Changes in daytime arterial blood gases
ITT baseline | n | Completers baseline | n | Completers 12 months | n | Change over 1 year* | n | Change over 1 year similar circumstances† | n | |
---|---|---|---|---|---|---|---|---|---|---|
pH | ||||||||||
NIV | 7.38±0.04 | 93 | 7.38±0.04 | 46 | 7.40±0.04 | 46 | 0.026 (0.010 to 0.042)‡ | 46 | 0.022 (0.005 to 0.039)‡ | 37 |
Controls | 7.39±0.04 | 99 | 7.39±0.04 | 48 | 7.39±0.03 | 48 | −0.005 (−0.016 to 0.006) | 48 | −0.005 (−0.020 to 0.010) | 37 |
Treatment effect | 0.03 (0.012 to 0.050)§ | 0.030 (0.005 to 0.050)§ | ||||||||
PaCO2 (kPa) | ||||||||||
NIV | 7.9±1.2 | 100 | 7.7±1.1 | 50 | 6.4±1.0 | 50 | −1.3 (−1.6 to −0.9)‡ | 50 | −1.0 (−1.4 to −0.7)‡ | 38 |
Controls | 7.7±1.3 | 99 | 7.4±0.9 | 48 | 6.6±1.0 | 48 | −0.8 (−1.1 to −0.5)‡ | 48 | −0.9 (−1.2 to −0.5)‡ | 37 |
Treatment effect | −0.5 (−0.9 to −0.04)§ | −0.2 (−0.6 to 0.3) | ||||||||
PaO2 (kPa) | ||||||||||
NIV | 7.9±2.1 | 93 | 8.3±1.6 | 45 | 8.3±1.6 | 45 | 0 (−0.6 to 0.6) | 45 | 0.3 (−0.3 to 0.9) | 35 |
Controls | 7.5±1.6 | 99 | 7.9±1.9 | 48 | 8.4±1.4 | 48 | 0.6 (−0.1 to 1.2) | 48 | 0.6 (−0.1 to 1.3) | 37 |
Treatment effect | 0.6 (−1.4 to 0.2) | −0.3 (−1.2 to 0.6) | ||||||||
HCO3 (mmol/L) | ||||||||||
NIV | 33.7±4.6 | 94 | 33.0±4.5 | 47 | 29.3±3.5 | 47 | −3.7 (−5.2 to −2.1)‡ | 47 | −3.0 (−4.8 to −1.2)‡ | 36 |
Controls | 33.6±4.8 | 98 | 32.6±4.1 | 48 | 28.8±4.2 | 48 | −3.8 (−5.0 to −2.6)‡ | 48 | −4.1 (−5.5 to −2.7)‡ | 37 |
Treatment effect | 0.1 (−1.8 to 2.1) | 1.0 (−1.2 to 3.3) | ||||||||
BE | ||||||||||
NIV | 7.8±4.8 | 90 | 7.0±3.2 | 38 | 4.5±2.5 | 38 | −2.5 (−3.6 to −1.3)‡ | 38 | −2.2 (−3.4 to −0.9)‡ | 31 |
Controls | 7.7±3.8 | 93 | 6.9±3.2 | 44 | 3.9±3.2 | 44 | −2.9 (−4.0 to −1.8)‡ | 44 | −3.2 (−1.8 to −4.5)‡ | 35 |
Treatment effect | 0.5 (−1.1 to 2.0) | 1.0 (−0.8 to 2.8) | ||||||||
Sat (%) | ||||||||||
NIV | 87.4±6.4 | 95 | 90.0±4.4 | 43 | 91.0±5.1 | 43 | 1.1 (−0.9 to 3.0) | 43 | 2.2 (0.2 to 4.2)‡ | 34 |
Controls | 88.4±6.6 | 88 | 88.4±6.1 | 43 | 91.1±4.8 | 43 | 2.7 (0.5 to 5.0)‡ | 43 | 2.7 (−0.03 to 5.5) | 33 |
Treatment effect | −1.6 (−4.6 to 1.3) | −0.5 (−3.9 to 2.8) |
Data presented as means (±SD) and mean change (95% CIs); controls, standard treatment.
*Measurement performed regardless of oxygen use.
†Only comparing baseline and 12-month data when the measurements were both on room air or both on oxygen at the same flow rate. N=37 (out of 38 NIV) and n=35 (out of 37 controls) for which both measurements were performed on room air.
‡p<0.05 significant change after 12 months within the group.
§p<0.05 significant difference in change after 12 months between the groups (treatment effect).
BE, base excess; HCO3, bicarbonate (mmol/L); ITT, intention-to-treat; n, numbers for analysis; NIV, non-invasive positive pressure ventilation; PaCO2, arterial carbon dioxide pressure (kPa); PaO2, arterial oxygen pressure (kPa); Sat, saturation (%).