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. 2020 Jan 7;46(3):463–474. doi: 10.1007/s00134-019-05896-4

Table 4.

Bronchoalveolar lavage input for diagnosis and decision making

Standard oxygen therapy
N = 56a
High-flow nasal cannula oxygen therapy or non-invasive ventilation
N = 49b
Invasive mechanical ventilation
N = 378
p valuec
BAL fluid of good qualityd as declared by the pathologist 42 (75) 36 (73.5) 249 (65.9) 0.26
Highest class of BAL input reached
 Class 1: brings no useful information 19 (33.9) 17 (34.7) 149 (39.4) 0.63
 Class 2: in line with a diagnosis already mentioned 3 (5.4) 6 (12.2) 48 (12.7) 0.28
 Class 3: suggests a diagnosis not previously envisaged 2 (3.6) 1 (2) 11 (2.9) 0.90
 Class 4: allows discontinuing one or several treatments 11 (19.6) 6 (12.2) 20 (5.3) < 0.01
 Class 5: brings definitive diagnosis and/or allows new therapy initiation 21 (37.5) 19 (38.8) 150 (39.7) 0.95
 Class 4 or 5 reachede 32 (57.1) 25 (51) 170 (45) 0.20

Numbers indicate counts and (%)

BAL bronchoalveolar lavage

aIncluding 45 (80.4%) patients under oxygen therapy via standard nasal cannula or non-rebreathing mask, and 11 patients (19.6%) under oxygen therapy via rebreathing mask

bIncluding only four patients (8.2%) under non-invasive ventilation

cGroups were compared using χ2 test

dSee text for definition of “good quality” for BAL fluid

eClass 4 or 5 BAL contribution to diagnosis and decision making was used as the outcome measure in logistic regression; see text for details