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 |