TABLE 5

Prognostic factors for survival related to noninvasive ventilation (NIV) failure: univariate analysis

Factor (mean)HR (95% CI)p-value
Age (64.08 years)1.01 (0.98–1.03)0.600
Male sex1.43 (0.91–2.24)0.114
Bulbar onset2.13 (1.35–3.36)0.001
Time from ALS onset to NIV (22.60 months)0.99 (0.97–1.01)0.320
BMI (26.06 kg·m−2)0.95 (0.89–1.01)0.070
FVC (1.48 L)0.51 (0.36–0.72)0.001
FVC % predicted (49.33%)0.98 (0.97–0.99)0.001
MIC (1.91 L)0.58 (0.43–0.78)0.001
PCF (3.55 L·s−1)0.73 (0.62–0.86)0.001
PCFMIC (4.13 L·s−1)0.77 (0.67–0.89)0.001
PCFMI-E (3.73 L·s−1)0.71 (0.56–0.90)0.005
PImax (−44.73 cmH2O)1.01 (1.00–1.02)0.018
PEmax (66.37 cmH2O)0.99 (0.98–1.00)0.040
ALSFRS-R (20.01)0.95 (0.92–0.98)0.002
NBS (26.67)0.95 (0.93–0.97)0.001
PaO2 under NIV (83.13 mmHg)0.98 (0.97–1.01)0.286
PaCO2 under NIV (42.12 mmHg)1.04 (0.99–1.09)0.134
%sleepSpO2<90 under NIV (1.20%)1.11 (1.04–1.19)0.002

HR: hazard ratio; ALS: amyotrophic lateral sclerosis; BMI: body mass index; FVC: forced vital capacity; MIC: maximum insufflation capacity; PCF: peak cough flow; PCFMIC: manually assisted peak cough flow; PCFMI-E: mechanically assisted peak cough flow; PImax: maximum inspiratory pressure; PEmax: maximum expiratory pressure; ALSFRS-R: revised amyotrophic lateral sclerosis functional rating scale; NBS: Norris scale bulbar subscore; PaO2: arterial oxygen tension; PaCO2: arterial carbon dioxide tension; %sleepSpO2<90: time spent with oxygen saturation measured by pulse oximetry <90%.