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 |