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. 2021 Feb 25;86:17–21. doi: 10.1016/j.ejim.2021.02.015

Table 1.

Studies on the use of CPAP/non-invasive ventilation in Covid-19-related pneumonia. Legenda: n. of pts: number of patients; DNI: Do Not Intubate; hCPAP. Helmet CPAP; NPPV: non-invasive postitive pressure ventilation; HFNC: high flow nasal cannulae; NRB: non rebreathing mask; RR: respiratory rate; SpO2: Oxygen pulse saturation; PaO2: arterial Oxygen partial pressure; AHRF: acute hypoxemic respiratory failure; PaO2/FiO2: the ratio between arterial oxygen partial pressure and fractional concentration of inspired oxygen; CXR: Chest radiography; CRP: C-reactive Protein. NR: not reported.

Study Design n. of pts Technique Failure% Starting crit. Failure pred.
Duca et al. Retrospective 85 hCPAP (71); NPPV (7); IMV (7) 88,5%
Deaths: 76.5%
PaO2< 60,
RR>30 in NRB
mask
age > 60
Alviset et al. Retrospective 49 Mask CPAP 53%
Deaths: 36%
SpO < 90% in
NRB mask
Low basal PaO2
Di Domenico et. Al. Retrospective 90
(27 DNI)
CPAP/NPPV 57%
Deaths: 47%
89% in DNI
SpO2 < 90% or
< 94% on O2 12- 15 l/min
Low basal PaO2/FiO2 ratio
Franco et al. Prospective 670 163 HFNC, 330 hCPAP, 177 NPPV 30%
Deaths: 30%
SpO2 < 94% RR > 20 poor response to O2 15 L/min Age, n. of comorbidities,
Low PaO2/FiO2
Nightingale et al. Retrospective 24 Mask CPAP 38% Type 1 AHRF Age, n. of comorbidities
Burns et al. Retrospective 28 (DNI) Mask CPAP (23)
NPPV (5)
Deaths: 50% SpO2 < 94% In O2
40%
«Typical» aspect on CXR
Bellani et al Prospective 909 CPAP 85% (mainly via helmet), NPPV 10%; HFNC 5% 37,6% n.r. Lower PaO2/FiO2 ratio;
higher CRP; platelet count