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Table 2 Gas exchange, inspiratory effort, dyspnoea, consciousness, and NPPV tolerance

From: Physiological effects of high-intensity versus low-intensity noninvasive positive pressure ventilation in patients with acute exacerbation of chronic obstructive pulmonary disease: a randomised controlled trial

Variable

High-intensity

NPPV (n = 12)

Low-intensity

NPPV (n = 12)

p value

Gas exchange

 pH

  Baseline

7.31 ± 0.07

7.33 ± 0.06

0.441

  2 h

7.37 ± 0.06

7.36 ± 0.06

0.603

  6 h

7.42 ± 0.06

7.39 ± 0.06

0.202

  24 h

7.48 ± 0.05

7.41 ± 0.05

0.002

  48 h

7.47 ± 0.04

7.41 ± 0.03

0.001

  72 h

7.47 ± 0.03

7.43 ± 0.04

0.013

 PaCO2, mmHg

  Baseline

83.4 ± 12.3

78.6 ± 11.3

0.331

  2 h

70.6 ± 11.4

73.8 ± 8.6

0.445

  6 h

63.9 ± 13.6

71.2 ± 11.2

0.166

  24 h

54.0 ± 11.6

67.4 ± 10.6

0.008

  48 h

51.7 ± 10.6

66.7 ± 8.4

0.001

  72 h

50.6 ± 9.5

63.4 ± 8.9

0.003

 Difference in PaCO2, mmHg

  Between baseline and 2 h

12.8 ± 7.4

4.8 ± 8.2

0.020

  Between baseline and 6 h

19.5 ± 9.9

7.4 ± 8.4

0.004

  Between baseline and 24 h

29.3 ± 12.2

11.2 ± 9.7

0.001

  Between baseline and 48 h

31.7 ± 9.7

11.9 ± 9.6

0.000

  Between baseline and 72 h

32.7 ± 10.2

15.2 ± 9.6

0.000

 PaO2/FiO2, mmHg

  Baseline

230 ± 63

240 ± 60

0.701

  2 h

247 ± 60

232 ± 60

0.549

  6 h

273 ± 71

253 ± 79

0.523

  24 h

300 ± 92

256 ± 60

0.187

  48 h

298 ± 66

257 ± 81

0.186

  72 h

306 ± 72

269 ± 58

0.179

 Bicarbonates, mmol/L

  Baseline

37.2 ± 7.6

37.2 ± 5.7

0.993

  2 h

37.4 ± 7.5

38.4 ± 6.4

0.715

  6 h

38.7 ± 7.7

39.1 ± 5.4

0.894

  24 h

38.4 ± 6.2

39.4 ± 5.3

0.670

  48 h

36.6 ± 5.3

38.6 ± 5.7

0.384

  72 h

35.7 ± 5.7

38.8 ± 4.7

0.156

 Inspiratory effort*

  ΔPes, cmH2O

2.8 ± 2.2 (n = 11)

6.2 ± 4.5 (n = 11)

0.031

  PTPes/breath, cmH2O·s

1.3 ± 1.3 (n = 11)

4.4 ± 2.2 (n = 11)

0.001

  PTPes/min, cmH2O·s/min

20.1 ± 17.9 (n = 11)

83.3 ± 54.9 (n = 11)

0.003

  PTPes/L, cmH2O·s/L

1.7 ± 1.4 (n = 11)

9.2 ± 5.8 (n = 11)

0.001

Dyspnoea, consciousness, and NPPV tolerance

 Accessory muscle use

  Baseline

4.0 (4.0–5.0)

4.0 (3.0–4.8)

0.387

  2 h

3.0 (2.0–3.0)

3.5 (3.0–4.0)

0.097

  6 h

2.0 (2.0–3.0)

3.0 (3.0–3.0)

0.008

  24 h

2.0 (1.0–2.0)

3.0 (2.0–3.0)

0.003

  48 h

1.0 (1.0–2.0)

2.0 (2.0–3.0)

0.004

  72 h

1.0 (1.0–2.0)

3.0 (2.0–2.8)

0.024

 Dyspnoea score

  Baseline

8.0 (7.3–10.0)

8.0 (6.0–8.0)

0.060

  2 h

5.0 (3.3–6.0)

6.0 (4.0–7.8)

0.306

  6 h

3.0 (2.0–5.5)

4.5 (3.3–6.0)

0.157

  24 h

1.0 (1.0–2.8)

3.5 (2.3–5.0)

0.004

  48 h

1.0 (0.0–2.0)

2.0 (2.0–3.8)

0.009

  72 h

1.0 (0.0–1.8)

2.0 (2.0–2.0)

0.001

 GCS score

  Baseline

14.0 (12.0–15.0)

15.0 (14.3–15.0)

0.092

  2 h

15.0 (15.0–15.0)

15.0 (15.0–15.0)

0.929

  6 h

15.0 (15.0–15.0)

15.0 (15.0–15.0)

 > 0.999

  24 h

15.0 (15.0–15.0)

15.0 (15.0–15.0)

0.317

  48 h

15.0 (15.0–15.0)

15.0 (15.0–15.0)

 > 0.999

  72 h

15.0 (15.0–15.0)

15.0 (15.0–15.0)

 > 0.999

 Kelly–Matthay score

  Baseline

3.0 (2.0–3.0)

2.0 (2.0–2.8)

0.178

  2 h

1.5 (1.0–2.0)

2.0 (1.0–2.0)

0.754

  6 h

1.0 (1.0–2.0)

1.5 (1.0–2.0)

0.514

  24 h

1.0 (1.0–1.0)

1.0 (1.0–2.0)

0.320

  48 h

1.0 (1.0–1.0)

1.0 (1.0–1.0)

0.546

  72 h

1.0 (1.0–1.0)

1.0 (1.0–1.0)

 > 0.999

 NPPV tolerance score

  Baseline

3.0 (2.3–4.0)

4.0 (3.0–4.0)

0.415

  2 h

3.5 (3.0–4.0)

4.0 (3.0–4.0)

 > 0.999

  6 h

4.0 (3.0–4.0)

4.0 (3.0–4.0)

0.741

  24 h

4.0 (3.0–4.0)

4.0 (3.0–4.0)

0.500

  48 h

4.0 (3.0–4.0)

4.0 (3.0–4.0)

0.741

  72 h

4.0 (3.3–4.0)

4.0 (3.0–4.0)

0.297

  1. Data are presented as means ± standard deviations, medians (25th–75th percentiles), or frequencies (percentages) of patients as appropriate
  2. NPPV noninvasive positive pressure ventilation, PaCO2 arterial carbon dioxide tension, PaO2 arterial oxygen tension, FiO2 fraction of inspired oxygen, ΔPes inspiratory oesophageal pressure swing, PTPes oesophageal pressure–time product, GCS Glasgow Coma Scale
  3. *Measured over the last 3–5 min of oesophageal pressure recording within 24 h after randomisation