Evidence map›Paper›PMID 35444251›Full record

ArticleScientific reports2022

Higher mortality and intubation rate in COVID-19 patients treated with noninvasive ventilation compared with high-flow oxygen or CPAP.

Sergi Marti, Anne-Elie Carsin, Júlia Sampol, Mercedes Pallero, Irene Aldas, Toni Marin, Manel Lujan, Cristina Lalmolda, Gladis Sabater, Marc Bonnin-Vilaplana and 13 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04668196 (Noninvasive Respiratory Support Outside the Intensive Care Unit in COVID-19 Pneumonia), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
5.2field-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.

NCT04668196 completednot on this map

Noninvasive Respiratory Support Outside the Intensive Care Unit in COVID-19 Pneumonia: a Multicentric Study (CATCOVID-AIR)

TypeobservationalSponsorHospital Universitari Vall d'Hebron Research InstituteRan2020 to 2021Enrolled367ConditionsCovid19, Acute Respiratory Failure, Corona Virus InfectionArmsHigh-flow nasal cannula treatment, Continuous positive airway pressure (CPAP) treatment, Noninvasive ventilation treatment
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
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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

23 authors at 14 institutions in 1 country.

Sergi MartiRespiratory Department. Hospital, Universitari Vall d'Hebron, Passeig Vall d'Hebron, 119-129, 08035, Barcelona, Spain. smarti@vhebron.net.
Anne-Elie CarsinISGlobal, Barcelona, Spain.
Júlia SampolRespiratory Department. Hospital, Universitari Vall d'Hebron, Passeig Vall d'Hebron, 119-129, 08035, Barcelona, Spain.
Mercedes PalleroRespiratory Department. Hospital, Universitari Vall d'Hebron, Passeig Vall d'Hebron, 119-129, 08035, Barcelona, Spain.
Irene AldasRespiratory Department, Hospital Universitari Germans Trias i Pujol, Badalona, Spain.
Toni MarinRespiratory Department, Hospital Universitari Germans Trias i Pujol, Badalona, Spain.
Manel LujanCIBER de Enfermedades Respiratorias (CIBERES), Madrid, Spain.
Cristina LalmoldaCIBER de Enfermedades Respiratorias (CIBERES), Madrid, Spain.
Gladis SabaterDepartment of Pulmonology, Dr. Josep Trueta, University Hospital of Girona, Santa Caterina Hospital of Salt, Girona, Spain.
Marc Bonnin-VilaplanaDepartment of Pulmonology, Dr. Josep Trueta, University Hospital of Girona, Santa Caterina Hospital of Salt, Girona, Spain.
Patricia PeñacobaRespiratory Department, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
Juana Martinez-LlorensCIBER de Enfermedades Respiratorias (CIBERES), Madrid, Spain.
Julia TárregaRespiratory Department, Hospital General de Granollers, Granollers, Spain.
Óscar BernadichRespiratory Department, Althaia Xarxa Assistencial Universitària de Manresa, Manresa, Spain.
Ana Córdoba-IzquierdoRespiratory Department, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Llobregat, Spain.
Lourdes LozanoRespiratory Department, Hospital Mútua de Terrassa, Terrassa, Spain.
Susana MendezISGlobal, Barcelona, Spain.
Eduardo Vélez-SegoviaRespiratory Department. Hospital, Universitari Vall d'Hebron, Passeig Vall d'Hebron, 119-129, 08035, Barcelona, Spain.
Elena PrinaRespiratory Department, Corporació Sanitària Parc Tauli, Sabadell, Spain.
Saioa EizaguirreDepartment of Pulmonology, Dr. Josep Trueta, University Hospital of Girona, Santa Caterina Hospital of Salt, Girona, Spain.
Ana Balañá-CorberóRespiratory Department, Hospital del Mar, Barcelona, Spain.
Jaume FerrerRespiratory Department. Hospital, Universitari Vall d'Hebron, Passeig Vall d'Hebron, 119-129, 08035, Barcelona, Spain.
Judith Garcia-AymerichISGlobal, Barcelona, Spain.
Centro de Investigación Biomédica en Red de Enfermedades Respiratorias · ESInstitut d'Investigació Biomèdica de Girona · ESCentro de Investigación Biomédica en Red de Epidemiología y Salud Pública · ESHospital Universitari Germans Trias i Pujol · ESUniversitat Autònoma de Barcelona · ESVall d'Hebron Hospital Universitari · ESAlthaia · ESBellvitge University Hospital · ESCorporació Sanitària Parc Taulí · ESHospital Del Mar · ESHospital de Sant Pau · ESHospital General de Granollers · ESPompeu Fabra University · ESUniversity Hospital Mútua de Terrassa · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The effectiveness of noninvasive respiratory support in severe COVID-19 patients is still controversial. We aimed to compare the outcome of patients with COVID-19 pneumonia and hypoxemic respiratory failure treated with high-flow oxygen administered via nasal cannula (HFNC), continuous positive airway pressure (CPAP) or noninvasive ventilation (NIV), initiated outside the intensive care unit (ICU) in 10 university hospitals in Catalonia, Spain. We recruited 367 consecutive patients aged ≥ 18 years who were treated with HFNC (155, 42.2%), CPAP (133, 36.2%) or NIV (79, 21.5%). The main outcome was intubation or death at 28 days after respiratory support initiation. After adjusting for relevant covariates and taking patients treated with HFNC as reference, treatment with NIV showed a higher risk of intubation or death (hazard ratio 2.01; 95% confidence interval 1.32-3.08), while treatment with CPAP did not show differences (0.97; 0.63-1.50). In the context of the pandemic and outside the intensive care unit setting, noninvasive ventilation for the treatment of moderate to severe hypoxemic acute respiratory failure secondary to COVID-19 resulted in higher mortality or intubation rate at 28 days than high-flow oxygen or CPAP. This finding may help physicians to choose the best noninvasive respiratory support treatment in these patients.Clinicaltrials.gov identifier: NCT04668196.

Indexed as

COVID-19Noninvasive VentilationRespiratory InsufficiencyContinuous Positive Airway PressureHumansIntubation, IntratrachealOxygenOxygen

Identifiers

PMID35444251
PMCPMC9020755
OpenAlexW4224301487

What OpenQuestion holds

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LicenceCC BY
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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.