Evidence map›Paper›PMID 30535520›Full record

ArticleAnnals of intensive care2018

Driving pressure and long-term outcomes in moderate/severe acute respiratory distress syndrome.

Carlos Toufen Junior, Roberta R De Santis Santiago, Adriana S Hirota, Alysson Roncally S Carvalho, Susimeire Gomes, Marcelo Brito Passos Amato, Carlos Roberto Ribeiro Carvalho

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Annals of intensive care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.0field-weighted citation impact, top 12% 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.

NCT04445961 completednot on this mapstarted 2020, after this paper: background citation

Respiratory Mechanics and Gas Exchange in Patients With COVID-19 and Hypoxemic Acute Respiratory Failure: Multicentral Observational Study

TypeobservationalSponsorI.M. Sechenov First Moscow State Medical UniversityRan2020 to 2020Enrolled117ConditionsSARS PneumoniaArmsRespiratory mechanics measurement, Gas exchange measurement
NCT04563156 unknown statusnot on this mapstarted 2020, after this paper: background citation

Follow-up and Rehabilitation of Survivors of Severe Covid-19 Infection

TypeobservationalSponsorUniversity of Sao Paulo General HospitalRan2020 to 2021Enrolled100ConditionsCovid19ArmsLung Function Test
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 36 citations in OpenAlex.

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  11. ARDS Clinical Practice Guideline 2021.Journal of intensive care · 2022
    Article
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  14. Review
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  19. COVID-19: long-term respiratory consequences.Sao Paulo medical journal = Revista paulista de medicina
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Carlos Toufen JuniorDivisão de Pneumologia, Cardiopulmonary Department, Heart Institute (InCor) University of São Paulo, INCOR Av. Dr. Enéas de Carvalho Aguiar, 44 Pinheiros, São Paulo, SP, CEP 05403-900, Brazil. toufenjr@usp.br.ORCID http://orcid.org/0000-0003-1786-1010
Roberta R De Santis SantiagoDivisão de Pneumologia, Cardiopulmonary Department, Heart Institute (InCor) University of São Paulo, INCOR Av. Dr. Enéas de Carvalho Aguiar, 44 Pinheiros, São Paulo, SP, CEP 05403-900, Brazil.
Adriana S HirotaDivisão de Pneumologia, Cardiopulmonary Department, Heart Institute (InCor) University of São Paulo, INCOR Av. Dr. Enéas de Carvalho Aguiar, 44 Pinheiros, São Paulo, SP, CEP 05403-900, Brazil.
Alysson Roncally S CarvalhoLaboratory of Pulmonary Engineering, Biomedical Engineering Program, Alberto Luiz Coimbra Institute of Post-Graduation and Research in Engineering, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
Susimeire GomesDivisão de Pneumologia, Cardiopulmonary Department, Heart Institute (InCor) University of São Paulo, INCOR Av. Dr. Enéas de Carvalho Aguiar, 44 Pinheiros, São Paulo, SP, CEP 05403-900, Brazil.
Marcelo Brito Passos AmatoRespiratory Intensive Care Unit, University of São Paulo School of Medicine Hospital das Clínicas, São Paulo, Brazil.
Carlos Roberto Ribeiro CarvalhoDivisão de Pneumologia, Cardiopulmonary Department, Heart Institute (InCor) University of São Paulo, INCOR Av. Dr. Enéas de Carvalho Aguiar, 44 Pinheiros, São Paulo, SP, CEP 05403-900, Brazil.
Universidade de São Paulo · BRHospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo · BRUniversidade Federal do Rio de Janeiro · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute respiratory distress syndrome (ARDS) patients may present impaired in lung function and structure after hospital discharge that may be related to mechanical ventilation strategy. The aim of this study was to evaluate the association between functional and structural lung impairment, N-terminal-peptide type III procollagen (NT-PCP-III) and driving pressure during protective mechanical ventilation. It was a secondary analysis of data from randomized controlled trial that included patients with moderate/severe ARDS with at least one follow-up visit performed. We obtained serial measurements of plasma NT-PCP-III levels. Whole-lung computed tomography analysis and pulmonary function test were performed at 1 and 6 months of follow-up. A health-related quality of life survey after 6 months was also performed.

resultsThirty-three patients were enrolled, and 21 patients survived after 6 months. In extubation day an association between driving pressure and NT-PCP-III was observed. At 1 and 6 months forced vital capacity (FVC) was negatively correlated to driving pressure (p < 0.01). At 6 months driving pressure was associated with lower FVC independently on tidal volume, plateau pressure and baseline static respiratory compliance after adjustments (r

conclusionEven in patients ventilated with protective tidal volume, higher driving pressure is associated with worse long-term pulmonary function and structure.

Identifiers

PMID30535520
PMCPMC6286297
OpenAlexW2905256728

What OpenQuestion holds

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LicenceCC BY
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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.