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Table 1 Characteristics of patients who underwent HFNC therapy

From: Clinical utility of high-flow nasal cannula oxygen therapy for acute respiratory failure in patients with hematological disease

Number (n)

56

Median age, years (range)

59 (24–82)

Sex (male/female)

38/18

Underlying hematological disease (n)

 AML

23

 ALL

9

 MDS

11

 CMML

2

 CMLBC

2

 ATLL

3

 NHL

3

 PLL

1

 ITP

1

 SAA

1

Disease riska (high/low)

33/23

Cause of ARF (n)

 Pneumonia

37

 Congestive heart failure

7

 Organized pneumonia

4

 Pulmonary chronic GVHD

2

 Leukemic pulmonary invasion

2

 Multiple organ failure

2

 No identifiable cause

2

Median number of WBC (/μL) at the onset of ARF (range)

1850 (10–398,300)

Neutropenia (<500/μL)at the onset of ARF (yes/no)

32/24

Median number of platelet at the onset of ARF (×104/μL) (range)

2.8 (0.2–28.8)

Concomitant clinical condition

 Acute kidney injuryb (yes/no)

35/21

 Liver dysfunctionc (yes/no)

14/42

 Allogeneic hematopoietic stem cell transplantation (yes/no)

26/30

Past clinical history

 Cardiac diseased (yes/no)

5/51

 Pulmonary diseasee (yes/no)

8/48

 Allogeneic hematopoietic stem cell transplantation (yes/no)

42/14

Median oxygen supplement volume before putting HFNC (L/min) (range)

10 (4–20)

HFNC setting

 Median FDO2 (%) (range)

60 (30–100)

 Median flow (L/min) (range)

40 (15–60)

 Median time used (h) (range)

88 (1–950)

  1. HFNC high-flow nasal cannula, AML acute myeloid leukemia, ALL acute lymphoid leukemia, MDS myelodysplastic syndrome, CMML chronic myelomonocytic leukemia, CMLBC chronic myeloid leukemia blast crisis, ATLL adult T cell leukemia and lymphoma, NHL non-Hodgkin’s lymphoma, PLL prolymphocytic leukemia, ITP idiopathic thrombocytopenic purpura, SAA severe aplastic anemia, ARF acute respiratory failure, GVHD graft-versus-host disease, WBC white blood cell, FDO 2 fraction of delivery O2
  2. aDisease risk was classified into two categories; high risk included acute leukemia not in remission, myelodysplastic syndrome with excess blast count, chronic myelomonocytic leukemia, or chronic myeloid leukemia blast crisis, the others were classified as low-risk
  3. bAcute kidney injury was defined as having serum creatinine ≥1.5× upper limit of normal (ULN), or more than 0.3 points higher than baseline
  4. cLiver dysfunction was defined as having serum aspartate aminotransferase/alanine aminotransferase ≥3× ULN, or total bilirubin ≥1.5× ULN (CTCAE ver. 4: grade 2)
  5. dPast cardiac disease included atrial fibrillation, chronic congestive heart failure
  6. ePast pulmonary disease included chronic obstructive pulmonary disease, bronchiolitis obliterans, forced expiratory volume% in 1 s ≤80 %, or diffusing capacity for carbon monoxide ≤80 %