Evidence map›Paper›PMID 32915255›Full record

SynthesisIntensive care medicine2020

Positive end-expiratory pressure-induced recruited lung volume measured by volume-pressure curves in acute respiratory distress syndrome: a physiologic systematic review and meta-analysis.

Emanuele Turbil, Nicolas Terzi, Martin Cour, Laurent Argaud, Sharon Einav, Claude Guérin

Open access · bronzeAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Intensive care medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
1.8field-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.

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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. [S3 guideline on sepsis-prevention, diagnosis, therapy, and follow-up care-update 2025].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2025
    Guideline
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Observational
  7. Article
  8. Observational
  9. Article
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

6 authors at 4 institutions in 4 countries.

Emanuele TurbilDepartment of Anesthesia and Critical Care, University of Sassari, Sassari, Italy.
Nicolas TerziMédecine Intensive-Réanimation, CHU Grenoble-Alpes, Grenoble, France.
Martin CourMédecine Intensive-Réanimation, Groupement Hospitalier Centre, Hôpital Edouard Herriot, 5 Place d'Arsonval, 69003, Lyon, France.
Laurent ArgaudMédecine Intensive-Réanimation, Groupement Hospitalier Centre, Hôpital Edouard Herriot, 5 Place d'Arsonval, 69003, Lyon, France.
Sharon EinavUniversity of Jerusalem, Jerusalem, Israel.
Claude GuérinMédecine Intensive-Réanimation, Groupement Hospitalier Centre, Hôpital Edouard Herriot, 5 Place d'Arsonval, 69003, Lyon, France. claude.guerin@chu-lyon.fr.ORCID 0000-0003-4700-6672
Université Claude Bernard Lyon 1 · FRCentre Hospitalier Universitaire de Grenoble · FRJerusalem University College · ILUniversity of Sassari · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeRecruitment of lung volume is often cited as the reason for using positive end-expiratory pressure (PEEP) in acute respiratory distress syndrome (ARDS) patients. We performed a systematic review on PEEP-induced recruited lung volume measured from inspiratory volume-pressure (VP) curves in ARDS patients to assess the prevalence of patients with PEEP-induced recruited lung volume and the mortality in recruiters and non-recruiters.

methodsWe conducted a systematic search of PubMed to identify studies including ARDS patients in which the intervention of an increase in PEEP was accompanied by measurement of the recruited volume (V

resultsWe identified 16 papers with a total of 308 patients for the pooled data meta-analysis and 14 papers with a total of 384 patients for the individual data analysis. The quality of the articles was moderate. In the pooled data, the prevalence of recruiters was 74% and the mortality was not significantly different between recruiters and non-recruiters (relative risk 1.20 [95% confidence intervals 0.88-1.63]). The certainty of the evidence regarding this association was very low and publication bias evident. In the individual data, the prevalence of recruiters was 70%. In the multivariable logistic regression, V

conclusionAfter a PEEP increment, most patients are recruiters. V

Indexed as

Respiratory Distress SyndromeHumansLung Volume MeasurementsPositive-Pressure RespirationProspective StudiesTidal VolumeAlveolar recruitmentLung recruitmentPositive end-expiratory pressurePositive-pressure respiration/therapeutic useRespiratory distress syndrome, adult/mortalityRespiratory distress syndrome, adult/physiopathologyRespiratory distress syndrome, adult/therapy

Identifiers

PMID32915255
PMCPMC7484614
OpenAlexW3084832628

What OpenQuestion holds

Textmetadata
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.