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Table 2 Respiratory support strategies

From: Impact of time to intubation on mortality and pulmonary sequelae in critically ill patients with COVID-19: a prospective cohort study

 

Early IMV

Delayed IMV

p value

N

n = 140

Median [IQR] or n (%)

n = 65

Median [IQR] or n (%)

Initial ventilatory support

Ventilation start site

< 0.001

205

 General ward

31 (22.1%)

33 (50.8%)

  

 ICU

109 (77.9%)

32 (49.2%)

  

Time from hospital admission to initial ventilatory support (days)

0.00 [0.00; 1.00]

0.00 [0.00; 1.00]

0.019

205

PaO2 to FiO2 ratio

98.8 [70.0; 132]

129 [100; 150]

< 0.001

183

Respiratory rate

30.0 [24.0; 36.0]

24.0 [20.0; 27.8]

< 0.001

171

Respiratory support management prior to intubation

< 0.001

205

 None

28 (20.0%)

0 (0.00%)

  

 High-flow nasal cannula

39 (27.9%)

2 (3.08%)

  

 CPAP/BIPAP

29 (20.7%)

3 (4.62%)

  

 Both therapies

44 (31.4%)

60 (92.3%)

  

 ROX index

3.55 [2.26; 5.43]

5.70 [4.45; 7.33]

< 0.001

140

IMV

Time from hospitalization to IMV (days)

1.00 [0.00; 2.00]

5.00 [4.00; 7.00]

< 0.001

205

Time from initial ventilatory support to IMV (days)

1.00 [0.00; 1.00]

4.00 [3.00; 6.00]

< 0.001

205

PaO2 to FiO2 ratio

74.0 [61.2; 99.0]

74.0 [60.0; 91.0]

0.560

195

Respiratory rate

29.0 [22.0; 35.0]

25.0 [22.0; 30.0]

0.019

148

Duration (days)

13.0 [7.00; 24.0]

17.0 [7.75; 30.0]

0.431

202

Prone positioning

106 (75.7%)

53 (81.5%)

0.453

205

Ventilatory setting and pulmonary mechanics

 Tidal volume/PBW (mL/Kg)

5.32 [4.66; 6.09]

5.42 [4.87; 6.05]

0.665

158

 PEEP, cmH2O

14 [12; 15]

13 [12; 14]

0.421

168

 Peak inspiratory pressure, cmH2O

34 [30; 37]

32 [29; 36]

0.233

163

 End-inspiratory plateau pressure, cmH2O

25 [22; 29]

24.5 [19; 28]

0.261

145

 Driving pressure, cmH2Oa

12 [8; 14]

10.5 [6.75; 14]

0.358

145

 Compliance, mL/cmH2Ob

39.2 [32; 57]

45.5 [35; 74]

0.232

142

  1. Numbers in bold are statistically significant p-values
  2. ICU intensive care unit, CPAP continuous positive airway pressure, BIPAP bilevel positive airway pressure, IQR interquartile range, IMV invasive mechanical ventilation, ROX respiratory rate-OXygenation, PEEP positive end-expiratory pressure, PBW predicted body weight
  3. aDefined as plateau pressure-PEEP
  4. bDefined as tidal volume/(Plateau pressure − PEEP)