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Table 1 Baseline characteristics of the intention-to-treat population according to obese status

From: Noninvasive ventilation vs. high-flow nasal cannula oxygen for preoxygenation before intubation in patients with obesity: a post hoc analysis of a randomized controlled trial

 

Obese patients with obesity (n = 91)

Non-obese patients without obesity (n = 222)

P value

Characteristics of the patients

 Age, year, mean ± SD

66 ± 14

63 ± 14

0.13

 Male sex, n (%)

64 (70)

148 (67)

0.53

 Body mass index,a kg·m−2, mean ± SD

35 ± 5

24 ± 3

< 0.0001

 SAPS IIb, point, mean ± SD

49 ± 19

52 ± 19

0.20

Reason for ICU admission

0.14

 Respiratory primary failure, n (%)

  Respiratory infection

28 (31)

82 (37)

 

  COPD exacerbation

8 (9)

8 (4)

 

  Extra-pulmonary ARDS

3 (3)

3 (1)

 

  Pulmonary atelectasis

2 (2)

2 (1)

 

  Other

6 (7)

27 (12)

 

 Non-respiratory primary failure, n (%)

  Shock

19 (21)

47 (21)

 

  Cardiogenic pulmonary edema

4 (4)

13 (6)

 

  Neurologic

7 (8)

6 (3)

 

  Other

12 (13)

24 (11)

 

 Post-operative, n (%)

2 (2)

10 (4)

 

Clinical characteristics

 Oxygen device the last hour before inclusion, n (%)

0.48

  Standard oxygen

38 (42)

98 (44)

 

  High-flow nasal cannula oxygen

28 (31)

77 (35)

 

  Non-invasive ventilation

25 (27)

47 (21)

 

 Vasopressor support at inclusion, n (%)

19 (21)

43 (19)

0.76

 Bilateral pulmonary infiltrates, n (%)

54 (71)

140 (73)

0.71

 Respiratory variables

  Respiratory rate, breaths·min, mean ± SD

30 ± 7

31 ± 8

0.50

  PaO2/FIO2 ratio, mm Hg, mean ± SD

152 ± 65

142 ± 68

0.26

 MACOCHA score,c n (%)

0.003

  < 3

68 (75)

195 (88)

 

  ≥ 3

23 (25)

26 (12)

 

 Cormack III or IV,d n (%)

15 (16)

14 (6)

0.005

Outcomes

 SpO2 < 80% during intubation procedure, n (%)

31 (34)

49 (22)

0.03

 Lowest SpO2 during intubation procedure, %, median (IQR)

86 (77- 93)

91 (81–96)

0.002

 SpO2 at the beginning of preoxygenation, %, median (IQR)

96 (92–98)

95 (92–99)

0.82

 SpO2 at the end of preoxygenation, %, median (IQR)

99 (97–100)

100 (98–100)

0.04

 Intubation Difficulty Scale,e n (%)

0.29

  ≤ 5

75 (85)

196 (89)

 

  > 5

13 (15)

23 (11)

 

Immediate complications, n (%)

 Hypotension

41 (45)

115 (52)

0.28

 Sustained cardiac arrhythmia

0

6 (3)

0.19

 Bradycardia or cardiac arrest during and after intubation

5 (5)

6 (3)

0.22

 Esophageal intubation

6 (7)

8 (4)

0.24

 Regurgitation

0

2 (1)

0.99

 Gastric distension

3 (3)

14 (6)

0.26

 Dental injury

0 (0)

1 (0)

0.99

 Agitation

0 (0)

1 (0)

0.99

 New infiltrate on chest-ray after intubation

14 (18)

47 (25)

0.20

Late outcomes

 Ventilator-associated pneumonia during ICU stay, n (%)

22 (24)

44 (20)

0.39

 Death at day 28

36 (40)

75 (34)

0.33

 SOFA score at Day 1, points, mean ± SD

9 ± 4

8 ± 4

0.19

 SOFA score at Day 7, points, mean ± SD

6 ± 4

5 ± 3

0.48

 Duration of mechanical ventilation, days, median (IQR)

9 (5–17)

7 (4–16)

0.46

 Ventilator-free day at day 28, median (IQR)

5 (0–19)

8 (0–22)

0.26

 ICU length of stay, days, median (IQR)

11 (6–20)

10 (6–17)

0.27

  1. COPD chronic obstructive pulmonary disease, ARDS acute respiratory distress syndrome, SpO2 pulse oximetry, SD standard deviation, SOFA Sepsis-related Organ Failure Assessment, ICU intensive care unit
  2. aThe body mass index is the weight in kilograms divided by the square of the height in meters
  3. bThe Simplified Acute Physiology Score (SAPS) II is calculated from 17 variables at inclusion, information about previous health status, and from information obtained at admission. Scores can range from 0 to 163, with higher scores indicating more severe disease
  4. cMACOCHA is calculated from 7 variables including Mallampati score III or IV, apnea syndrome, cervical spine limitation, opening mouth less than 3 cm, coma, hypoxia, non-trained operator. Score range from 0 to 12 points, with higher scores indicating risk of difficult intubation
  5. dCormack grade III, if no part of the glottis can be seen, but only the epiglottis, grade IV, if not even the epiglottis can be exposed
  6. eThe Intubation Difficulty Scale denotes the Intubation Difficulty Scale score, 0 easy, 0 to 5 slight difficulty, > 5 moderate to major difficulty for intubation