Evidence map›Paper›PMID 28931394›Full record

Trial reportBMC pulmonary medicine2017

The efficacy of initial ventilation strategy for adult immunocompromised patients with severe acute hypoxemic respiratory failure: study protocol for a multicentre randomized controlled trial (VENIM).

Tao Wang, Gang Liu, Kun He, Xin Lu, Xianquan Liang, Meng Wang, Rong Zhu, Zongru Li, Feng Chen, Jun Ke and 40 more

Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC pulmonary medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02983851 (Initial Ventilation Strategy for Adult Immunocompromised Patients With Acute Respiratory Failure), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 36% 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.

NCT02983851 naunknown statusnot on this map

Initial Ventilation Strategy for Adult Immunocompromised Patients With Acute Respiratory Failure

TypeinterventionalSponsorPeking Union Medical College HospitalRan2016 to 2018Enrolled238ConditionsImmunocompromised Patients, Acute Respiratory FailureArmsNoninvasive mechanical ventilation, Invasive mechanical ventilation
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
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

50 authors at 18 institutions in 2 countries.

Tao WangEmergency Department, Peking Union Medical College Hospital, No. 1 Shuaifuyuan, Dongcheng District, Beijing, China.
Gang LiuDepartment of Orthopedics, Peking Union Medical College Hospital, Beijing, China.
Kun HeDepartment of Gastroenterology, Peking Union Medical College Hospital, Beijing, China.
Xin LuEmergency Department, Peking Union Medical College Hospital, No. 1 Shuaifuyuan, Dongcheng District, Beijing, China.
Xianquan LiangEmergency Department, Guiyang Second People Hospital, Guiyang, China.
Meng WangDepartment of Science and Technology, Beijing Tiantan Hospital, Capital Medical University, Beijing, 100050, China.
Rong ZhuDepartment of Ultrasound, Peking Union Medical College Hospital, Beijing, China.
Zongru LiEmergency Department, Peking Union Medical College Hospital, No. 1 Shuaifuyuan, Dongcheng District, Beijing, China.
Feng ChenDepartment of Emergency, Fujian Provincial Hospital, Provincial Clinical Medical College of Fujian Medical University, Fuzhou, China.
Jun KeDepartment of Emergency, Fujian Provincial Hospital, Provincial Clinical Medical College of Fujian Medical University, Fuzhou, China.
Qingming LinDepartment of Emergency, Fujian Provincial Hospital, Provincial Clinical Medical College of Fujian Medical University, Fuzhou, China.
Chuanyun QianEmergency Department, First Affiliated Hospital of Kunming Medical University, Kunming, China.
Bo LiEmergency Department, First Affiliated Hospital of Kunming Medical University, Kunming, China.
Jie WeiDepartment of Emergency, Renmin Hospital of Wuhan University, Wuhan, China.
Jingjun LvDepartment of Emergency, Renmin Hospital of Wuhan University, Wuhan, China.
Li LiEmergency Department, First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Yanxia GaoEmergency Department, First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Guofeng WuEmergency Department, Affiliated Hospital of Guizhou Medical University, Guiyang, China.
Xiaohong YuEmergency Department, Affiliated Hospital of Guizhou Medical University, Guiyang, China.
Weiqin WeiEmergency Department, Affiliated Hospital of Guizhou Medical University, Guiyang, China.
Ying DengDepartment of Emergency, The Second Affiliated Hospital of Harbin Medical University, Harbin, China.
Fengping WangDepartment of Emergency, The Second Affiliated Hospital of Harbin Medical University, Harbin, China.
Hong ZhangDepartment of Emergency, The First Affiliated Hospital of Anhui Medical University, Hefei, China.
Yun ZhengDepartment of Emergency, The First Affiliated Hospital of Anhui Medical University, Hefei, China.
Hong ZhanDepartment of Emergency Medicine, The First Affiliated Hospital of SUN Yat-sen University, Guangzhou, China.
Jinli LiaoDepartment of Emergency Medicine, The First Affiliated Hospital of SUN Yat-sen University, Guangzhou, China.
Yingping TianEmergency Department, Second Hospital of Hebei Medical University, Shijiazhuang, China.
Dongqi YaoEmergency Department, Second Hospital of Hebei Medical University, Shijiazhuang, China.
Jingsong ZhangDepartment of Emergency, First affiliated hospital of Nanjing Medical University, Nanjing, China.
Xufeng ChenDepartment of Emergency, First affiliated hospital of Nanjing Medical University, Nanjing, China.
Lishan YangDepartment of Emergency, General Hospital of Ningxia Medical University, Yinchuan, China.
Jiali WuDepartment of Emergency, General Hospital of Ningxia Medical University, Yinchuan, China.
Yanfen ChaiEmergency Department, Tianjin Medical University General Hospital, Tianjin, China.
Songtao ShouEmergency Department, Tianjin Medical University General Hospital, Tianjin, China.
Muming YuEmergency Department, Tianjin Medical University General Hospital, Tianjin, China.
Xudong XiangDepartment of Emergency Medicine, Second Xiangya Hospital, Institute of Emergency Medicine and Difficult Diseases, Central South University, Changsha, China.
Dongshan ZhangDepartment of Emergency Medicine, Second Xiangya Hospital, Institute of Emergency Medicine and Difficult Diseases, Central South University, Changsha, China.
Fengying ChenDepartment of Emergency, The Affiliated Hospital of Inner Mongolia Medical University, Hohhot, China.
Xiufeng XieDepartment of Emergency, The Affiliated Hospital of Inner Mongolia Medical University, Hohhot, China.
Yong LiDepartment of Emergency, Cangzhou City Center Hospital, Cangzhou, China.
Bo WangDepartment of Emergency, Cangzhou City Center Hospital, Cangzhou, China.
Wenzhong ZhangDepartment of Emergency, First Hospital of Handan City, Handan, China.
Yongli MiaoDepartment of Emergency, First Hospital of Handan City, Handan, China.
Michael EddlestonPharmacology, Toxicology and Therapeutics, Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK.
Jianqiang HeEmergency Department, Peking Union Medical College Hospital, No. 1 Shuaifuyuan, Dongcheng District, Beijing, China.
Yong MaEmergency Department, Peking Union Medical College Hospital, No. 1 Shuaifuyuan, Dongcheng District, Beijing, China.
Shengyong XuEmergency Department, Peking Union Medical College Hospital, No. 1 Shuaifuyuan, Dongcheng District, Beijing, China.
Yi LiEmergency Department, Peking Union Medical College Hospital, No. 1 Shuaifuyuan, Dongcheng District, Beijing, China. billliyi@126.com.ORCID http://orcid.org/0000-0002-7158-3624
Huadong ZhuEmergency Department, Peking Union Medical College Hospital, No. 1 Shuaifuyuan, Dongcheng District, Beijing, China. zhuhuadong1970@126.com.
Xuezhong YuEmergency Department, Peking Union Medical College Hospital, No. 1 Shuaifuyuan, Dongcheng District, Beijing, China. yxz@medmail.com.cn.
Chinese Academy of Medical Sciences & Peking Union Medical College · CNFujian Medical University · CNGuiyang Medical University · CNTianjin Medical University General Hospital · CNAnhui Medical University · CNCentral South University · CNHarbin Medical University · CNHebei Medical University · CNKunming Medical University · CNNanjing Medical University · CNNingxia Medical University · CNSun Yat-sen University · CNWuhan University · CNCapital Medical University · CNFirst Affiliated Hospital of Zhengzhou University · CNInner Mongolia Medical University · CNPeople's Hospital of Cangzhou · CNUniversity of Edinburgh · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute respiratory failure (ARF) is still one of the most severe complications in immunocompromised patients. Our previous systematic review showed noninvasive mechanical ventilation (NIV) reduced mortality, length of hospitalization and ICU stay in AIDS/hematological malignancy patients with relatively less severe ARF, compared to invasive mechanical ventilation (IMV). However, this systematic review was based on 13 observational studies and the quality of evidence was low to moderate. The efficacy of NIV in more severe ARF and in patients with other causes of immunodeficiency is still unclear. We aim to determine the efficacy of the initial ventilation strategy in managing ARF in immunocompromised patients stratified by different disease severity and causes of immunodeficiency, and explore predictors for failure of NIV. METHODS AND ANALYSIS: The VENIM is a multicentre randomized controlled trial (RCT) comparing the effects of NIV compared with IMV in adult immunocompromised patients with severe hypoxemic ARF. Patients who meet the indications for both forms of ventilatory support will be included. Primary outcome will be 30-day all-cause mortality. Secondary outcomes will include in-hospital mortality, length of stay in hospital, improvement of oxygenation, nosocomial infections, seven-day organ failure, adverse events of intervention, et al. Subgroups with different disease severity and causes of immunodeficiency will also be analyzed. DISCUSSION: VENIM is the first randomized controlled trial aiming at assessing the efficacy of initial ventilation strategy in treating moderate and severe acute respiratory failure in immunocompromised patients. The result of this RCT may help doctors with their ventilation decisions.

trial registrationClinicalTrials.gov NCT02983851 . Registered 2 September 2016.

Indexed as

Acute DiseaseAdolescentAdultAgedAged, 80 and overChinaDouble-Blind MethodFemaleHospital MortalityHumansHypoxiaImmunocompromised HostIntubation, IntratrachealMaleMiddle AgedNoninvasive VentilationAcute respiratory failureImmunocompromised patientsInvasive mechanical ventilationNoninvasive mechanical ventilationVentilation strategy

Identifiers

PMID28931394
PMCPMC5607592
OpenAlexW2755389104

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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.