Evidence map›Paper›PMID 31089908›Full record

ArticleAnnals of intensive care2019

Age-dependent differences in pulmonary host responses in ARDS: a prospective observational cohort study.

Laura R Schouten, Anton H van Kaam, Franziska Kohse, Floor Veltkamp, Lieuwe D Bos, Friso M de Beer, Roosmarijn T van Hooijdonk, Janneke Horn, Marleen Straat, Esther Witteveen and 12 more

Open access · goldAbstract read
In one paragraph

Article in Annals of intensive care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed, 2 pooled it
18.1field-weighted citation impact, top 1% 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

70 citing papers in PubMed, 2 syntheses or guidelines pooled it, 127 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Aging and lung diseases: Unraveling mechanisms and therapeutic targets.Chinese medical journal pulmonary and critical care medicine · 2025
    Review
  7. Yes-associated protein induces age-dependent inflammatory signaling in the pulmonary endothelium.American journal of physiology. Lung cellular and molecular physiology · 2025
    Article
  8. Article
  9. Observational
  10. Review
  11. Review
  12. Article
  13. Review
  14. Pathobiology, Severity, and Risk Stratification of Pediatric Acute Respiratory Distress Syndrome: From the Second Pediatric Acute Lung Injury Consensus Conference.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2023
    Review
  15. Review
  16. Observational
  17. Review
  18. Experimental Acute Lung Injury in Animals: With Age Comes Knowledge.American journal of respiratory cell and molecular biology · 2022
    Article
  19. Article
  20. Article

10 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

22 authors at 5 institutions in 4 countries.

Laura R SchoutenDepartment of Pediatric Intensive Care, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Anton H van KaamDepartment of Neonatology, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Franziska KohseInstitute of Medical Biochemistry and Molecular Biology, University Medicine Greifswald, Greifswald, Germany.
Floor VeltkampDepartment of Pediatric Intensive Care, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Lieuwe D BosDepartment of Intensive Care, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Friso M de BeerDepartment of Intensive Care, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Roosmarijn T van HooijdonkDepartment of Intensive Care, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Janneke HornDepartment of Intensive Care, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Marleen StraatDepartment of Intensive Care, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Esther WitteveenDepartment of Intensive Care, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Gerie J GlasDepartment of Intensive Care, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Luuk WieskeDepartment of Intensive Care, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Lonneke A van VughtCenter of Experimental Molecular Medicine (CEMM), Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Maryse A WiewelCenter of Experimental Molecular Medicine (CEMM), Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Sarah A IngelseDepartment of Pediatric Intensive Care, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Bart CortjensDepartment of Pediatric Intensive Care, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Job B van WoenselDepartment of Pediatric Intensive Care, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Albert P BosDepartment of Pediatric Intensive Care, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Thomas WaltherInstitute of Medical Biochemistry and Molecular Biology, University Medicine Greifswald, Greifswald, Germany.
Marcus J SchultzDepartment of Intensive Care, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Roelie M Wösten-van AsperenDepartment of Pediatric Intensive Care, Amsterdam University Medical Centers, Amsterdam, The Netherlands. r.m.vanasperen@umcutrecht.nl.
MARS consortium
Amsterdam University Medical Centers · NLMahidol University · THUniversitätsmedizin Greifswald · DEUniversity College Cork · IEWilhelmina Children's Hospital · NL

Funding

Academisch Medisch Centrum PhD scholarshipCenter for Translational Molecular Medicine 041-201Deutsche Forschungsgemeinschaft WA1441/22-2
6 · The paper itself

Abstract

backgroundResults from preclinical studies suggest that age-dependent differences in host defense and the pulmonary renin-angiotensin system (RAS) are responsible for observed differences in epidemiology of acute respiratory distress syndrome (ARDS) between children and adults. The present study compares biomarkers of host defense and RAS in bronchoalveolar lavage (BAL) fluid from neonates, children, adults, and older adults with ARDS.

methodsIn this prospective observational study, we enrolled mechanical ventilated ARDS patients categorized into four age groups: 20 neonates (< 28 days corrected postnatal age), 29 children (28 days-18 years), 26 adults (18-65 years), and 17 older adults (> 65 years of age). All patients underwent a nondirected BAL within 72 h after intubation. Activities of the two main enzymes of RAS, angiotensin converting enzyme (ACE) and ACE2, and levels of biomarkers of inflammation, endothelial activation, and epithelial damage were determined in BAL fluid.

resultsLevels of myeloperoxidase, interleukin (IL)-6, IL-10, and p-selectin were higher with increasing age, whereas intercellular adhesion molecule-1 was higher in neonates. No differences in activity of ACE and ACE2 were seen between the four age groups.

conclusionsAge-dependent differences in the levels of biomarkers in lungs of ARDS patients are present. Especially, higher levels of markers involved in the neutrophil response were found with increasing age. In contrast to preclinical studies, age is not associated with changes in the pulmonary RAS.

Indexed as

AgingAngiotensin converting enzymeARDSBiomarkersHost responsePathophysiology

Identifiers

PMID31089908
PMCPMC6517452
OpenAlexW2946289275

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.