Table 1: Baseline patients’ characteristics. Data are expressed as mean ± SD, median (interquartile range), or number and percentage (%).

 

HFO Group

N = 111

Control Group

N = 111

P

Age, years

62.9 ± 16.1

64.5 ± 13.7

0.4

Male sex

70 (63%)

73 (66%)

0.7

Comorbidities:

 

 

 

          COPD

37 (33%)

34 (31%)

0.7

          Heart disease

22 (20%)

23 (21%)

0.9

Diagnosis at admission:

 

 

 

          Medical

66 (59%)

66 (59%)

1

          Respiratory primary failure*

46 (41.4%)

41 (36.9%)

          Cardiologic primary failure

2 (1.8%)

3 (2.7%)

          Abdominal

6 (5.4%)

10 (9.1%)

          Sepsis (other focus)

5 (4.5%)

8 (7.2%)

          Other

7 (6.3%)

4 (3.6%)

           Surgical

51 (45.9%)

47 (42.3%)

0.8

          Scheduled surgery

31 (27.9%)

38 (34.2%)

          Urgent surgery

20 (18.1%)

9 (8.1%)

Body mass index

27 ± 6.9

27 ± 7.1

0.8

APACHE II at ICU admission

15.1 ± 6.6

15.8 ± 7.5

0.6

APACHE II at extubation

9.6 ± 6.2

9.9 ± 7.1

0.8

PaO2/FiO2 at end of SBT

175 ± 21

180 ± 32

0.8

Length of mechanical ventilation before extubation, days

9.7 ± 4.8

10.1 ± 4.6

0.5

ICU-acquired paresis (MRC score < 48 points)

10 (9%)

7 (6%)

0.6

Corticosteroids (> 12 h before extubation)

16 (14%)

18 (16%)

0.8

High risk variables for reintubation:

66 (59%)

66 (59%)

1

           Age > 65 years

54 (49%)

53 (48%)

           Intubation due to heart failure

2 (2%)

1 (1%)

          Moderate-to-severe COPD

29 (26%)

30 (27%)

          APACHE II > 12 at extubation

52 (47%)

51 (46%)

          Body mass index > 30

22 (20%)

24 (22%)

          Inability to deal with respiratory secretions

1 (1%)

0 (0%)

          Difficult or prolonged weaning

29 (26%)

27 (24%)

          ≥ 2 comorbidities

34 (31%)

33 (30%)

          Mechanical ventilation > 7 days

56 (50%)

58 (52%)

Laryngeal edema after extubation

0 (0%)

4 (4%)

0.1

 

APACHE = acute physiology and chronic health evaluation; ARDS = acute respiratory distress syndrome; COPD = chronic obstructive pulmonary disease; MRC = Medical Research Council score; SBT = spontaneous breathing trial.

* Primary respiratory failure included severe pneumonia (23/21), aspiration (3/3), asthma exacerbation (2/1), pulmonary embolism (4/2), and COPD exacerbation (11/12), ARDS (3/2), respectively.