Evidence map›Paper›PMID 27035239›Full record

Observational studyCritical care medicine2016

Age, PaO2/FIO2, and Plateau Pressure Score: A Proposal for a Simple Outcome Score in Patients With the Acute Respiratory Distress Syndrome.

Jesús Villar, Alfonso Ambrós, Juan Alfonso Soler, Domingo Martínez, Carlos Ferrando, Rosario Solano, Fernando Mosteiro, Jesús Blanco, Carmen Martín-Rodríguez, María Del Mar Fernández and 8 more

Abstract readMulticenter StudyObservational StudyValidation Study
PubMed Publisher
In one paragraph

Observational study in Critical care medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 1 pooled it
10.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 1 synthesis or guideline pooled it, 99 citations in OpenAlex.

  1. Predictive Value of the PaOInternal medicine (Tokyo, Japan) · 2025
    Pooled it
  2. Trial
  3. Validation of age, PaORespiratory research · 2020
    Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. In vivo molecular imaging stratifies rats with different susceptibilities to hyperoxic acute lung injury.American journal of physiology. Lung cellular and molecular physiology · 2022
    Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. P/FP ratio: incorporation of PEEP into the PaOAnnals of intensive care · 2021
    Article
  15. Article
  16. Review
  17. Acute Respiratory Distress Syndrome in the Elderly.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2021
    Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 9 institutions in 2 countries.

Jesús Villar1CIBER de Enfermedades Respiratorias, Instituto de Salud Carlos III, Madrid, Spain. 2Research Unit, Hospital Universitario Dr. Negrin, Las Palmas de Gran Canaria, Spain. 3Intensive Care Unit, Hospital General de Ciudad Real, Ciudad Real, Spain. 4Intensive Care Unit, Hospital Universitario Morales Meseguer, Murcia, Spain. 5Intensive Care Unit, Hospital Universitario Virgen de la Arrixaca, Murcia, Spain. 6Post-Surgical Unit, Department of Anesthesia, Hospital Clínico de Valencia, Valencia, Spain. 7Intensive Care Unit, Hospital Virgen de la Luz, Cuenca, Spain. 8Intensive Care Unit, Hospital Universitario A Coruña, Coruña, Spain. 9Intensive Care Unit, Hospital Universitario Río Hortega, Valladolid, Spain. 10Intensive Care Unit, Hospital Universitario Mutua de Terrassa, Barcelona, Spain. 11Intensive Care Unit, Hospital Universitario La Paz, Madrid, Spain. 12Intensive Care Unit, Hospital General de León, León, Spain. 13Intensive Care Unit, Hospital Clínico de Valladolid, Valladolid, Spain. 14Intensive Care Unit, Hospital del Bierzo, Ponferrada, León, Spain. 15Research Unit, Hospital Universitario NS de Candelaria, Santa Cruz de Tenerife, Spain. 16Department of Respiratory Care, Massachusetts General Hospital, Boston, MA. 17Department of Anesthesia, Harvard University, Boston, MA.
Alfonso Ambrós
Juan Alfonso Soler
Domingo Martínez
Carlos Ferrando
Rosario Solano
Fernando Mosteiro
Jesús Blanco
Carmen Martín-Rodríguez
María Del Mar Fernández
Julia López
Francisco J Díaz-Domínguez
David Andaluz-Ojeda
Eleuterio Merayo
Lina Pérez-Méndez
Rosa Lidia Fernández
Robert M Kacmarek
Stratification and Outcome of Acute Respiratory Distress Syndrome (STANDARDS) Network
Hospital General Universitario de Ciudad Real · ESHospital Virgen de la Luz · ESInstituto de Salud Carlos III · ESHospital Clínico Universitario de Valladolid · ESHospital de León · ESHospital Universitario de Gran Canaria Doctor Negrín · ESHospital Universitario La Paz · ESHospital Universitario Río Hortega · ESHospital Universitario Virgen de la Arrixaca · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesAlthough there is general agreement on the characteristic features of the acute respiratory distress syndrome, we lack a scoring system that predicts acute respiratory distress syndrome outcome with high probability. Our objective was to develop an outcome score that clinicians could easily calculate at the bedside to predict the risk of death of acute respiratory distress syndrome patients 24 hours after diagnosis.

designA prospective, multicenter, observational, descriptive, and validation study.

settingA network of multidisciplinary ICUs. PATIENTS: Six-hundred patients meeting Berlin criteria for moderate and severe acute respiratory distress syndrome enrolled in two independent cohorts treated with lung-protective ventilation.

interventionsNone. MEASUREMENTS AND MAIN

resultsUsing individual demographic, pulmonary, and systemic data at 24 hours after acute respiratory distress syndrome diagnosis, we derived our prediction score in 300 acute respiratory distress syndrome patients based on stratification of variable values into tertiles, and validated in an independent cohort of 300 acute respiratory distress syndrome patients. Primary outcome was in-hospital mortality. We found that a 9-point score based on patient's age, PaO2/FIO2 ratio, and plateau pressure at 24 hours after acute respiratory distress syndrome diagnosis was associated with death. Patients with a score greater than 7 had a mortality of 83.3% (relative risk, 5.7; 95% CI, 3.0-11.0), whereas patients with scores less than 5 had a mortality of 14.5% (p < 0.0000001). We confirmed the predictive validity of the score in a validation cohort.

conclusionsA simple 9-point score based on the values of age, PaO2/FIO2 ratio, and plateau pressure calculated at 24 hours on protective ventilation after acute respiratory distress syndrome diagnosis could be used in real time for rating prognosis of acute respiratory distress syndrome patients with high probability.

Indexed as

Positive-Pressure RespirationRespiratory Distress SyndromeAdultAgedAge FactorsAPACHEFemaleHospital MortalityHumansMaleMiddle AgedOutcome Assessment, Health CareOxygenPositive-Pressure Respiration, IntrinsicPredictive Value of TestsPrognosisOxygen

Identifiers

PMID27035239
OpenAlexW2327683188

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.