Ventilator avoidance among critically ill COVID-19 patients with acute respiratory distress syndrome.

Jeffrey J Fletcher, Arielle Aughenbaugh, Catherine Svabek, Peter Y Hahn, Ronald G Grifka

Abstract readObservational Study

In one paragraph

Observational study in The Journal of international medical research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it

0cells of the map it votes in

1citing papers in PubMed

–field-weighted citation impact

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

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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

1 citing paper in PubMed.

Lessons Learned From Awake ECMO Approach in Covid-19-Related Acute Respiratory Distress Syndrome - a Scoping Review.Therapeutics and clinical risk management · 2025
Review

4 · The record

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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

5 authors.

Jeffrey J FletcherDepartment of Critical Care Medicine, University of Michigan Health West, Wyoming, MI, USA.ORCID 0000-0001-8929-0291

Arielle AughenbaughMichigan State University College of Osteopathic Medicine, East Lansing, MI, USA.

Catherine SvabekDepartment of Research, University of Michigan Health West, Wyoming, MI, USA.

Peter Y HahnDepartment of Critical Care Medicine, University of Michigan Health West, Wyoming, MI, USA.

Ronald G GrifkaDepartment of Research, University of Michigan Health West, Wyoming, MI, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the incidence and significance of ventilator avoidance in patients with critical coronavirus disease 2019 (COVID-19).

methodsThis prospective observational cohort study evaluated hospital mortality and 1-year functional outcome among critically ill patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-associated acute respiratory distress syndrome (ARDS). The explanatory variable was ventilator avoidance, modeled as 'initial refusal' of intubation (yes/no). Modified Rankin Scale (mRS) scores were obtained from surviving patients (or their surrogates) via phone or email questionnaire.

resultsAmong patients for whom intubation was recommended (

conclusionAmong critically ill patients with COVID-19-associated ARDS, ventilator avoidance was common, but was not associated with increased in-hospital mortality or 1-year functional outcome.

Indexed as

COVID-19Respiratory Distress SyndromeCritical IllnessHumansProspective StudiesSARS-CoV-2Ventilators, MechanicalCOVID-19intubation refusalmedical noncompliancemedication adherencemisinformationtreatment refusal

Identifiers

PMID36324277

DOI10.1177/03000605221135446

PMCPMC9634208

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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.