 9/48 (19%) | 2.08 [1.00 to 4.30]; P = 0.049 | 1.97 [0.89 to 4.30]; P = 0.09 |