Research Article

Long-Term Home Noninvasive Mechanical Ventilation Increases Systemic Inflammatory Response in Chronic Obstructive Pulmonary Disease: A Prospective Observational Study

Table 3

Baseline features according to pH .

Long-term oxygen therapy Noninvasive ventilationP value

pH < 7.35

Age (years)69 (64–78)67 (62–72)0.426
Male gender6 (42.9%)10 (58.8%)0.376
Diabetes mellitus3 (21.4%)3 (17.6%)1.0
Arterial hypertension12 (85.7%)17 (100%)0.196
Smoking status1 (7.1%)1 (5.9%)1.0
Cor pulmonale2 (14.3%)3 (17.6%)1.0
Long-acting muscarinic agent only2 (14.3%)1 (5.9%)0.576
Long-acting beta2 agonist only001.0
Inhalatory corticosteroid only001.0
Long-acting beta2 agonist plus inhalatory corticosteroid001.0
Long-acting muscarinic agent plus long-acting beta2 agonist and inhalatory corticosteroid12 (85.7%)16 (94.1%)0.576
Oxygen therapy2.3 (2.0–3.3)2.0 (2.0–3.0)0.672
FEV1 (% predicted)30.5 (25.0–32.5)24.0 (20.0–31.0)0.209
FVC (% predicted)56.5 (43.8–61.5)48.0 (40.5–52.0)0.108
FEV1/FVC (%)51.0 (46.3–61.3)55.0 (45.5–62.5)0.633
pH7.32 (7.31–7.33)7.33 (7.31–7.34)0.382
PO2 (mm Hg)73.6 (66.3–83.9)72.0 (66.0–79.0)0.648
PCO2 (mm Hg)64.2 (55.1–67.5)67.9 (59.2–71.0)0.266
Oxygen saturation (%)94.4 (93.2–95.6)93.3 (91.5–95.4)0.275
White blood cells (cell number × 103/mL)7.67 (6.74–9.47)7.60 (5.45–8.46)0.147
Polymorphonuclear neutrophils (%)69.9 (67.2–73.6)66.4 (61.6–72.3)0.137
Procalcitonin (ng/mL)<0.05<0.051.0

pH ≥ 7.35

Age (years)72 (66–76)70 (65–74)0.139
Male gender17 (54.8%)11 (35.5%)0.126
Diabetes mellitus4 (12.9%)4 (12.9%)1.0
Arterial hypertension24 (77.4%)29 (93.5%)0.147
Smoking status3 (9.7%)2 (6.5%)1.0
Cor pulmonale9 (29.0%)8 (25.8%)0.776
Long-acting muscarinic agent only001.0
Long-acting beta2 agonist only01 (3.2%)1.0
Inhalatory corticosteroid only001.0
Long-acting beta2 agonist plus inhalatory corticosteroid6 (19.4%)4 (12.9%)0.490
Long-acting muscarinic agent plus long-acting beta2 agonist and inhalatory corticosteroid25 (80.6%)25 (80.6%)1.0
Oxygen therapy2.0 (2.0–2.5)3.0 (2.0–4.0)0.015
FEV1 (% predicted)30.0 (23.0–37.0)31.0 (26.0–36.0)0.893
FVC (% predicted)51.0 (48.0–64.0)52.0 (46.0–60.0)0.490
FEV1/FVC (%)57.0 (49.0–62.0)59.0 (51.0–65.0)0.434
pH7.37 (7.36–7.39)7.36 (7.35–7.38)0.013
PO2 (mm Hg)71.8 (62.4–85.2)74.0 (67.0–83.9)0.593
PCO2 (mm Hg)53.8 (46.8–57.5)56.0 (50.6–60.3)0.141
Oxygen saturation (%)93.3 (92.6–95.5)94.1 (93.0–96.7)0.239
White blood cells (cell number × 103/mL)8.04 (6.84–9.68)7.80 (6.71–8.87)0.573
Polymorphonuclear neutrophils (%)72.1 (64.9–75.6)65.6 (60.2–73.9)0.077
Procalcitonin (ng/mL)<0.05<0.051.0

reported as median (1st–3rd quartile) or (%) and compared with Mann-Whitney -test, chi-squared test, or Fisher’s exact test.