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. 2021 Mar 4;2021(3):CD010172. doi: 10.1002/14651858.CD010172.pub3

TCTR20171106003.

Study name High‐flow nasal oxygen for prevention of intubation in acute non‐hypercapnic hypoxemic respiratory failure in immunocompromised patients, a randomized trial
Methods RCT, parallel‐group design
Participants Estimated number of participants: 74
Setting: Thailand
Inclusion criteria: immunocompromised patients; solid or haematologic malignancy; received immunosuppressive drug or steroid at a dose > 20 mg/day of prednisolone for > 30 days; HIV infection; require nasal low‐flow oxygen of 4 L/min to maintain PaO2 above 60 mmHg or SpO2> 90% for > 1 hour; age ≥ 18 years

Exclusion criteria: PaCO2> 45 mmHg; post‐extubation respiratory failure (respiratory failure within 48 hr after extubation); life‐threatening AHRF requiring immediate invasive MV; shock; active pulmonary tuberculosis; contraindications to NIV; do‐not‐intubate order; patients refused to participate in the study
Interventions Intervention group (HFNC)
Control group (NIV)
Outcomes All outcomes measured: required intubation and invasive mechanical ventilation within 48 hrs; 30‐day mortality rate
Outcomes relevant to this review: required intubation and invasive mechanical ventilation within 48 hrs; 30‐day mortality rate
Starting date 7th August 2017
Contact information Juthamas Inchai, juinchai@gmail.com
Notes