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Table 1 Characteristics and outcome of COVID 19 patients hospitalized in ICU with delayed intubation 7 days after dexamethasone treatment (≥ 7 days) versus other patients admitted in the same ICU

From: Very late intubation in COVID-19 patients: a forgotten prognosis factor?

 

All patients (n = 556)

HNFO only (n = 152)

Intubation ≤ 1 day after DXM initiation (n = 196)

Intubation 2 to 7 days after DXM initiation (n = 178)

Intubation > 7 days after DXM initiation (n = 30)

p

Patient’s characteristics

 Age, years

59 (50–66)

58 (46–66)

60 (50–66)

59 (52–65)

63 (57–66)

0.56

 Gender male, n (%)

336 (60)

97 (64)

110 (56)

112 (63)

17 (57)

0.55

 SOFA

4 (3–7)

3 (2–4)

7 (4–9)

5 (3–7)

5 (3–7)

< 0.01

 ROX score on day of HFNO onset, min−1

4.2 (3.0–6.0)

6.7 (4.8–8.6)

3.0 (2.2–4.0)

4.2 (3.3–5.2)

6.0 (4.0–7.5)

< 0.01

 ROX score at intubation, min−1

2.2 (2.0–2.7)

NA

2.2 (2.0–2.8)

2.3 (2.0–2.8)

2.0 (2.0–2.1)

0.45

Comorbidities

 Arterial hypertension, n (%)

293 (53)

67 (44)

107 (55)

99 (56)

20 (67)

0.38

 Diabetes, n (%)

209 (38)

49 (32)

78 (40)

72 (40)

10 (33)

0.18

 IMC > 30 kg m−2, n (%)

291 (52)

71 (47)

116 (59)

89 (50)

15 (50)

0.08

Biology

 White blood cells, G L−1

8.6 (6.3–11.3)

8.4 (6.4–10.5)

9.1 (6.8–11.2)

8.7 (1.0–11.5)

8.7 (6.0–11.8)

0.757

 D-dimers, ng mL−1

1.4 (1.0–2.5)

1.5 (0.9–2.8)

1.2 (0.8–2.6)

1.6 (0.9–2.4)

1.4 (1.0–2.1)

0.93

Adjunctive therapies

 Noninvasive ventilation, n (%)

120 (22)

24 (16)

45 (23)

43 (24)

8 (27)

0.66

 Awake prone positioning, n (%)

154 (27)

71 (50)

18 (9)

53 (30)

12 (40)

< 0.01

 Tocilizumab, n (%)

66 (12)

33 (22)

5 (3)

19 (11)

9 (30)

< 0.01

Outcome

 ICU mortality, n (%)

219 (39)

0 (0)

105 (54)

88 (49)

26 (87)

< 0.01

  1. Results are number n (percentage) of for categorical variables and median (q1–q3) for continuous variables. P values were obtained using Kruskal–Wallis for continuous variables, and Chi2 or fisher test when appropriate for categorical variables
  2. HFNO—high flow nasal oxygen, DXM—dexamethasone, ICU—intensive care unit, SOFA—Sepsis-related Organ Failure Assessment