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Table 2 Comparison between respiratory support and adjunctive therapies in pre-COVID and post-COVID groups

From: Severe bronchiolitis before and after the COVID-19 pandemic: a retrospective database analysis by the Italian Network of PICU study group (TIPNet)

Characteristic

N

Pre-COVID, N = 451

Post-COVID, N = 251

Overall, N = 702

p-value

HFNC

702

222 (49%)

134 (53%)

356 (51%)

0.360

NIV

702

320 (71%)

174 (69%)

494 (70%)

0.672

IMV

702

78 (17%)

38 (15%)

116 (17%)

0.626

NIV ventilation modes:

 PSV/BiPAP

469

73 (26%)

101 (55%)

174 (37%)

 < 0.001

 CPAP

469

126 (44%)

56 (31%)

182 (39%)

0.012

 A-PCV

469

85 (30%)

26 (14%)

111 (24%)

 < 0.001

NIV interfaces:

 Nasal mask

702

70 (16%)

86 (34%)

156 (22%)

 < 0.001

 Facial mask

702

18 (4.0%)

3 (1.2%)

21 (3.0%)

0.086

 Nasal prongs

702

224 (50%)

84 (33%)

308 (44%)

 < 0.001

 Helmet

702

47 (10%)

33 (13%)

80 (11%)

0.360

 Full face

702

33 (7.3%)

7 (2.8%)

40 (5.7%)

0.031

 NIV complications

297

1 (0.9%)

1 (0.5%)

2 (0.7%)

0.999

 NIV failure

534

31 (8.8%)

11 (6%)

42 (7.9%)

0.400

 Chest tube positioning

702

4 (0.9%)

2 (0.8%)

6 (0.9%)

0.999

HFOV

116

8 (10%)

1 (2.6%)

9 (7.8%)

0.360

NMB

115

24 (31%)

13 (35%)

37 (32%)

0.672

Surfactant

117

10 (13%)

2 (5.1%)

12 (10%)

0.400

Extubation failure

116

4 (3%)

2 (2%)

6 (5%)

0.999

NIV length (d), median(IQR)

567

3.00 (2.00, 5.00)

3.00 (2.00, 4.00)

3.00 (2.00, 5.00)

0.360

IMV length (d), median(IQR)

115

11 (7, 14)

8 (5, 13)

10 (6, 14)

0.125

Antibiotic therapy

648

246 (56%)

138 (65%)

384 (59%)

0.086

PICU LOS (d), median(IQR)

702

5.0 (3.0, 8.0)

4.0 (3.0, 7.0)

4.0 (3.0, 7.0)

0.373

Mortality

702

0 (0%)

2 (0.8%)

2 (0.3%)

0.260

  1. Abbreviations: HFNC high flow nasal cannula, NIV non-invasive ventilation, IMV invasive mechanical ventilation, PICU pediatric intensive care unit, PSV pressure support ventilation, BiPAP bilevel positive airway pressure, CPAP continuous positive airway pressure, A-PCV assisted pressure controlled ventilation, HFOV high-frequency oscillatory ventilation, NMB neuromuscular blockade, LOS length of stay. Boldface: significant p-values