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Table 2 Baseline characteristics and outcomes according to subgroups of silent and dyspneic hypoxemia

From: Factors for success of awake prone positioning in patients with COVID-19-induced acute hypoxemic respiratory failure: analysis of a randomized controlled trial

 

Silent hypoxemia

(n = 117)

Dyspneic hypoxemia

(n = 313)

RR

(95% CI)

P

Characteristics

    

Assigned to APP arm—no. (%)

58 (49.5)

158 (50.5)

Age, median (IQR)

59 (47–73)

59 (49–71)

Female sex—no. (%)*

58 (50)

200 (64)

Body mass index a, median (IQR)

29.0 (27.2–32.4)

28.9 (27.4–32.5)

Days from symptoms onset to hospital admission, median (IQR)

8 (7–9)

8 (7–10)

Hours from admission in hospital to enrollment in study, median (IQR)

16 (9–27)

14 (9–24)

Hours from HFNC to enrollment, median (IQR)

8 (4–20)

9 (5–12)

Respiratory rate at enrollment, median (IQR)*

25.0 (21.0–27.0)

26.0 (23.0–28.0)

SpO2:FiO2 ratio at enrollment, median (IQR)

156 (93–160)

132 (92–160)

Lung ultrasound score b, median (IQR)*

18 (15–20)

19 (16–22)

D-dimer mg/dL, median (IQR)

1.1 (0.8–1.4)

1.2 (0.9–1.7)

Coexisting illness c

87 (74)

217 (69)

Use of glucocorticoids for treatment of Covid-19—no. (%)

101 (86)

265 (85)

Highest treating location*

  

 Intermediate care unit—no. (%)

110 (94)

224 (72)

 Intensive care unit—no. (%)

7 (6)

89 (28)

Outcomes

    

Intubation at day 28– no. (%)

29/117 (25)

128/313 (41)

0.60 (0.43–0.85)

0.004

Mortality at day 28– no. (%)

    

 All patients

27/117 (23)

123/313 (39)

0.58 (0.41–0.84)

0.001

 Patients with IMV

21/29 (72)

86/128 (67)

1.07 (0.83–1.39)

0.56

Treatment success at day 28 (alive without intubation)—no. (%)

82/117 (70)

148/313 (47)

1.76 (1.31–2.37)

< 0.001

   

Median difference

(95% CI)

 

Days of HFNC in patients who had treatment success, median (IQR)

9.3 (7.5–12.1)

9.1 (7.4–11.8)

− 0.1 (− 1.0–0.6)

0.60

Days from study enrollment to intubation in patients with IMV, median (IQR)

2.4 (1.9–3.4)

2.4 (1.5–4.1)

0 (− 0.5–0.7)

0.88

Days of IMV, median (IQR)

12 (7.2–14.7)

10 (6.8–13.6)

− 1.1 (− 3.3–1.2)

0.37

Hospital LOS, median (IQR)

12 (9–15)

12 (9–15)

0 (− 1.0–1.0)

0.66

  1. *P ≤ 0.05. Median with interquartile ranges is in parentheses. APP, awake prone positioning; HFNC, high-flow nasal cannula; SpO2, saturation of pulse oximetry; FIO2, fraction of inspired oxygen; ROX, SpO2/FIO2 /respiratory rate; CI, confidence interval; RR, relative risk; IMV, invasive mechanical ventilation; LOS, length of stay. Silent hypoxemia was defined as SpO2 < 90% at ambient air but no perception of symptoms of dyspnea or shortness of breath at hospital admission
  2. a Body mass index is the weight in kilograms divided by the square of the height in meters
  3. b Lung ultrasound with 12-lung regions technique, scores range from 0 to 36, with higher scores indicating lower lung aeration
  4. c Coexisting illness included: chronic heart disease (known heart failure, coronary artery disease, or hypertension); chronic lung disease (obstructive or restrictive); chronic kidney disease (estimated glomerular filtration rate < 60 mL/min/1.73 m2 prior to hospital admission; severe liver disease (cirrhosis and/or portal hypertension with history of variceal bleeding, or liver disease with Child–Pugh score ≥ 10)