Evidence map›Paper›PMID 31754866›Full record

ArticleAnnals of intensive care2019

Estimated dead space fraction and the ventilatory ratio are associated with mortality in early ARDS.

Luis Morales-Quinteros, Marcus J Schultz, Josep Bringué, Carolyn S Calfee, Marta Camprubí, Olaf L Cremer, Janneke Horn, Tom van der Poll, Pratik Sinha, Antonio Artigas and 2 more

Abstract 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 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing 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.

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

47 citing papers in PubMed.

  1. Trial
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  3. Influence of leaks and mask design on COBMJ open respiratory research · 2026
    Observational
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  6. Beyond the PaOAnnals of intensive care · 2026
    Review
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  12. Review
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  15. Observational
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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

12 authors.

Luis Morales-QuinterosIntensive Care Unit, Hospital Universitari Sagrat Cor, Grupo Quironsalud, Carrer de Viladomat, 288, 08029, Barcelona, Spain. luchomq2077@gmail.com.ORCID http://orcid.org/0000-0002-8937-9824
Marcus J SchultzDepartment of Intensive Care, Academic Medical Center, Amsterdam, The Netherlands.
Josep BringuéCritical Care Center, ParcTaulí Hospital Universitari, Institut d'Investigació i Innovació Parc Taulí I3PT, Universitat Autònoma de Barcelona, Sabadell, Spain.
Carolyn S CalfeeDepartment of Medicine, Division of Pulmonary, Critical Care, Allergy and Sleep Medicine, University of California, San Francisco, San Francisco, CA, USA.
Marta CamprubíCritical Care Center, ParcTaulí Hospital Universitari, Institut d'Investigació i Innovació Parc Taulí I3PT, Universitat Autònoma de Barcelona, Sabadell, Spain.
Olaf L CremerDepartment of Intensive Care Medicine, University Medical Center Utrecht, Utrecht, The Netherlands.
Janneke HornDepartment of Intensive Care, Academic Medical Center, Amsterdam, The Netherlands.
Tom van der PollCenter of Experimental and Molecular Medicine, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
Pratik SinhaDepartment of Medicine, Division of Pulmonary, Critical Care, Allergy and Sleep Medicine, University of California, San Francisco, San Francisco, CA, USA.
Antonio ArtigasIntensive Care Unit, Hospital Universitari Sagrat Cor, Grupo Quironsalud, Carrer de Viladomat, 288, 08029, Barcelona, Spain.
Lieuwe D BosDepartment of Intensive Care, Academic Medical Center, Amsterdam, The Netherlands.
MARS Consortium

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIndirect indices for measuring impaired ventilation, such as the estimated dead space fraction and the ventilatory ratio, have been shown to be independently associated with an increased risk of mortality. This study aimed to compare various methods for dead space estimation and the ventilatory ratio in patients with acute respiratory distress syndrome (ARDS) and to determine their independent values for predicting death at day 30. The present study is a post hoc analysis of a prospective observational cohort study of ICUs of two tertiary care hospitals in the Netherlands.

resultsIndividual patient data from 940 ARDS patients were analyzed. Estimated dead space fraction and the ventilatory ratio at days 1 and 2 were significantly higher among non-survivors (p < 0.01). Dead space fraction calculation using the estimate from physiological variables [V

conclusionsEstimated methods for dead space calculation and the ventilatory ratio during the early course of ARDS are associated with mortality at day 30 and add statistically significant but limited improvement in the predictive accuracy to indices of oxygenation and respiratory system mechanics at the second day of mechanical ventilation.

Indexed as

Acute respiratory distress syndromeARDSDead spaceIntensive care unitMortalityPredictionPrognosticationRespiratory dead spaceVentilatory ratio

Identifiers

PMID31754866
PMCPMC6872683

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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.