Evidence map›Paper›PMID 34321047›Full record

Observational studyCritical care (London, England)2021

Static compliance and driving pressure are associated with ICU mortality in intubated COVID-19 ARDS.

Annalisa Boscolo, Nicolò Sella, Giulia Lorenzoni, Tommaso Pettenuzzo, Laura Pasin, Chiara Pretto, Martina Tocco, Enrico Tamburini, Alessandro De Cassai, Paolo Rosi and 10 more

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Critical care (London, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
4.5field-weighted citation impact, top 4% 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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.

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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

20 authors at 5 institutions in 1 country.

Annalisa Boscolo *Institute of Anaesthesia and Intensive Care Unit, Padua University Hospital, via V. Gallucci 13, 35125, Padua, Italy.
Nicolò Sella *Department of Medicine (DIMED), Padua University School of Medicine, Padua, Italy.
Giulia LorenzoniUnit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Padua University School of Medicine, Padua, Italy.
Tommaso PettenuzzoInstitute of Anaesthesia and Intensive Care Unit, Padua University Hospital, via V. Gallucci 13, 35125, Padua, Italy.
Laura PasinInstitute of Anaesthesia and Intensive Care Unit, Padua University Hospital, via V. Gallucci 13, 35125, Padua, Italy.
Chiara PrettoDepartment of Medicine (DIMED), Padua University School of Medicine, Padua, Italy.
Martina ToccoDepartment of Medicine (DIMED), Padua University School of Medicine, Padua, Italy.
Enrico TamburiniDepartment of Medicine (DIMED), Padua University School of Medicine, Padua, Italy.
Alessandro De CassaiInstitute of Anaesthesia and Intensive Care Unit, Padua University Hospital, via V. Gallucci 13, 35125, Padua, Italy.
Paolo RosiEmergency Medical Services, Regional Department, AULSS 3, Venice, Italy.
Enrico PolatiAnesthesia and Intensive Care Unit B, Verona University Hospital, Verona, Italy.
Katia DonadelloAnesthesia and Intensive Care Unit B, Verona University Hospital, Verona, Italy.
Leonardo GottinAnesthesia and Intensive Care Unit B, Verona University Hospital, Verona, Italy.
Silvia De RosaAnesthesia and Critical Care Unit, San Bortolo Hospital, Vicenza, Italy.
Fabio BarattoAnesthesia and Intensive Care Unit, Ospedale Riuniti Padova Sud, Schiavonia, Italy.
Fabio ToffolettoAnesthesia and Intensive Care Unit, Ospedali di San Donà di Piave e Jesolo, San Donà di Piave, Italy.
V Marco RanieriAnesthesia and Intensive Care Medicine, Department of Medical and Surgical Science, Policlinico di Sant'Orsola, Alma Mater Studiorum-Università di Bologna, Bologna, Italy.
Dario GregoriUnit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, Padua University School of Medicine, Padua, Italy.
Paolo NavalesiInstitute of Anaesthesia and Intensive Care Unit, Padua University Hospital, via V. Gallucci 13, 35125, Padua, Italy. paolo.navalesi@unipd.it.ORCID 0000-0002-3733-3453
COVID-19 VENETO ICU Network
University of Padua · ITUniversity of Verona · ITIRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola · ITOspedale San Bortolo · ITOspedale di San Donà di Piave · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPathophysiological features of coronavirus disease 2019-associated acute respiratory distress syndrome (COVID-19 ARDS) were indicated to be somewhat different from those described in nonCOVID-19 ARDS, because of relatively preserved compliance of the respiratory system despite marked hypoxemia. We aim ascertaining whether respiratory system static compliance (Crs), driving pressure (DP), and tidal volume normalized for ideal body weight (VT/kg IBW) at the 1st day of controlled mechanical ventilation are associated with intensive care unit (ICU) mortality in COVID-19 ARDS.

methodsObservational multicenter cohort study. All consecutive COVID-19 adult patients admitted to 25 ICUs belonging to the COVID-19 VENETO ICU network (February 28th-April 28th, 2020), who received controlled mechanical ventilation, were screened. Only patients fulfilling ARDS criteria and with complete records of Crs, DP and VT/kg IBW within the 1st day of controlled mechanical ventilation were included. Crs, DP and VT/kg IBW were collected in sedated, paralyzed and supine patients.

resultsA total of 704 COVID-19 patients were screened and 241 enrolled. Seventy-one patients (29%) died in ICU. The logistic regression analysis showed that: (1) Crs was not linearly associated with ICU mortality (p value for nonlinearity = 0.01), with a greater risk of death for values < 48 ml/cmH

conclusionsCrs < 48 ml/cmH

Indexed as

Respiration, ArtificialAgedCOVID-19FemaleHumansIntensive Care UnitsIntubationItalyMaleMiddle AgedRespiratory Distress SyndromeTidal VolumeARDSCOVID-19Driving pressureMechanical ventilationRespiratory system compliance

Identifiers

PMID34321047
PMCPMC8317138
OpenAlexW3154610160

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.