Table 3.
AUCs for the updated HACOR score for predicting NIV failure in different subgroups
| After 1–2 h of NIV AUC (95% CI) |
After 12 h of NIV AUC (95% CI) |
After 24 h of NIV AUC (95% CI) |
|
|---|---|---|---|
| Training cohort | |||
| De novo acute respiratory failure, N = 876# | 0.83 (0.81–0.86) | 0.84 (0.81–0.87) | 0.85 (0.81–0.88) |
| Pneumonia, N = 710 | 0.82 (0.79–0.85) | 0.84 (0.81–0.88) | 0.83 (0.80–0.87) |
| Pulmonary ARDS, N = 151 | 0.81 (0.74–0.88) | 0.83 (0.76–0.90) | 0.89 (0.82–0.95) |
| Extrapulmonary ARDS, N = 160 | 0.86 (0.80–0.93) | 0.85 (0.77–0.93) | 0.86 (0.78–0.95) |
| CPE, N = 138 | 0.81 (0.63–1.00) | 0.92 (0.80–1.00) | 0.80 (0.53–1.00) |
| Cardiac problem other than CPE, N = 74 | 0.76 (0.60–0.92) | 0.78 (0.63–0.92) | 0.84 (0.69–0.99) |
| Nonpulmonary sepsis, N = 192 | 0.83 (0.78–0.89) | 0.76 (0.66–0.85) | 0.71 (0.59–0.83) |
| Pancreatitis, N = 141 | 0.81 (0.72–0.91) | 0.84 (0.75–0.93) | 0.88 (0.79–0.96) |
| Validation cohort | |||
| De novo acute respiratory failure, N = 438# | 0.76 (0.71–0.80) | 0.77 (0.73–0.82) | 0.80 (0.75–0.85) |
| Pneumonia, N = 485 | 0.73 (0.69–0.77) | 0.75 (0.71–0.80) | 0.77 (0.72–0.81) |
| Pulmonary ARDS, N = 126 | 0.75 (0.66–0.83) | 0.74 (0.65–0.84) | 0.74 (0.64–0.84) |
| Extrapulmonary ARDS, N = 17 | 0.74 (0.49–0.99) | 0.92 (0.75–1.00) | 1.00 (1.00–1.00) |
| CPE, N = 44 | 0.78 (0.53–1.00) | 0.88 (0.75–1.00) | 0.89 (0.74–1.00) |
| Cardiac problem other than CPE, N = 21 | 0.95 (0.86–1.00) | 0.80 (0.57–1.00) | 1.00 (1.00–1.00) |
| Nonpulmonary sepsis, N = 56 | 0.83 (0.71–0.94) | 0.75 (0.60–0.90) | 0.75 (0.58–0.92) |
| Pancreatitis, N = 31 | 0.89 (0.78–1.00) | 0.71 (0.48–0.94) | 0.97 (0.91–1.00) |
| COVID-19, N = 43 | 0.78 (0.63–0.92) | 0.70 (0.54–0.86) | 0.82 (0.68–0.96) |
AUC area under the receiver operating characteristic curve, HACOR heart rate, acidosis, consciousness, oxygenation, and respiratory rate, NIV noninvasive ventilation, CI confidence interval, ARDS acute respiratory distress syndrome, CPE cardiogenic pulmonary edema
#De novo acute respiratory failure is defined as the occurrence of respiratory failure without chronic respiratory disease, chronic heart disease, asthma, CPE, cardiac problem other than CPE, or postoperative hypoxemia