Research Article

Determinants of Noninvasive Ventilation Outcomes during an Episode of Acute Hypercapnic Respiratory Failure in Chronic Obstructive Pulmonary Disease: The Effects of Comorbidities and Causes of Respiratory Failure

Table 3

Numbers and types of acute and chronic comorbidities in the two groups of patients. Numbers in bold font represent the acute comorbidities.

Total patients population (176 pts) (%)42 NIV-failure134 NIV-success -value*  (failure versus success)

Charlson comorbidities
 History myocardial infarction 26 (14.8)2 (0.8)24 (17.9)/
 Congestive heart failure155 (88.1)39 (92.9)116 (86.6)0.414
 Peripheral vascular disease20 (11.4)5 (11.9)15 (11.2)1.00
 Cerebrovascular disease 17 (9.7)5 (11.9)12 (8.9)0.558
 Chronic pulmonary disease176 (100)42 (100)134 (100)/
 Dementia25 (14.2)11 (26.2)14 (9.9)0.02
 Connective tissue disease3 (1.7)1 (2.4)2 (1.5)/
 Peptic ulcer disease8 (4.5)1 (2.4)7 (5.2)/
 Mild liver disease3 (1.7)2 (4.8)1 (0.7)/
 Diabetes without end-organ damage28 (15.9)5 (11.9)23 (17.2)0.479
 Hemiplegia8 (4.5)2 (4.8)6 (4.5)/
 Moderate or severe renal disease 32 (18.2)12 (28.6)20 (14.9)0.065
Acute on chronic 8 (4.5) 5 (11.9) 3 (2.2)
 Diabetes with end-organ damage 15 (8.5)2 (4.8)13 (9.7)/
Glycemia > 200 mg/dL5 (3.73)
 Tumor without metastases11 (6.2)1 (2.4)10 (7.5)/
 Leukemia1 (0.6)1 (2.4)0/
 Lymphoma3 (1.7)03 (2.2)/
 Moderate or severe liver disease000/
 Metastatic solid tumor6 (3.4)4 (9.5)2 (1.5)/
 AIDS000/
Others comorbidities
 Pulmonary embolism5 (2.8)2 (4.8)3 (2.2)0.594
 Obstructive sleep apnea10 (5.7)1 (2.4)9 (6.7)0.455
 Diaphragmatic paralysis7 (4)5 (11.9)2 (1.5)0.009
 Fibrothorax10 (5.7)1 (2.4)9 (6.7)0.455
 Bed-ridden syndrome22 (12.5)5 (11.9)17 (12.7)1.000
 Obesity28 (15.9)2 (4.8)26 (19.4)0.028
 Pneumothorax10 (5.7)3 (7.1)7 (5.2)0.704
 Kyphoscoliosis5 (2.8)05 (3.7)0.340
 Pneumonectomy2 (1.1)02 (1.5)1.000
Acute myasthenia 1 (0.6)01 (0.7)1.000