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The role of high-flow nasal therapy in bronchiectasis: a post hoc analysis

William R. Good, Jeffrey Garrett, Hans U.P. Hockey, Lata Jayaram, Conroy Wong, Harold Rea
ERJ Open Research 2021 7: 00711-2020; DOI: 10.1183/23120541.00711-2020
William R. Good
1Dept of Medicine, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand
2Dept of Respiratory Medicine, Middlemore Hospital, Counties Manukau District Health Board, Otahuhu, New Zealand
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  • ORCID record for William R. Good
  • For correspondence: William.Good@middlemore.co.nz
Jeffrey Garrett
2Dept of Respiratory Medicine, Middlemore Hospital, Counties Manukau District Health Board, Otahuhu, New Zealand
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Hans U.P. Hockey
3Biometrics Matters Ltd, Hamilton, New Zealand
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Lata Jayaram
4Dept of Respiratory Medicine, Western Health, Melbourne, VIC, Australia
5Melbourne Medical School, The University of Melbourne, Melbourne, VIC, Australia
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Conroy Wong
1Dept of Medicine, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand
2Dept of Respiratory Medicine, Middlemore Hospital, Counties Manukau District Health Board, Otahuhu, New Zealand
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Harold Rea
1Dept of Medicine, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand
2Dept of Respiratory Medicine, Middlemore Hospital, Counties Manukau District Health Board, Otahuhu, New Zealand
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Tables

  • TABLE 1

    Bronchiectasis group trial end-points

    Exacerbation end-pointsHFNTControlRate ratio (95% CI)p-value
    Rate, number per patient per year2.393.480.69 (0.49, 0.97)0.034
    Annual exacerbation days (geometric mean)10.329.90.32 (0.14, 1.02)0.056
    Days to first exacerbation (predicted median)84540.70# (0.35, 1.40)0.316
    Secondary end-pointsChange from baselineDifference (95% CI)p-value
    HFNTControl
    FEV1 L0.1450.0350.11 (−0.037, 0.257)0.139
    FVC L0.115−0.1040.22 (−0.031, 0.468)0.084
    St George's respiratory questionnaire score¶
     Total−12.3−1.2−11.0 (−20.7, −1.3)0.028
     Symptoms−16.9−9.8−7.1 (−21.0, 6.8)0.308
     Activity−6.33.3−9.6 (−20.7, 1.5)0.087
     Impacts−14.7−1.6−13.1 (−23.7, −2.4)0.018
    6-minute walk distance m−16.2−33.3−17.1 (−62.3, 28.1)0.445

    HFNT: high-flow nasal therapy; FEV1: forced expiratory volume in 1 s; FVC: forced vital capacity. #: hazard ratio; ¶: scores range from 0 to 100, with low scores indicating improvement; a change of four or more units is deemed clinically meaningful.

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    The role of high-flow nasal therapy in bronchiectasis: a post hoc analysis
    William R. Good, Jeffrey Garrett, Hans U.P. Hockey, Lata Jayaram, Conroy Wong, Harold Rea
    ERJ Open Research Jan 2021, 7 (1) 00711-2020; DOI: 10.1183/23120541.00711-2020

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    The role of high-flow nasal therapy in bronchiectasis: a post hoc analysis
    William R. Good, Jeffrey Garrett, Hans U.P. Hockey, Lata Jayaram, Conroy Wong, Harold Rea
    ERJ Open Research Jan 2021, 7 (1) 00711-2020; DOI: 10.1183/23120541.00711-2020
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