Evidence map›Paper›PMID 33521646›Full record

ArticleCritical care explorations2021

Association Between Early Invasive Mechanical Ventilation and Day-60 Mortality in Acute Hypoxemic Respiratory Failure Related to Coronavirus Disease-2019 Pneumonia.

Claire Dupuis, Lila Bouadma, Etienne de Montmollin, Dany Goldgran-Toledano, Carole Schwebel, Jean Reignier, Mathilde Neuville, Moreno Ursino, Shidasp Siami, Stéphane Ruckly and 9 more

Open access · goldAbstract read
In one paragraph

Article in Critical care explorations, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 3 pooled it
8.8field-weighted citation impact, top 2% 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

34 citing papers in PubMed, 3 syntheses or guidelines pooled it, 60 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Observational
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Supportive Care in Patients with Critical Coronavirus Disease 2019.Infectious disease clinics of North America · 2022
    Review
  17. Review
  18. Article
  19. Article
  20. Review
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

19 authors at 9 institutions in 1 country.

Claire DupuisMedical Intensive Care Unit, Gabriel Montpied University Hospital, Clermont-Ferrand, France.
Lila BouadmaUniversité de Paris, UMR 1137, IAME, Paris, France.
Etienne de MontmollinUniversité de Paris, UMR 1137, IAME, Paris, France.
Dany Goldgran-ToledanoPolyvalent ICU, Groupe Hospitalier Intercommunal Le Raincy Montfermeil, Montfermeil, France.
Carole SchwebelMedical Intensive Care Unit, Grenoble University Hospital, La Tronche, France.
Jean ReignierMedical Intensive Care Unit, Nantes University Hospital, Nantes, France.
Mathilde NeuvillePolyvalent ICU, Hôpital Foch, Suresnes, France.
Moreno UrsinoF-CRIN PARTNERS Platform, AP-HP, Université de Paris, Paris, France.
Shidasp SiamiPolyvalent ICU, Centre Hospitalier Sud Essonne Dourdan-Etampes, Étampes, France.
Stéphane RucklyDepartment of Biostatistics, ICUREsearch, Paris, France.
Corinne AlbertiAP-HP, Epidemiology, Hôpital Robert Debré, Paris, France.
Bruno MourvillierMedical Intensive Care Unit, Robert Debré University Hospital, Reims, France.
Sébastien BaillyUniversity Grenoble Alpes, Inserm, CHU Grenoble Alpes, HP2, Grenoble, France.
Kévin GrapinMedical Intensive Care Unit, Gabriel Montpied University Hospital, Clermont-Ferrand, France.
Virginie LaurentMedical-Surgical Intensive Care Unit, André Mignot Hospital, Le Chesnay, France.
Niccolo BuettiUniversité de Paris, UMR 1137, IAME, Paris, France.
Marc GainnierAP-HM, Intensive Care Unit, La Timone University Hospital, Marseilles, France.
Bertrand SouweineMedical Intensive Care Unit, Gabriel Montpied University Hospital, Clermont-Ferrand, France.
Jean-François TimsitUniversité de Paris, UMR 1137, IAME, Paris, France.
Assistance Publique – Hôpitaux de Paris · FRGroupe Hospitalier Intercommunal Le Raincy Montfermeil · FRNantes Université · FRUniversité Claude Bernard Lyon 1 · FRUniversité Paris Cité · FRHôpital André Mignot · FRHôpital Foch · FRSorbonne Université · FRUniversité Grenoble Alpes · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesAbout 5% of patients with coronavirus disease-2019 are admitted to the ICU for acute hypoxemic respiratory failure. Opinions differ on whether invasive mechanical ventilation should be used as first-line therapy over noninvasive oxygen support. The aim of the study was to assess the effect of early invasive mechanical ventilation in coronavirus disease-2019 with acute hypoxemic respiratory failure on day-60 mortality.

designMulticenter prospective French observational study.

settingEleven ICUs of the French OutcomeRea network. PATIENTS: Coronavirus disease-2019 patients with acute hypoxemic respiratory failure (Pao

interventionWe compared day-60 mortality in patients who were on invasive mechanical ventilation within the first 2 calendar days of the ICU stay (early invasive mechanical ventilation group) and those who were not (nonearly invasive mechanical ventilation group). We used a Cox proportional-hazard model weighted by inverse probability of early invasive mechanical ventilation to determine the risk of death at day 60. MEASUREMENT AND MAIN

resultsThe 245 patients included had a median (interquartile range) age of 61 years (52-69 yr), a Simplified Acute Physiology Score II score of 34 mm Hg (26-44 mm Hg), and a Pao

conclusionsIn ICU patients admitted with coronavirus disease-2019-induced acute hypoxemic respiratory failure, early invasive mechanical ventilation was associated with an increased risk of day-60 mortality. This result needs to be confirmed.

Indexed as

acute hypoxemic respiratory failurecoronavirus disease 2019critically illinvasive mechanical ventilationmortalitynoninvasive oxygen support

Identifiers

PMID33521646
PMCPMC7838010
OpenAlexW3121347385

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.