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Table 2 Characteristics of critically ill patients without ARDS receiving mechanical ventilation, comparison of survivors and non-survivors

From: Potentially modifiable respiratory variables contributing to outcome in ICU patients without ARDS: a secondary analysis of PRoVENT

 

All (n = 935)

Survivors (n = 738)

Non-survivors (n = 197)

p valuea

Ventilator settings

Mode of ventilation

    

 Volume-controlled

116/849 (13.7)

85/657 (12.9)

31/192 (16.1)

0.075

 Pressure-controlled

193/849 (22.7)

151/657 (23.0)

42/192 (21.9)

 Pressure support

80/849 (9.4)

68/657 (10.4)

12/192 (6.3)

 SIMV

223/849 (26.3)

178/657 (27.1)

45/192 (23.4)

 BiPAP/APRV

185/849 (21.8)

138/657 (21.0)

47/192 (24.5)

 ASV

17/849 (2.0)

16/657 (2.4)

1/192 (0.5)

 PAV

0/849 (0.0)

0/657 (0.0)

0/192 (0.0)

 NAVA

1/849 (0.1)

1/657 (0.2)

0/192 (0.0)

 VAPS

8/849 (0.9)

4/657 (0.6)

4/192 (2.1)

 PRVC

23/849 (2.7)

14/657 (2.1)

9/192 (4.7)

 Other

3/849 (0.4)

2/657 (0.3)

1/192 (0.5)

Ventilatory variables

    

 Maximum airway pressure (cm H2O)

18.0 (15.0–22.0)

18.0 (15.0–22.0)

20.0 (16.0–24.0)

0.001

 Plateau pressure (cm H2O)b

16.0 (13.0–20.0)

15.0 (12.0–19.0)

17.0 (14.0–21.0)

0.005

 No of patients

343/935 (36.7)

259/738 (35.1)

113/197 (57.4)

< 0.001

 Tidal volume (ml)

500 (440–575)

500 (450–580)

500 (414–568)

0.229

 Tidal volume (ml/kg PBW)

7.9 (6.8–9.1)

7.9 (6.8–9.1)

8.1 (6.7–9.2)

0.622

  Controlled vent mode

7.7 (6.7–8.9)

7.7 (6.8–8.9)

7.8 (6.4–9.2)

0.958

  Spontaneous vent mode

8.0 (6.8–9.2)

7.9 (6.8–9.2)

8.1 (6.9–9.3)

0.616

  p value (controlled vs. spontaneous)

0.089

0.161

0.340

 

  ≤ 7

242/811 (29.8)

188/627 (30.0)

54/184 (29.3)

0.181

  7–8

347/811 (42.8)

271/627 (43.2)

76/184 (41.3)

  9–10

161/811 (19.9)

116/627 (18.5)

45/184 (24.5)

  > 10

61/811 (7.5)

52/627 (8.3)

9/184 (4.9)

 PEEP (cm H2O)

5.0 (5.0–8.0)

5.0 (5.0–8.0)

6.0 (5.0–8.0)

0.004

  ≤ 5

450/830 (54.2)

365/642 (56.9)

85/188 (45.2)

0.003

  6–8

253/830 (30.5)

185/642 (28.8)

68/188 (36.2)

  9–10

86/830 (10.4)

57/642 (8.9)

29/188 (15.4)

  > 10

41/830 (4.9)

35/642 (5.5)

6/188 (3.2)

 Driving pressure (cm H2O)

12.0 (9.0–15.0)

12.0 (9.0–15.0)

13.0 (10.0–16.0)

0.020

 Respiratory rate (bpm)

15.0 (12.0–18.0)

15.0 (12.0–18.0)

15.0 (12.0–18.0)

0.753

 FiO2

0.5 (0.4–0.6)

0.4 (0.4–0.5)

0.5 (0.4–0.7)

< 0.001

 Static compliance (ml/cm H2O)

54.2 (36.9–77.1)

55.4 (40.0–84.0)

54.3 (32.4–76.3)

0.121

 Indexed static compliance (ml/cm H2O PBW)

0.83 (0.65–1.27)

0.85 (0.66–1.33)

0.80 (0.49–1.09)

0.069

 Minute ventilation (l/min)

7.4 (6.2–8.9)

7.5 (6.2–8.9)

7.2 (6.1–8.9)

0.409

Vital signs

    

SpO2 (%)

99 (97–100)

99 (98–100)

98 (95–100)

< 0.001

Heart rate (bpm)

87 (75–100)

85 (73–98)

95 (80–110)

< 0.001

Mean arterial pressure (mmHg)

78 (69–90)

79 (70–92)

73 (64–86)

< 0.001

etCO2 (mmHg)

36 (30–42)

36 (30–41)

36 (30–45)

0.976

VD/V *T

20.0 (10.5–28.5)

19.2 (9.3–25.9)

21.5 (12.4–33.6)

0.077

Laboratory data

PaO2/FiO2 (mmHg)

261 (165–367)

285 (187–393)

232 (139–342)

< 0.001

PaCO2 (mmHg)

38.0 (34.0–45.0)

37.5 (34.0–45.0)

40.0 (35.0–52.0)

0.003

pH

7.36 (7.30–7.42)

7.37 (7.31–7.43)

7.34 (7.25–7.41)

< 0.001

HCO3 (mEq/l)

22.0 (20.0–25.0)

22.0 (20.0–25.0)

22.0 (18.0–25.0)

0.090

Clinical outcome

    

Duration of ventilation (days)

2 (1–4)

2 (1–4)

2 (1–4)

0.974

ICU length of stay (days)

4 (2–10)

3 (2–8)

8 (3–16)

< 0.001

Hospital length of stay (days)

16 (9–35)

16 (9–34)

17 (7–37)

0.583

  1. ARDS acute respiratory distress syndrome, SIMV synchronized intermittent mandatory ventilation, BiPAP biphasic positive airway pressure, APRV airway pressure release ventilation, ASV adaptive support ventilation, PAV proportional assist ventilation, NAVA neurally adjusted ventilatory assist, VAPS volume-assured pressure support, PRVC pressure-regulated volume control, PEEP positive end-expiratory pressure, etCO 2 end-tidal carbon dioxide, FiO 2 inspired fraction of oxygen, PaO 2 partial pressure of oxygen, PaCO 2 partial pressure of carbon dioxide, HCO 3 bicarbonate, PBW predicted body weight, BPM beats per minute, V D /V T dead space fraction, SpO 2 pulse oximetry, ICU intensive care unit
  2. *VD/VT calculated as (PaCO2–etCO2)/PaCO2
  3. ap value is related to comparison between survivors and non-survivors
  4. bPlateau pressure values are limited to patients in whom this value was reported and in whom either an assist control mode was used or in whom a mode permitting spontaneous ventilation was used