Evidence map›Paper›PMID 32819400›Full record

ArticleCritical care (London, England)2020

Incidence and outcomes of acute respiratory distress syndrome in intensive care units of mainland China: a multicentre prospective longitudinal study.

Xu Huang, Ruoyang Zhang, Guohui Fan, Dawei Wu, Haining Lu, Daoxin Wang, Wang Deng, Tongwen Sun, Lihua Xing, Shaohua Liu and 7 more

2 registry-linked trialsAbstract readMulticenter Study
In one paragraph

Article in Critical care (London, England), 2020. 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 50 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 2 pooled it
–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.

NCT02975908 unknown statusnot on this map

A Realworld Study of Acute Respiratory Distress Syndrome in China

TypeobservationalSponsorChina-Japan Friendship HospitalRan2015 to 2019Enrolled400ConditionsAcute Respiratory Distress Syndrome
NCT06123962 recruitingnot on this mapstarted 2023, after this paper: background citation

Acute Lung/ Acute Respiratory Distress Syndrome and Extra-pulmonary Organ Injury Clinical Sub-phenotyping Study

TypeobservationalSponsorChina-Japan Friendship HospitalRan2023 to 2025Enrolled1,500ConditionsAcute Lung Injury/Acute Respiratory Distress Syndrome (ARDS)ArmsCollect peripheral blood and bronchoalveolar lavage fluid
3 · Its place in the literature

Who cites it

50 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  14. Journal of microbiology and biotechnology · 2025
    Article
  15. Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2025
    Article
  16. [Amentoflavone alleviates acute lung injury in mice by inhibiting cell pyroptosis].Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2025
    Article
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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

17 authors.

Xu HuangGraduate School Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Ruoyang ZhangDepartment of Pulmonary and Critical Care Medicine, Center of Respiratory Medicine, China-Japan Friendship Hospital, No 2, East Yinghua Road, Chaoyang District, Beijing, China.
Guohui FanDepartment of Pulmonary and Critical Care Medicine, Center of Respiratory Medicine, China-Japan Friendship Hospital, No 2, East Yinghua Road, Chaoyang District, Beijing, China.
Dawei WuDepartment of Critical Care Medicine, Qilu Hospital of Shandong University (Qingdao), Qingdao, China. wdw.55@163.com.
Haining LuDepartment of Critical Care Medicine, Qilu Hospital of Shandong University (Qingdao), Qingdao, China.
Daoxin WangDepartment of Respiratory and Critical Care Medicine, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China. wangdaoxin1@163.com.
Wang DengDepartment of Respiratory and Critical Care Medicine, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Tongwen SunIntensive Care Unit, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Lihua XingDepartment of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Shaohua LiuIntensive Care Unit, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Shilei WangDepartment of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Ying CaiDepartment of Pulmonary and Critical Care Medicine, Center of Respiratory Medicine, China-Japan Friendship Hospital, No 2, East Yinghua Road, Chaoyang District, Beijing, China.
Ye TianDepartment of Pulmonary and Critical Care Medicine, Center of Respiratory Medicine, China-Japan Friendship Hospital, No 2, East Yinghua Road, Chaoyang District, Beijing, China.
Yi ZhangDepartment of Pulmonary and Critical Care Medicine, Center of Respiratory Medicine, China-Japan Friendship Hospital, No 2, East Yinghua Road, Chaoyang District, Beijing, China.
Jingen XiaDepartment of Pulmonary and Critical Care Medicine, Center of Respiratory Medicine, China-Japan Friendship Hospital, No 2, East Yinghua Road, Chaoyang District, Beijing, China.
Qingyuan ZhanGraduate School Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. drzhanqy@163.com.ORCID 0000-0003-0021-0270
CHARDSnet group

Funding

Beijing Municipal Science and Technology Project Z161100000516116CAMS Innovation Fund for Medical Sciences 2018-12M-1-003
6 · The paper itself

Abstract

objectivesTo evaluate the incidence and mortality of acute respiratory distress syndrome (ARDS) in medical/respiratory intensive care units (MICUs/RICUs) to assess ventilation management and the use of adjunct therapy in routine clinical practice for patients fulfilling the Berlin definition of ARDS in mainland China.

methodsThis was a multicentre prospective longitudinal study. Patients who met the Berlin definition of ARDS were included. Baseline data and data on ventilator management and the use of adjunct therapy were collected.

resultsOf the 18,793 patients admitted to participating ICUs during the study timeframe, 672 patients fulfilled the Berlin ARDS criteria and 527 patients were included in the analysis. The most common predisposing factor for ARDS in 402 (77.0) patients was pneumonia. The prevalence rates were 9.7% (51/527) for mild ARDS, 47.4% (250/527) for moderate ARDS, and 42.9% (226/527) for severe ARDS. In total, 400 (75.9%) patients were managed with invasive mechanical ventilation during their ICU stays. All ARDS patients received a tidal volume of 6.8 (5.8-7.9) mL/kg of their predicted body weight and a positive end-expository pressure (PEEP) of 8 (6-12) cmH

conclusionsAmong the 18 ICUs in mainland China, the incidence of ARDS was low. The rates of mortality and withdrawal of life-sustaining care were high. The recommended lung protective strategy was followed with a high degree of compliance, but the implementation of adjunct treatment was lacking. These findings indicate the potential for improvement in the management of patients with ARDS in China.

trial registrationClinicaltrials.gov NCT02975908 . Registered on 29 November 2016-retrospectively registered.

Indexed as

AdultAgedChinaFemaleHospital MortalityHumansIncidenceIntensive Care UnitsLongitudinal StudiesMaleMiddle AgedOutcome Assessment, Health CarePrevalenceProspective StudiesRespiratory Distress SyndromeAcute respiratory distress syndrome (ARDS)DiagnosisIncidenceLung protective mechanical ventilation

Identifiers

PMID32819400
PMCPMC7439799

What OpenQuestion holds

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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.