Table 1.
Cough peak flow ≤70 L/minute | Cough peak flow >70 L/minute | ||||||
---|---|---|---|---|---|---|---|
NIV (n = 108) | Control (n = 72) | p Valuea | NIV (n = 71) | Control (n = 105) | p Valuea | p Valueb | |
Age, years | 73 ± 12 | 74 ± 13 | 0.68 | 67 ± 14 | 58 ± 19 | <0.01c | <0.01c |
Females/males, n | 32/76 | 33/39 | 0.04c | 12/59 | 27/78 | 0.20 | <0.01c |
Reason for intubation | |||||||
AECOPD | 74 | 31 | <0.01c | 46 | 26 | <0.01c | <0.01c |
Pneumonia | 26 | 32 | 0.01c | 13 | 36 | 0.03c | 0.42 |
ARDS | 2 | 5 | 0.12 | 9 | 22 | 0.23 | <0.01c |
Asthma | 2 | 0 | 0.52 | 1 | 5 | 0.40 | 0.17 |
Other | 4 | 4 | 0.72 | 2 | 16 | 0.01c | 0.04c |
APACHE II score | |||||||
Upon admission | 24 ± 6 | 23 ± 6 | 0.46 | 21 ± 6 | 19 ± 7 | 0.02c | <0.01c |
At extubation | 13 ± 3 | 13 ± 3 | 0.65 | 12 ± 3 | 11 ± 3 | 0.02c | <0.01c |
Intubation period before extubation, days | 8 ± 12 | 7 ± 5 | 0.44 | 7 ± 5 | 5 ± 4 | <0.01c | 0.01c |
Cough peak flow, L/minute | 48 ± 14 | 44 ± 15 | 0.07 | 98 ± 34 | 108 ± 29 | 0.04c | <0.01c |
Hemoglobin, g/dl | 10.8 ± 2.3 | 10.4 ± 2.2 | 0.26 | 11.3 ± 2.5 | 11.3 ± 2.4 | 0.97 | 0.01c |
Secretions, ml/24 h | 75 ± 45 | 85 ± 54 | 0.18 | 72 ± 49 | 77 ± 73 | 0.61 | 0.56 |
Suction frequency/24 h | 11 ± 4 | 13 ± 4 | <0.01c | 12 ± 4 | 12 ± 4 | 0.71 | 0.96 |
GCS score | 14.7 ± 1.2 | 14.2 ± 1.8 | 0.06 | 14.9 ± 0.1 | 14.9 ± 0.1 | 0.80 | <0.01c |
Physiological parameters at extubation | |||||||
pH | 7.42 ± 0.05 | 7.43 ± 0.05 | 0.30 | 7.45 ± 0.05 | 7.46 ± 0.05 | 0.25 | <0.01c |
PaCO2, mmHg | 51 ± 13 | 45 ± 13 | <0.01c | 48 ± 11 | 39 ± 10 | <0.01c | <0.01c |
PaO2/FiO2 | 222 ± 63 | 269 ± 86 | <0.01c | 225 ± 55 | 265 ± 94 | <0.01c | 0.33 |
Respiratory rate, breaths/minute | 23 ± 5 | 23 ± 5 | 0.65 | 23 ± 6 | 22 ± 5 | 0.09 | 0.44 |
Rapid shallow breathing index | 60 ± 27 | 66 ± 24 | 0.12 | 55 ± 21 | 48 ± 23 | 0.06 | <0.01c |
Heart rate, beats/minute | 99 ± 16 | 93 ± 16 | 0.02c | 100 ± 17 | 94 ± 15 | 0.01c | 0.96 |
Mean arterial pressure, mmHg | 93 ± 13 | 90 ± 12 | 0.18 | 94 ± 12 | 93 ± 12 | 0.53 | 0.40 |
Abbreviations: APACHE II Acute Physiology and Chronic Health Evaluation II, NIV Noninvasive ventilation, AECOPD Acute exacerbation of chronic obstructive pulmonary disease, ARDS Acute respiratory distress syndrome, GCS Glasgow Coma Scale, PaCO 2 Partial pressure of carbon dioxide in arterial blood, PaO 2 /FiO 2 Ratio of partial pressure of arterial oxygen to fraction of inspired oxygen
aDifference in NIV versus control
bDifference in weak versus strong cough
c p < 0.05