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of breath, and recovery are critically important outcomes to be consistently reported in coronavirus disease 2019 trials. Increasing time to mechanical ventilation and high-flow nasal cannula use may be associated with mortality in coronavirus disease 2019. We examined the impact of time to intubation and use of high-flow nasal cannula on clinical outcomes in patients with coronavirus disease 2019. Retrospective cohort study. Six coronavirus disease 2019-specific ICUs across four university-affiliated hospitals in Atlanta, Georgia. Adult

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