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Table 1 Comparison of the patients at high-risk for reintubation in the 2 cohorts

From: Easily identified at-risk patients for extubation failure may benefit from noninvasive ventilation: a prospective before-after study

 

Control cohort N = 83

NIV cohort N = 150

P value

Patients’ characteristics

 Age, years

66 ± 15

69 ± 11

0.05

 Age ≥ 65 years, n (%)

54 (65 %)

109 (73 %)

0.23

 Male sex, n (%)

49 (59 %)

85 (57 %)

0.73

 SAPS II at admission, points

50 ± 19

49 ± 18

0.44

 Underlying cardiac disease, n (%)

45 (54 %)

90 (60 %)

0.39

 Underlying chronic lung disease, n (%)

31 (37 %)

53 (35 %)

0.76

Reason for intubation

  

0.81

 Acute respiratory failure, n (%)

33 (39 %)

64 (43 %)

 

 Shock, n (%)

14 (17 %)

29 (19 %)

 

 Coma or neurologic disorders, n (%)

13 (16 %)

25 (17 %)

 

 Postoperative, n (%)

20 (24 %)

26 (17 %)

 

 Cardiac arrest, n (%)

3 (4 %)

6 (4 %)

 

Variables at time of extubation

 SOFA at time of extubation, points

3.4 ± 2.2

3.6 ± 2.3

0.56

 PaO2/FiO2 ratio, mm Hg

283 ± 95

296 ± 92

0.30

 pH, units

7.46 ± 0.06

7.45 ± 0.05

0.73

 PaCO2, mm Hg

41 ± 10

39 ± 8

0.15

 PaCO2 > 45 mm Hg, n (%)

24 (29 %)

27 (18 %)

0.06

 Duration of MV prior to extubation, days

8.0 [5.0–13.8]

6.0 [4.0–11.8]

0.24

Outcome

 Reintubation < 48 h, n (%)

18 (22 %)

16 (11 %)

0.03

 Reintubation < 72 h, n (%)

20 (24 %)

19 (13 %)

0.02

 Reintubation < 7 days, n (%)

23 (28 %)

23 (15 %)

0.02

 Reintubation at any time in ICU, n (%)

24 (29 %)

24 (16 %)

0.02

 Total duration of invasive MV, days

9.0 [5.0–16.0]

7.0 [4.0–13.8]

0.07

 ICU length of stay, days

14 [11.0–22.0]

12.0 [7.0–20.0]

0.18

 In-ICU mortality, n (%)

12 (14 %)

16 (11 %)

0.39

  1. Values are given as mean ± standard deviation (SD) or as median [interquartile range, from 25th to 75th percentiles]
  2. NIV noninvasive positive pressure ventilation, SAPS II Simplified Acute Physiology Score II, SOFA Sequential Organ Failure Assessment, MV mechanical ventilation, ICU intensive care unit