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. 2022 Nov 30;14(11):e32087. doi: 10.7759/cureus.32087

Table 2. Population characteristics: admission biology and severity scores according to HFOT failure.

N, total patients included; n, number of patients in the category; HFOT, high-flow oxygen therapy; N/L, neutrophil-to-lymphocyte ratio; PLT, platelets count; PLR or P/L ratio, platelet-to-lymphocyte ratio; SII, systemic immune inflammation index; CRP, C reactive protein; chest CT, chest computed tomography; SOFA, Sequential Organ Failure Assessment; APACHE, Acute Physiology and Chronic Health Evaluation; SAPS, Simplified Acute Physiology Score; COT, conventional oxygen therapy; RR, respiratory rate; FiO2, fraction of inspired oxygen; SpO2, pulse oximetry; PaO2, partial pressure of oxygen in arterial blood

Characteristics Mean and range (N = 52) HFOT P-value
Success (n = 21) Failure (n = 31)
Admission biology
White blood cell count/mm3 9,730 (7,345, 13,532) 9,510 (7,535, 11,280) 9,950 (7,305, 14,170) 0.94
Neutrophils (mm3) 8,379 (5,730, 11,228) 8,282 (5,984, 10,060) 8,577 (5,668, 12,440) 0.58
Lymphocytes(mm3) 631 (382, 860) 757 (370, 1,102) 598 (382, 767) 0.41
N/L ratio 13 (7, 25) 11 (6, 18) 13 (8, 25) 0.45
PLT × 103 (mm3) 230 (188, 280) 256 (184, 278) 214 (188, 280) 0.62
P/L ratio (PLR) 0.37 (0.22, 0.59) 0.44 (0.19, 0.61) 0.35 (0.25, 0.56) 0.94
SII (×109 cells/L) 673 (51, 2,777) 777 (58, 2,808) 261 (38, 2,147) 0.79
CRP (mg/dL) 107 (77, 174) 91 (56, 114) 116 (92, 208) 0.027
Fibrinogen (mg/dL) 645 (532, 734) 623 (574, 720) 687 (532, 760) 0.31
Severity scores, first 24 hours
Days before ICU admission 2.00 (0.00, 5.00) 1.00 (0.00, 4.00) 2.00 (0.00, 6.00) 0.37
Chest CT COVID-19 ground glass findings (%) 60 (50, 75) 50 (30, 60) 70 (50, 75) 0.009
SOFA score at 24 hours 2.00 (2.00, 4.00) 2.00 (2.00, 3.00) 3.00 (2.00, 4.00) 0.047
APACHE II 11.0 (8.0, 13.0) 9.0 (8.0, 12.0) 11.0 (9.2, 13.0) 0.13
SAPS III 3.0 (2.0, 6.0) 2.0 (1.0, 4.0) 3.5 (2.0, 6.0) 0.13
COT before HFOT (days) 1.00 (1.00, 2.00) 1.00 (1.00, 2.00) 1.00 (1.00, 2.00) 0.57
HFOT (days) 4.0 (3.0, 6.0) 5.0 (3.0, 6.0) 3.0 (2.0, 5.0) 0.060
Days till endpoint 5.0 (3.8, 8.0) 6.0 (5.0, 7.0) 5.0 (3.0, 8.0) 0.29
RR, mean first 24 hours 22.9 (20.3, 26.6) 22.1 (19.7, 23.3) 25.3 (20.9, 28.1) 0.037
FiO2, mean first 24 hours 0.74 (0.56, 0.88) 0.56 (0.52, 0.70) 0.88 (0.74, 0.90) <0.001
SpO2, mean first 24 hours 92.8 (91.3, 94.1) 93.6 (92.7, 95.0) 92.4 (91.1, 93.3) 0.010
PaO2, mean first 24 hours 71 (67, 76) 73 (71, 83) 70 (64, 73) 0.004
PaO2/FiO2, mean first 24 hours 98 (80, 137) 137 (126, 147) 82 (73, 98) <0.001
ROX index, mean first 24 hours 6.15 (4.49, 7.67) 7.71 (6.68, 9.08) 5.13 (4.06, 6.38) <0.001
Modified ROX index, mean first 24 hours 4.89 (3.41, 6.23) 6.79 (5.43, 7.25) 4.08 (2.82, 4.82) <0.001
Outcomes
Dead 22 (42%) 1 (4.8%) 21 (68%) <0.001