Respiratory failure & ventilation

Mechanically Ventilated Patients With Coronavirus Disease 2019 Had a Higher Chance of In-Hospital Death If Treated With High-Flow Nasal Cannula Oxygen Before Intubation

Anesth AnalgPublished Retrospective cohort study

Main finding · In-hospital deathResult — go to the resultHazard ratio 2.08 95% CI 1.06–4.05

Authors' conclusion

Among patients with respiratory failure from COVID-19 requiring mechanical ventilation, patients receiving HFNC before intubation had a higher chance of in-hospital death.

Study context

Population
Patients with COVID-19-related respiratory failure requiring high-flow nasal cannula (HFNC), intubation or both, March 2020 to March 2021
Participants
440 patients
Exposure
HFNC before intubation vs intubation without prior HFNC
  • HFNCn = 311
  • Intubation onlyn = 129reference
Outcome
Successful extubation and in-hospital mortality
Methodological detailssingle-centre
  • Single-centre

Main finding

In-hospital death

Hazard ratio

2.08

95% CI 1.06–4.05

HFNC vs Intubation only
HR 2.08 (95% CI 1.06–4.05)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeEstimate
Successful extubationNo difference0.70 (CI 0.41–1.20)

Original publication

Mechanically Ventilated Patients With Coronavirus Disease 2019 Had a Higher Chance of In-Hospital Death If Treated With High-Flow Nasal Cannula Oxygen Before Intubation. Anesth Analg. Published 4 November 2022. doi:10.1213/ane.0000000000006211

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.