Evidence map›Paper›PMID 27894328›Full record

Trial reportCritical care (London, England)2016

Effect of driving pressure on mortality in ARDS patients during lung protective mechanical ventilation in two randomized controlled trials.

Claude Guérin, Laurent Papazian, Jean Reignier, Louis Ayzac, Anderson Loundou, Jean-Marie Forel, investigators of the Acurasys and Proseva trials

5 registry-linked trialsAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Critical care (London, England), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 119 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
119citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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.

NCT00299650 phase4completednot on this map

Systematic Early Use of Neuromuscular Blocking Agents in ARDS Patients

TypeinterventionalSponsorAssistance Publique Hopitaux De MarseilleRan2006 to 2008Enrolled340ConditionsARDSArmscisatracurium, Placebo, Cisatracurium besilate
NCT00527813 nacompletednot on this map

Effect of Prone Positioning on Mortality in Patients With Severe and Persistent Acute Respiratory Distress Syndrome

TypeinterventionalSponsorHospices Civils de LyonRan2008 to 2011Enrolled474ConditionsAcute Respiratory Distress SyndromeArmsprone position
NCT03177564 naunknown statusnot on this mapstarted 2017, after this paper: background citation

A Randomized Controlled Trial to Assess the Feasiblity of a Driving Pressure Limited Ventilation vs.Standard Strategy During Video-assisted Thoracoscopic Lobectomy

TypeinterventionalSponsorThe Affiliated Hospital of Xuzhou Medical UniversityRan2017 to 2018Enrolled90ConditionsPulmonary Complication, Thoracic SurgeryArmsProtective ventilation 1, Protective ventilation 2, Driving Pressure Limited Ventilation
NCT04419376 completednot on this mapstarted 2018, after this paper: background citation

Driving Pressure and Mortality: in the Pediatric Intensive Care Unit (PICU)

Typeobservational_patient_registrySponsorDr. Behcet Uz Children's HospitalRan2018 to 2020Enrolled116ConditionsARDS, Human, Respiratory FailureArmsdriving pressure
NCT06035146 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Protective Ventilation in Patients With Lung Impairment on Mechanical Ventilation Controlled by the Mechanical Energy of the Respiratory System

TypeinterventionalSponsorUniversity Hospital OstravaRan2022 to 2025Enrolled34ConditionsARDS, Lung Injury, Ventilator InducedArmsMechanical energy monitoring, Conventional mechanical ventilation
3 · Its place in the literature

Who cites it

119 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  14. Right ventricular-protective ventilation in acute respiratory distress syndrome: phenotypes, monitoring and ventilatory management.European respiratory review : an official journal of the European Respiratory Society · 2026
    Review
  15. Observational
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59 more citing papers are in PubMed but not listed here.

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

7 authors.

Claude GuérinRéanimation Médicale Groupement Hospitalier Nord Hospices civils de Lyon, Lyon, France. claude.guerin@chu-lyon.fr.
Laurent PapazianHôpitaux de Marseille Hôpital Nord Réanimation des Détresses Respiratoires et des Infections Sévères, Marseille, 13015, France.
Jean ReignierRéanimation Médicale CHU de Nantes, Nantes, France.
Louis AyzacCentre de Coordination et de Lutte Contre les Infections Nosocomiales Sud-Est, Saint-Genis Laval, France.
Anderson LoundouAix-Marseille University EA 3279 Research Unit Department of Public Health Medecine School University Marseille, Marseille, France.
Jean-Marie ForelHôpitaux de Marseille Department of Research and Innovation Support Unit for clinical research and economic evaluation, Marseille, 13005, France.
investigators of the Acurasys and Proseva trials

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDriving pressure (ΔPrs) across the respiratory system is suggested as the strongest predictor of hospital mortality in patients with acute respiratory distress syndrome (ARDS). We wonder whether this result is related to the range of tidal volume (V

methodsWe performed secondary analysis of data from 787 ARDS patients enrolled in two independent randomized controlled trials evaluating distinct adjunctive techniques while they were ventilated as in the low V

resultsBoth trials enrolled 805 patients of whom 787 had day-1 data available, and 533 of these survived. In the univariate analysis, ΔPrs averaged 13.7 ± 3.7 and 12.8 ± 3.7 cmH

conclusionsWhen ventilating patients with low V

trial registrationClinicaltrials.gov NCT00299650 . Registered 6 March 2006 for the Acurasys trial. Clinicaltrials.gov NCT00527813 . Registered 10 September 2007 for the Proseva trial.

Indexed as

AdultAgedAged, 80 and overFemaleHospital MortalityHumansMaleMiddle AgedPositive-Pressure RespirationRespiration, ArtificialRespiratory Distress SyndromeTidal VolumeARDSComplianceDriving pressureLung protective ventilationNeuromuscular blocking agentsPlateau pressureProne position

Identifiers

PMID27894328
PMCPMC5126997

What OpenQuestion holds

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Registered trials

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.