Evidence map›Paper›PMID 27813023›Full record

ArticleAnnals of intensive care2016

Associations between positive end-expiratory pressure and outcome of patients without ARDS at onset of ventilation: a systematic review and meta-analysis of randomized controlled trials.

Ary Serpa Neto, Roberto Rabello Filho, Thomas Cherpanath, Rogier Determann, Dave A Dongelmans, Frederique Paulus, Pieter Roel Tuinman, Paolo Pelosi, Marcelo Gama de Abreu, Marcus J Schultz and 1 more

Open access · goldAbstract read
In one paragraph

Article in Annals of intensive care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
3.8field-weighted citation impact, top 6% 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

20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  4. Trial
  5. Article
  6. Article
  7. Article
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  15. The tidal volume fix and more….Journal of thoracic disease · 2019
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 4 countries.

Ary Serpa NetoDepartment of Critical Care Medicine, Hospital Israelita Albert Einstein, São Paulo, Brazil. aryserpa@terra.com.br.ORCID http://orcid.org/0000-0003-1520-9387
Roberto Rabello FilhoDepartment of Critical Care Medicine, Hospital Israelita Albert Einstein, São Paulo, Brazil.
Thomas CherpanathDepartment of Intensive Care, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
Rogier DetermannDepartment of Critical Care, Westfriesgasthuis, Hoorn, The Netherlands.
Dave A DongelmansDepartment of Intensive Care, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
Frederique PaulusDepartment of Intensive Care, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
Pieter Roel TuinmanDepartment of Intensive Care & REVIVE Research VUmc Intensive Care, Free University Medical Center, Amsterdam, The Netherlands.
Paolo PelosiDepartment of Surgical Sciences and Integrated Diagnostics, IRCCS AOU San Martino IST, University of Genoa, Genoa, Italy.
Marcelo Gama de AbreuDepartment of Anesthesiology and Intensive Care Medicine, Pulmonary Engineering Groups, University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.
Marcus J SchultzDepartment of Intensive Care, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
PROVE Network Investigators
Amsterdam UMC Location University of Amsterdam · NLHospital Israelita Albert Einstein · BROspedale Policlinico San Martino · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this investigation was to compare ventilation at different levels of positive end-expiratory pressure (PEEP) with regard to clinical important outcomes of intensive care unit (ICU) patients without acute respiratory distress syndrome (ARDS) at onset of ventilation.

methodsMeta-analysis of randomized controlled trials (RCTs) comparing a lower level of PEEP with a higher level of PEEP was performed. The primary outcome was in-hospital mortality.

resultsTwenty-one RCTs (1393 patients) were eligible. PEEP ranged from 0 to 10 cmH

conclusionVentilation with higher levels of PEEP in ICU patients without ARDS at onset of ventilation was not associated with lower in-hospital mortality or shorter duration of ventilation, but with a lower incidence of ARDS and hypoxemia, as well as higher PaO

Indexed as

Acute respiratory distress syndromeAtelectasisHyperinflationIntensive care unitMechanical ventilationMeta-analysisPositive end-expiratory pressure

Identifiers

PMID27813023
PMCPMC5095097
OpenAlexW2547746411

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.