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Table 1 Studies general characteristics

From: Noninvasive oxygenation and ventilation strategies for viral acute respiratory failure: a comprehensive systematic review and meta-analysis

Author

Design County

Virus

Interventions Population

Ventilatory parameters

APACHE-II Score

SOFA score

AGE

PaO2/FiO2

RR [IC95%]

1. Asghar 2020 [17]

Prospective cohort

Pakistan

SARS-CoV-2

IMV: 50

CPAP: 59

No data

No data

No data

No data

No data

-

0.60 [0.45, 0.80]

2. Bertaina 2020 [18]

Prospective cohort

Multicountry

SARS-CoV-2

IMV: 106

NIMV: 390

No data

No data

No data

67 (57–73)

70 (58–79)

No data

-

0.49 [0.42, 0.58]

3. Brink 2012 [19]

Prospective cohort

Sweden

H1N1

IMV: 26

CPAP: 67

FiO2: 90%

PEEP: 5

TDV: 8.9

No data

No data

52 (38–58)

49 (38–59)

80 (40–108)

86 (63–116)

-

2.20 [0.70, 6.88]

4. Garcia 2021 [13]

Prospective cohort

Switzerland

SARS-CoV-2

IMV: 92

NIMV: 87

NIMV-F: 43

HFNC: 87

HFNC-F: 45

FiO2: 63%

PEEP: 12

TDV: 6.1

FiO2: 41%

PEEP: 12

TDV: 6.1

FiO2: 60%

11 (8–20)

10 (7–16)

No data

10 (6–13)

No data

7 (6–8)

6 (4–7)

No data

6 (3–7)

No data

62 (55–70)

66 (55–76)

No data

63 (55–74)

No data

123 (90–165)

135 (97–168)

No data

126 (79–169)

No data

-

1.47 [0.94, 2.30]

1.49 [0.88, 2.52]

0.78 [0.45, 1.36]

1.24 [0.71, 2.18]

5. Masclans 2013 [20]

Prospective cohort

Spain

H1N1

IMV: 312

NIMV: 177

NIMV-F: 105

No data

15 (10,–19)

12 (9–16)

14 (10–18.2)

No data

43 (32–52)

44 (33–53)

44 (32–53)

No data

-

0.66 [0.44, 0.97]

1.11 [0.76, 1.61]

6. Mellado-Artigas 2021 [49]

Prospective cohort

Spain

SARS-CoV-2

IMV (A): 61

IMV (B): 251

HFNC (A): 61

HFNC-F (A): 21

HFNC (B): 95

FiO2: 79%

O2 L/min: 55

FiO2: 72%

11 (9–14)

12 (10–14)

10 (9–113)

No data

10 (7–13)

5 [3,–7]

7 [5–8]

4 [4–7]

No data

4 [3–5]

61 (11)

62.3 (10.9)

62 (11)

No data

60.6 (12.7)

117 (51)

121.2 (58.0)

121 (49)

No data

122.7 (48.5)

-

-

0.69 [0.32, 1.50]

1.34 [0.58, 3.08]

0.34 [0.19, 0.60]

7. Mukhtar 2020 [21]

Prospective cohort

Egypt

SARS-CoV-2

IMV: 9

NIMV: 30

No data

10 ± 4

11 ± 5.5

No data

No data

175 (118–205)

170 (112–224)

-

0.13 [0.04, 0.40]

8. Polok 2022 [23]

Prospective cohort

Multicountry

SARS-CoV-2

IMV: 1876

NIMV: 630

No data

No data

7 (4–8)

4 (3–6)

75.1 ± 4.2

76.8 ± 4.9

No data

-

1.01 [0.92, 1.11]

9. Rama-Maceiras 2021 [24]

Prospective cohort

Spain

SARS-CoV-2

IMV: 123

NIV: 214

NIV-F: 110

No data

No data

No data

No data

No data

-

0.46 [0.29, 0.74]

0.90 [0.57, 1.43]

10. Rello 2012 [25]

Prospective cohort

Spain

H1N1

IMV: 10

HFNC: 20

HFNC-F: 10

O2 L/min: 25

O2 L/min: 30

25 (13–31)

11 (8–14)

No data

8 (4–12)

3 (3–5)

No data

50 (44–56)

37 (29–47)

No data

73 (56–81)

135 (84–210)

No data

-

0.75 [0.15, 3.79]

1.50 [0.32, 7.14]

11. Reyes 2022 [14]

Prospective cohort

Multicountry

SARS-CoV-2

IMV: 14,197

NIMV: 24,112

NIMV-F: 6749

HFNC: 28,256

HFNC-F: 3538

No data

No data

No data

No data

No data

-

1.03 [1.00, 1.05]

1.30 [1.26, 1.35]

0.91 [0.89, 0.94]

1.13 [1.09, 1.19]

12. Ríos 2009 [26]

Prospective cohort

Argentina

H1N1

IMV: 129

NIMV: 49

FiO2: 80% a

PEEP: 10 a

TDV: 7.8 a

PP: 26 a

19 ± 7

16 ± 6

No data

44 ± 15

40 ± 16

129 (70 to 173)

141 (92 to 217)

-

0.76 [0.51, 1.12]

13. Rodríguez 2017 [15]

Prospective cohort

Spain

Influenza

IMV: 1092

NIMV: 806

NIMV-F: 458

No data

7 (5–10)

7 (4–9)

4 (3–6)

7 (5–10)

7 (4–9)

4 (3–6)

51 (39–62)

58 (47–68)

53 (42–65)

No data

-

0.78 [0.68, 0.91]

1.23 [1.06, 1.42]

14. Sivaloganathan 2020 [27]

Prospective cohort

UK

SARS-CoV-2

IMV: 21

NIMV: 82

NIMV-F: 27

No data

22 (15–25)

11 (8–12.5)

18 (13.0–24.5)

6 (4–8)

3 (4–3)

4 (3–6)

61 (18–65)

50 (45–60)

57 (50–64)

No data

-

0.98 [0.46, 2.10]

0.39 [0.11, 1.38]

15. Yam 2005 [28]

Prospective cohort

China

SARS-CoV1

IMV: 451

NIMV: 42

No data

No data

No data

44

47

No data

-

0.29 [0.09, 0.86]

16. Alraddadi 2019 [29]

Retrospective cohort

Saudi Arabian

MERS

IMV: 197

NIMV: 105

NIMV-F: 97

No data

No data

7 (4–9)

9 (7–12)

7 (4–9)

58 (45–69)

60 (50–73)

61.0 (52–73)

106 (68, 166)

110 (62, 160)

103 (62, 160)

-

0.88 [0.75, 1.02]

0.95 [0.82, 1.10]

17. Baqi 2021 [30]

Retrospective cohort

Pakistan

SARS-CoV-2

IMV: 57

NIMV: 100

HFNC: 21

No data

No data

No data

60 (50–65)

No data

-

0.77 [0.67, 0.89]

0.51 [0.33, 0.81]

18. Berenguer 2020 [31]

Retrospective cohort

Spain

SARS-CoV-2

IMV: 619

NIV: 528

No data

No data

No data

70 a

No data

-

1.00 [0.88, 1.14]

19. Castro 2022 [32]

Retrospective cohort

Spain

SARS-CoV-2

IMV: 101

HFNC: 84

HFNC-F: 52

No data

No data

No data

127 ± 55

148 ± 64

No data

64 ± 14

66 ± 12

No data

-

0.55 [0.36, 0.84]

0.90 [0.49, 1.63]

20. Domenico 2021 [33]

Retrospective cohort

Italy

SARS-CoV-2

IMV: 13

CPAP: 90

CPAP-F: 36

No data

No data

No data

56.231 ± 3.44

58.444 ± 2.79

No data

194.09 ± 29.81

247.87 ± 16.73

202.82 ± 16.88

-

0.69 [0.49, 0.99]

0.61 [0.39, 0.97]

21. Duca 2020 [34]

Retrospective cohort

Italy

SARS-CoV-2

IMV: 7

NIMV: 7

CPAP: 71

No data

No data

No data

64 (62–72)

72(59–80)

70 (62–79)

76 (60–177)

87 (53–120)

131 (97—190)

-

0.60 [0.33, 1.08]

0.76 [0.67, 0.87]

22. Forrest 2021 [35]

Retrospective cohort

Germany

SARS-CoV-2

IMV:154

NIV: 534

No data

No data

No data

68 ± 13

67 ± 16

No data

-

0.38 [0.33, 0.44]

23. Hernandez 2020 [36]

Retrospective cohort

USA

SARS-CoV-2

IMV: 97

HFNC: 109

HFNC-F: 78

No data

No data

No data

7 (5–10)

9 (7–11)

No data

62 (55–73)

65 (56–75)

148 (111–205) a

-

0.55 [0.36, 0.84]

0.77 [0.51, 1.16]

24. Hesselle 2022 [37]

Retrospective cohort

Germany

SARS-CoV-2

IMV: 492

NIV: 87

No data

No data

No data

No data

No data

-

0.95 [0.71, 1.26]

25. Hua 2020 [38]

Retrospective cohort

China

SARS-CoV-2

IMV: 113

NIV: 152

No data

No data

6.0 ± 3.0

5.5 ± 2.7

67 ± 13

71 ± 10

No data

-

0.44 [0.36, 0.54]

26. Lee 2020 [39]

Retrospective cohort

South Korea

SARS-CoV-2

IMV: 23

HFNC: 24

HFNC-F: 16

No data

15 (10–17)

11 (8–14)

14 (8–15)

3 (2–7)

2 (2–4)

3 (2–4)

72 (64–76)

69 (60–78)

66 (59–77)

86 (69–123)

144 (70–206)

120 (62–188)

-

0.59 [0.30, 1.15]

0.77 [0.40, 1.50]

27. Jamil 2021 [40]

Retrospective cohort

Pakistan

SARS-CoV-2

IMV: 33

CPAP: 28

No data

No data

No data

57.06 ± 12.63

53.75 ± 18.10

No data

-

0.69 [0.45, 1.05]

28. Myers 2023 [22]

Retrospective cohort

USA

SARS-CoV-2

IMV: 2965

NIV: 2793

No data

No data

No data

60.8 ± 15.3

62.4 ± 12.7

No data

-

0.32 [0.30, 0.35]

29. Pasin 2022 [41]

Retrospective cohort

USA

SARS-CoV-2

IMV: 141

CPAP: 141

CPAP-F: 89

No data

No data

4 (3–5)

4 (3–5)

68 (58–75)

66 (57–73)

114 (74–195)

120 (83–181)

No data

-

0.61 [0.42, 0.89]

0.81 [0.55, 1.19]

30. Pia 2021 [42]

Retrospective cohort

USA

SARS-CoV-2

IMV: 91

NIV: 131

NIV-F: 34

No data

No data

No data

67 (60–76)

67 (65–82)

69 (58–75)

No data

-

0.90 [0.78, 1.03]

1.02 [0.87, 1.20]

31. Rizwan 2022 [43]

Retrospective cohort

Pakistan

SARS-CoV-2

IMV: 30

NIV: 44

No data

No data

No data

No data

No data

-

0.68 [0.53, 0.87]

32. Rocans 2022 [44]

Retrospective cohort

Latvia

SARS-CoV-2

IMV: 156

CPAP: 374

CPAP-F: 235

No data

No data

No data

63 (62–63)

65 (63–66)

63 (61.0–65.4)

No data

-

0.91 [0.47, 1.09]

3.23 [0.81, 1.02]

33. Rajdev 2021 [45]

Retrospective cohort

USA

SARS-CoV-2

IMV: 121

NIV: 232

TDV: 6.4 (0.5)

FiO2: 93%

PEEP: 9.28

No data

No data

No data

No data

-

0.15 [0.05, 0.44]

34. Wang 2020 [46]

Retrospective cohort

China

SARS-CoV-2

IMV: 50

NIMV: 91

No data

No data

No data

64 (55–70) a

108 (58–219)

261 (175–287)

-

0.42 [0.26, 0.68]

35. Zheng 2020 [47]

Retrospective cohort

China

SARS-CoV-2

IMV: 15

HFNC: 19

No data

No data

No data

71 (60, 83)

66 (51, 72)

No data

Not

estimable

36. Hamouri 2021 [48]

Case‒Control

Jordan

SARS-CoV-2

IMV: 112

CPAP: 127

TDV: 6.18

PP: 29

PEEP: 16

No data

No data

67.7 ± 14.4

64.7 ± 12.8

No data

-

Not estimable

37. Woo 2020 [50]

On trial – withdraw

USA

SARS-CoV-2

IMV: no data

SV: no data

No data

No data

No data

No data

No data

No data

38. Keith 2020 [51]

On trial –

not recruiting

USA

SARS-CoV-2

IMV: no data

NIV: no data

No data

No data

No data

No data

No data

No data

39. Buddharaju 2021 [52]

Abstract congress

USA

SARS-CoV-2

IMV: 35

NIMV: 23

No data

No data

No data

No data

No data

-

0.38 [0.14, 0.99]

40. Chowdhury 2021 [53]

Abstract congress

USA

SARS-CoV-2

IMV: 49

HFNC: 125

No data

No data

No data

No data

No data

-

0.55 [0.30, 0.84]

41. Chang 2022 [54]

Abstract congress

USA

SARS-CoV-2

IMV: 235

NIV: 398

No data

No data

No data

No data

No data

-

0.65 [0.51, 0.83]

42. Eswarappa 2021 [55]

Abstract congress

UK

SARS-CoV-2

IMV: 80

CPAP: 215

CPAP-F: 31

No data

No data

No data

No data

No data

-

0.72 [0.54, 0.97]

1.36 [0.96, 1.92]

43. Flaatten 2021 [56]

Abstract congress

Norway

SARS-CoV-2

IMV: 1777

NIV: 690

NIV-F: 331

No data

18.7

7.2

17

6.8

4.3

5.6

75.4

77.3

75.6

No data

-

1.66 [1.55, 1.78]

0.77 [0.65, 0.91]

44. Iftikhar 2021 [57]

Abstract congress

UK

SARS-CoV-2

IMV: 34

CPAP: 95

CPAP-F: 24

No data

No data

No data

58.8 ± 13.2

61.7 ± 11.5

56 ± 12.8

No data

-

0.86 [0.49, 1.39]

1.98 [0.50, 1.92]

45. Mourisco 2022 [58]

Abstract congress

Portugal

SARS-CoV-2

IMV: 47

NIV: 102

No data

No data

No data

70 ± 15

65 ± 15

99 ± 52

104 ± 66

-

0.89 [0.50, 1.57]

46. Napolitani 2021 [59]

Abstract congress

Italy

SARS-CoV-2

IMV: 44

CPAP: 22

No data

No data

No data

No data

No data

-

0.85 [0.52, 1.37]

47. Yamamoto 2022 [60]

Abstract congress

Japan

SARS-CoV-2

IMV: 1139

NIMV: 248

HFNC: 1072

No data

No data

No data

No data

No data

-

0.44 [0.30, 0.64]

0.28 [0.22, 0.36]

  1. IMV invasive mechanical ventilation, NIV non-invasive ventilation, NIMV non-invasive mechanical ventilation, HFNC high flow nasal cannula, CPAP continuous positive airway pressure, SV splitter ventilator, NIV-F non-invasive ventilation failure, NIMV-F non-invasive mechanical ventilation failure, HFNC-F high flow nasal cannula failure, CPAP-F continuous positive airway pressure failure, PEEP positive end expiratory pressure (cm H2O), PP plateau pressure (cmH2O), FiO2 fraction of inspired oxygen, TDV tidal volume (ml/kg)
  2. aNo mean or median per group but general