Evidence map›Paper›PMID 30263094›Full record

ArticleOncotarget2018

Oxygenation/non-invasive ventilation strategy and risk for intubation in immunocompromised patients with hypoxemic acute respiratory failure.

Guillaume Dumas, Sylvie Chevret, Virginie Lemiale, Frédéric Pène, Alexandre Demoule, Julien Mayaux, Achille Kouatchet, Martine Nyunga, Pierre Perez, Laurent Argaud and 11 more

Open access · diamondAbstract read
In one paragraph

Article in Oncotarget, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 11% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Review
  5. Article
  6. Article
  7. Review
  8. 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

21 authors at 19 institutions in 1 country.

Guillaume DumasMedical Intensive Care Unit, Saint-Louis Teaching Hospital, Paris, France.
Sylvie ChevretECSTRA Team, Biostatistics and Clinical Epidemiology, UMR 1153 (Center of Epidemiology and Biostatistic Sorbonne Paris Cité, CRESS), INSERM, Paris Diderot University, Paris, France.
Virginie LemialeMedical Intensive Care Unit, Saint-Louis Teaching Hospital, Paris, France.
Frédéric PèneMedical Intensive Care Unit, Cochin Teaching Hospital, Paris, France.
Alexandre DemouleMedical Intensive Care Unit, Pitié-Salpêtrière Teaching Hospital, Paris, France.
Julien MayauxMedical Intensive Care Unit, Pitié-Salpêtrière Teaching Hospital, Paris, France.
Achille KouatchetMedical Intensive Care Unit, Angers Teaching Hospital, Angers, France.
Martine NyungaMedical Intensive Care Unit, Victor Provo Hospital, Roubaix, France.
Pierre PerezMedical Intensive Care Unit, Brabois University Hospital, Nancy, France.
Laurent ArgaudMedical Intensive Care Unitt, Edouard Herriot Teaching Hospital, Lyon, France.
François BarbierMedical Intensive Care Unit, La Source Hospital-CHR Orleans, Orléans, France.
François VincentIntensive Care Unit, CHI Le Raincy-Montfermeil, Le Raincy-Montfermeil, France.
Fabrice BruneelIntensive Care Unit, Hopital Andre Mignot-Le Chesnay, Paris, France.
Kada KloucheIntensive Care Unit, Lapeyronie University Hospital, Montpellier, France.
Loay KontarCentre Hospitalier Universitaire-Amiens, Amiens, France.
Anne-Sophie MoreauCentre de Réanimation, CHRU Lille, Lille, France.
Jean ReignierRéanimation Médicale, Centre Hospitalier Universitaire-Nantes, Nantes, France.
Laurent PapazianRéanimation DRIS, Hôpital Nord, Marseille, France.
Yves CohenIntensive Care Unit, Hôpital d'Avicenne, APHP, Bobigny, France.
Djamel MokartIntensive Care Unit, IPC, Marseille, France.
Elie AzoulayMedical Intensive Care Unit, Saint-Louis Teaching Hospital, Paris, France.
Hôpital Saint-Louis · FRPitié-Salpêtrière Hospital · FRCentre de Recherche Épidémiologie et StatistiqueCentre Hospitalier de Roubaix · FRCentre hospitalier régional d'Orléans · FRCentre Hospitalier Régional et Universitaire de Nancy · FRCentre Hospitalier Universitaire Amiens-Picardie · FRCentre Hospitalier Universitaire d'Angers · FRCentre Hospitalier Universitaire de Lille · FRCentre Hospitalier Universitaire de Nantes · FRGroupe Hospitalier Intercommunal Le Raincy Montfermeil · FRHôpital André Mignot · FRHôpital Avicenne · FRHôpital Cochin · FRHôpital Edouard Herriot · FRHôpital Lapeyronie · FRHôpital Nord · FRInserm · FRInstitut Paoli-Calmettes · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We investigated how the initial ventilation/oxygenation management may influence the need for intubation on the coming day in a cohort of immunocompromised patients with acute hypoxemic respiratory failure (ARF). Data from 847 immunocompromised patients with ARF were used to estimate the probability of intubation at day+1 within the first 3 days of ICU admission, according to oxygenation management. First, noninvasive ventilation (NIV) was compared to oxygen therapy whatever the administration device; then standard oxygen was compared to High Flow Nasal Cannula therapy alone (HFNC), NIV alone or NIV+HFNC. To take into account the oxygenation regimens over time and to handle confounders, propensity score weighting models were used. In the original sample, the probability of intubation at day+1 was higher in the NIV group vs oxygenation therapy (OR = 1.64, 95CI, 1.09-2.48) or vs the standard oxygen group (OR = 2.05, 95CI: 1.29-3.29); it was also increased in the HFNC group compared to standard oxygen (OR = 2.85, 95CI: 1.37-5.67). However, all these differences disappeared by handling confounding-by-indication in the weighted samples, as well as in the pooled model. Note that adjusted OR for day-28 mortality increased with the day of intubation. In this large cohort of immunocompromised patients, ventilation/oxygenation management had no impact on the probability of intubation on the coming day.

Indexed as

acute respiratory failurehigh flow nasal cannulaimmunocompromisednoninvasive ventilationoxygenation

Identifiers

PMID30263094
PMCPMC6154743
OpenAlexW2891985777

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.