Research Article

Ward-Based Noninvasive Ventilation for Acute Hypercapnic Respiratory Failure Unrelated to Chronic Obstructive Pulmonary Disease

Table 1

Participant baseline characteristics.

CharacteristicsMedian (IQR) OR n (%)
Total n = 479Obesity-related AHRFn = 188Non-obesity-related AHRF n = 291

Age (years)73 [62–81]69 [60–75]76 [65.75–84]<0.001
Male192 (40.1)66 (35.1)126 (43.3)<0.001
Female287 (59.9)122 (64.9)165 (56.7)0.011
Survival to discharge384 (80.2)175 (93.1)209 (71.8)0.083
In-hospital mortality95 (19.8)13 (6.9)82 (28.2)<0.001
Pre-NIV pH7.27 [7.21–7.31]7.27 [7.23–7.31]7.26 [7.20–7.31]0.042
Pre-NIV pH thresholds
pH > 7.1561 (12.7)16 (8.5)45 (15.5)<0.001
pH 7.15–7.25138 (28.8)50 (26.6)88 (30.2)0.001
pH < 7.25280 (58.5)122 (64.9)158 (54.3)0.031
NIV failure101 (21.1)15 (8.0)86 (29.6)<0.001

Subgroup (BHH)
Duration of NIV (days)5 [3–9]6 [4–10]4 [2–9]0.015
RF to NIV (minutes)123 [63.5–302.5]123 [63.5–302.5]122 [60.0–316.0]0.692
Domiciliary NIV44 (23.4)27 (14.4)17 (5.8)0.132

Obesity-related AHRF patients due to obesity hypoventilation syndrome; IQR, interquartile range; BHH, Birmingham Heartlands Hospital; NIV, noninvasive ventilation; RF, respiratory failure; AHRF: acute hypercapnic respiratory failure.