Evidence map›Paper›PMID 34489504›Full record

Observational studyScientific reports2021

Outcomes of COVID-19 patients intubated after failure of non-invasive ventilation: a multicenter observational study.

Annalisa Boscolo, Laura Pasin, Nicolò Sella, Chiara Pretto, Martina Tocco, Enrico Tamburini, Paolo Rosi, Enrico Polati, Katia Donadello, Leonardo Gottin and 4 more

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
5.9field-weighted citation impact, top 3% 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

  1. Noninvasive respiratory support after extubation: a systematic review and network meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2023
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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

14 authors at 14 institutions in 1 country.

Annalisa Boscolo *Institute of Anaesthesia and Intensive Care, Padua University Hospital, Padua, Italy.
Laura Pasin *Institute of Anaesthesia and Intensive Care, Padua University Hospital, Padua, Italy.
Nicolò SellaDepartment of Medicine (DIMED), University of Padua, Via Vincenzo Gallucci 13, 35121, Padua, Italy.
Chiara PrettoDepartment of Medicine (DIMED), University of Padua, Via Vincenzo Gallucci 13, 35121, Padua, Italy.
Martina ToccoDepartment of Medicine (DIMED), University of Padua, Via Vincenzo Gallucci 13, 35121, Padua, Italy.
Enrico TamburiniDepartment of Medicine (DIMED), University of Padua, Via Vincenzo Gallucci 13, 35121, Padua, Italy.
Paolo RosiEmergency Medical Services, Regional Department, AULSS 3, Venice, Italy.
Enrico PolatiAnaesthesia and Intensive Care Unit B, Department of Surgery, Dentistry, Gynaecology and Pediatrics, University of Verona, AOUI - University Hospital Integrated Trust, Verona, Italy.
Katia DonadelloAnaesthesia and Intensive Care Unit B, Department of Surgery, Dentistry, Gynaecology and Pediatrics, University of Verona, AOUI - University Hospital Integrated Trust, Verona, Italy.
Leonardo GottinAnaesthesia and Intensive Care Unit B, Department of Surgery, Dentistry, Gynaecology and Pediatrics, University of Verona, AOUI - University Hospital Integrated Trust, Verona, Italy.
Andrea VianelloRespiratory Pathophysiology Division, Department of Cardio-Thoracic, Vascular Sciences and Public Health, Padua University Hospital, Padua, Italy.
Giovanni LandoniIRCCS San Raffaele Institute, Vita-Salute San Raffaele University, Milan, Italy.
Paolo NavalesiInstitute of Anaesthesia and Intensive Care, Padua University Hospital, Padua, Italy. pnavalesi@gmail.com.
FERS, for the COVID-19 VENETO ICU Network
University of Padua · ITUniversity of Verona · ITPresidio Ospedaliero · ITOspedale dell' Angelo · ITOspedale Sacro Cuore Don Calabria · ITOspedale Santa Maria della Misericordia di Rovigo · ITVita-Salute San Raffaele University · ITAULSS 2 Marca Trevigiana · ITAzienda Ospedaliera Universitaria Integrata Verona · ITInnovaPuglia · ITOspedale di San Donà di Piave · ITOspedale San Bassiano · ITCa' Foncello Hospital · ITInternational Renal Research Institute of Vicenza · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The efficacy of non-invasive ventilation (NIV) in acute respiratory failure secondary to SARS-CoV-2 infection remains controversial. Current literature mainly examined efficacy, safety and potential predictors of NIV failure provided out of the intensive care unit (ICU). On the contrary, the outcomes of ICU patients, intubated after NIV failure, remain to be explored. The aims of the present study are: (1) investigating in-hospital mortality in coronavirus disease 2019 (COVID-19) ICU patients receiving endotracheal intubation after NIV failure and (2) assessing whether the length of NIV application affects patient survival. This observational multicenter study included all consecutive COVID-19 adult patients, admitted into the twenty-five ICUs of the COVID-19 VENETO ICU network (February-April 2020), who underwent endotracheal intubation after NIV failure. Among the 704 patients admitted to ICU during the study period, 280 (40%) presented the inclusion criteria and were enrolled. The median age was 69 [60-76] years; 219 patients (78%) were male. In-hospital mortality was 43%. Only the length of NIV application before ICU admission (OR 2.03 (95% CI 1.06-4.98), p = 0.03) and age (OR 1.18 (95% CI 1.04-1.33), p < 0.01) were identified as independent risk factors of in-hospital mortality; whilst the length of NIV after ICU admission did not affect patient outcome. In-hospital mortality of ICU patients intubated after NIV failure was 43%. Days on NIV before ICU admission and age were assessed to be potential risk factors of greater in-hospital mortality.

Indexed as

AgedCOVID-19FemaleHospital MortalityHumansIntensive Care UnitsIntubation, IntratrachealLogistic ModelsMaleMiddle AgedMultivariate AnalysisNoninvasive VentilationOutcome Assessment, Health CareRespiratory InsufficiencyRisk FactorsSARS-CoV-2

Identifiers

PMID34489504
PMCPMC8421335
OpenAlexW3153490374

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.