Evidence map›Paper›PMID 36089625›Full record

ArticleJournal of intensive care2022

Benefit with preventive noninvasive ventilation in subgroups of patients at high-risk for reintubation: a post hoc analysis.

Gonzalo Hernández, Concepción Vaquero, Ramon Ortiz, Laura Colinas, Raul de Pablo, Lourdes Segovia, Maria Luisa Rodriguez, Ana Villasclaras, Juan Francisco Muñoz-Moreno, Fernando Suarez-Sipmann and 3 more

Open access · goldAbstract read
In one paragraph

Article in Journal of intensive care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 10% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Temporal trends in post-extubation respiratory management and reintubation risk factors in Japan: A retrospective multicenter cohort study.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2026
    Article
  5. Article
  6. Different Ventilation Methods and Reintubation in Obese Patients.American journal of respiratory and critical care medicine · 2025
    Article
  7. Observational
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Observational
  14. Observational
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

13 authors at 7 institutions in 1 country.

Gonzalo HernándezToledo University Hospital, Toledo, Spain. ghernandezm@telefonica.net.ORCID http://orcid.org/0000-0003-2261-4487
Concepción VaqueroRamón y Cajal University Hospital, Madrid, Spain.
Ramon OrtizCiudad Real General University Hospital, Ciudad Real, Spain.
Laura ColinasToledo University Hospital, Toledo, Spain.
Raul de PabloRamón y Cajal University Hospital, Madrid, Spain.
Lourdes SegoviaCiudad Real General University Hospital, Ciudad Real, Spain.
Maria Luisa RodriguezToledo University Hospital, Toledo, Spain.
Ana VillasclarasRamón y Cajal University Hospital, Madrid, Spain.
Juan Francisco Muñoz-MorenoCiudad Real General University Hospital, Ciudad Real, Spain.
Fernando Suarez-SipmannLa Princesa University Hospital, Madrid, Spain.
Alfonso CanabalLa Princesa University Hospital, Madrid, Spain.
Rafael CuenaResearch Unit, Medical Council, Toledo, Spain.
Oriol RocaInstitut de Investigació I Innovació Parc Taulí (I3PT), Parc Tauli Universitari, Sabadell, Spain.
Complejo Hospitalario Universitario de Toledo · ESHospital General Universitario de Ciudad Real · ESInstituto Cajal · ESCentro de Investigación Biomédica en Red de Enfermedades Respiratorias · ESHospital Universitario de La Princesa · ESUniversidad de Alcalá · ESUniversidad Francisco de Vitoria · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHigh-flow nasal cannula (HFNC) was shown to be non-inferior to noninvasive ventilation (NIV) for preventing reintubation in a general population of high-risk patients. However, some subgroups of high-risk patients might benefit more from NIV. We aimed to determine whether the presence of many risk factors or overweight (body mass index (BMI) ≥ 25 kg/m

methodsNot pre-specified post hoc analysis of a multicentre, randomized, controlled, non-inferiority trial comparing NFNC and NIV to prevent reintubation in patients at risk for reintubation. The original study included patients with at least 1 risk factor for reintubation.

resultsAmong 604 included in the original study, 148 had a BMI ≥ 25 kg/m

conclusionsPatients with ≥ 4 risk factors for reintubation may benefit more from preventive NIV. Based on this result, HFNC may not be the optimal preventive therapy in overweight patients. Specific trials are needed to confirm these results.

Indexed as

High-flow conditioned oxygen therapyNoninvasive ventilationOutcomePostextubation respiratory failureReintubationWeaning

Identifiers

PMID36089625
PMCPMC9465935
OpenAlexW4295159958

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.