Evidence map›Paper›PMID 30872586›Full record

ReviewNature reviews. Disease primers2019

Acute respiratory distress syndrome.

Michael A Matthay, Rachel L Zemans, Guy A Zimmerman, Yaseen M Arabi, Jeremy R Beitler, Alain Mercat, Margaret Herridge, Adrienne G Randolph, Carolyn S Calfee

4 registry-linked trialsAbstract readReview
In one paragraph

Review in Nature reviews. Disease primers, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 1,443 papers.

0numbers the graph read from it
0cells of the map it votes in
1,443citing papers in PubMed
–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.

NCT05089110 unknown statusnot on this mapstarted 2021, after this paper: background citation

Expression of Toll-like Receptors 3 , 7 and 9 in Peripheral Blood Mononuclear Cells of COVID-19 Patients

TypeobservationalSponsorAssiut UniversityRan2021 to 2024Enrolled100ConditionsCOVID-19 Respiratory InfectionArmsblood sample
NCT05698004 naunknown statusnot on this mapstarted 2023, after this paper: background citation

A Wake Prone Positioning in Non-intubated Patients With Acute Hypoxemic Respiratory Failure

TypeinterventionalSponsorMontaser Gamal AhmedRan2023 to 2024Enrolled244ConditionsRespiratory Failure, ICUArmsprone positioning
NCT05801224 narecruitingnot on this mapstarted 2026, after this paper: background citation

Regional Vascular Recruitment With Inhaled Nitric Oxide in Patients With ARDS

TypeinterventionalSponsorMassachusetts General HospitalRan2026 to 2028Enrolled70ConditionsAcute Respiratory Distress Syndrome, Ventilation Perfusion MismatchArmsNitric Oxide
NCT06698913 naactive not recruitingnot on this mapstarted 2021, after this paper: background citation

Feasibility and Efficacy of Automated Lateral Decubitus Therapy in Hypoxemic Respiratory Failure

TypeinterventionalSponsorUniversity of Sao Paulo General HospitalRan2021 to 2025Enrolled80ConditionsRespiratory Insufficiency, ARDS, Post Cardiac Surgery Patients, Hypoxemic Respiratory FailureArmsRotational Therapy
3 · Its place in the literature

Who cites it

1,443 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Innate immunity: current understandings and future perspectives.Signal transduction and targeted therapy · 2026
    Review
  19. Review
  20. Article

1,383 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

9 authors.

Michael A MatthayCardiovacular Research Institute, University of California-San Francisco, San Francisco, CA, USA. michael.matthay@ucsf.edu.
Rachel L ZemansDepartment of Internal Medicine, University of Michigan, Ann Arbor, MI, USA.
Guy A ZimmermanDepartment of Internal Medicine, University of Utah, Salt Lake City, UT, USA.
Yaseen M ArabiIntensive Care Department, King Saud bin Abdulaziz University for Health Sciences and King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.
Jeremy R BeitlerCenter for Acute Respiratory Failure and Department of Internal Medicine, Columbia University, New York, NY, USA.
Alain MercatDepartment of Intensive Care, University of Angers, Angers, France.
Margaret HerridgeInterdepartmental Division of Critical Care Medicine, University of Toronto, University Health Network, Toronto, Ontario, Canada.
Adrienne G RandolphDepartment of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Carolyn S CalfeeCardiovacular Research Institute, University of California-San Francisco, San Francisco, CA, USA.

Funding

Precision Medicine in the Acute Respiratory Distress SyndromeR35HL140026 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CALFEE, CAROLYN · 2018 to 2024
$6.8M
Novel vascular guidance mechanismsR01HL077671 · NHLBI · UNIVERSITY OF UTAH · PI ZHU, WEIQUAN (WENDY) · 2004 to 2017
$4.3M
New Therapies to Restore Vascular Integrity During SepsisR01HL130541 · NHLBI · UNIVERSITY OF UTAH · PI ODELBERG, SHANNON J, WEYRICH, ANDREW S · 2016 to 2020
$3.7M
Molecular Interactions of Myeloid Cells with EndotheliumR37HL044525 · NHLBI · UNIVERSITY OF UTAH · PI ZIMMERMAN, GUY A. · 2004 to 2013
$3.5M
NOVEL PARACRINE MECHANISMS FOR CELL-BASED THERAPY OF INJURED LUNGSR01HL134828 · NHLBI · UNIVERSITY OF TEXAS HLTH CTR AT TYLER · PI JI, HONG-LONG · 2017 to 2025
$3.4M
Mechanisms of Repair of the Alveolar Epithelium after Lung InjuryR01HL131608 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ZEMANS, RACHEL LYNNE · 2016 to 2020
$1.9M
MOLECULAR INTERACTIONS OF MYELOID CELLS WITH ENDOTHELIUMR01HL044525 · NHLBI · UNIVERSITY OF UTAH · PI ZIMMERMAN, GUY A. · 1990 to 2003
$1.2M
Breath stacking dyssynchrony in acute respiratory distress syndromeK23HL133489 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI BEITLER, JEREMY R. · 2017 to 2021
$871k
Genes Associated with MODS in Children with Severe Acute Respiratory InfectionsR21HD095228 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI RANDOLPH, ADRIENNE G · 2018 to 2019
$445k
Measuring lung stress to identify occult ventilation-induced lung injury in ARDSR21HL145506 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI BEITLER, JEREMY R. · 2019 to 2020
$243k
NHLBI NIH HHS K23 HL133489NHLBI NIH HHS R01 HL044525NHLBI NIH HHS R01 HL077671NHLBI NIH HHS R01 HL130541NHLBI NIH HHS R01 HL131608NHLBI NIH HHS R01 HL134828NHLBI NIH HHS R21 HL145506NHLBI NIH HHS R35 HL140026NHLBI NIH HHS R37 HL044525NICHD NIH HHS R21 HD095228
6 · The paper itself

Abstract

The acute respiratory distress syndrome (ARDS) is a common cause of respiratory failure in critically ill patients and is defined by the acute onset of noncardiogenic pulmonary oedema, hypoxaemia and the need for mechanical ventilation. ARDS occurs most often in the setting of pneumonia, sepsis, aspiration of gastric contents or severe trauma and is present in ~10% of all patients in intensive care units worldwide. Despite some improvements, mortality remains high at 30-40% in most studies. Pathological specimens from patients with ARDS frequently reveal diffuse alveolar damage, and laboratory studies have demonstrated both alveolar epithelial and lung endothelial injury, resulting in accumulation of protein-rich inflammatory oedematous fluid in the alveolar space. Diagnosis is based on consensus syndromic criteria, with modifications for under-resourced settings and in paediatric patients. Treatment focuses on lung-protective ventilation; no specific pharmacotherapies have been identified. Long-term outcomes of patients with ARDS are increasingly recognized as important research targets, as many patients survive ARDS only to have ongoing functional and/or psychological sequelae. Future directions include efforts to facilitate earlier recognition of ARDS, identifying responsive subsets of patients and ongoing efforts to understand fundamental mechanisms of lung injury to design specific treatments.

Indexed as

Angiopoietin-2Antigens, CDBiomarkersCadherin 5CadherinsCarbon DioxideGlucocorticoidsHigh-Frequency VentilationHumansInterleukin-8Positive-Pressure RespirationQuality of LifeRadiographyRespiration, ArtificialRespiratory Distress SyndromeVasodilator AgentsAngiopoietin-2ANGPT2 protein, humanAntigens, CDBiomarkersCadherin 5CadherinsCarbon DioxideGlucocorticoidsInterleukin-8Vasodilator Agentsvon Willebrand Factor

Identifiers

PMID30872586
PMCPMC6709677

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.