Evidence map›Paper›PMID 37046444›Full record

ArticleDiagnostics (Basel, Switzerland)2023

Role of Changes in Driving Pressure and Mechanical Power in Predicting Mortality in Patients with Acute Respiratory Distress Syndrome.

Huang-Pin Wu, Shaw-Woei Leu, Shih-Wei Lin, Chen-Yiu Hung, Ning-Hung Chen, Han-Chung Hu, Chung-Chi Huang, Kuo-Chin Kao

Open access · goldAbstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.6field-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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. The role of mechanical power in lung ventilation for the prevention of ventilator-induced lung injury: a narrative review.European respiratory review : an official journal of the European Respiratory Society · 2026
    Review
  3. Article
  4. Article
  5. Prognostic Significance of Driving Pressure for Initiation and Maintenance of ECMO in Patients with Severe ARDS: A Systematic Review and Meta-analysis.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2025
    Article
  6. Review
  7. Article
  8. Article
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

8 authors at 1 institution in 1 country.

Huang-Pin WuDivision of Pulmonary, Critical Care and Sleep Medicine, Chang Gung Memorial Hospital, Keelung 204, Taiwan.ORCID 0000-0002-8906-4566
Shaw-Woei LeuCollege of Medicine, Chang Gung University, Taoyuan 333, Taiwan.ORCID 0000-0003-4854-8756
Shih-Wei LinCollege of Medicine, Chang Gung University, Taoyuan 333, Taiwan.ORCID 0000-0002-7915-0014
Chen-Yiu HungCollege of Medicine, Chang Gung University, Taoyuan 333, Taiwan.
Ning-Hung ChenCollege of Medicine, Chang Gung University, Taoyuan 333, Taiwan.
Han-Chung HuCollege of Medicine, Chang Gung University, Taoyuan 333, Taiwan.ORCID 0000-0003-1603-868X
Chung-Chi HuangCollege of Medicine, Chang Gung University, Taoyuan 333, Taiwan.ORCID 0000-0003-1746-6782
Kuo-Chin KaoCollege of Medicine, Chang Gung University, Taoyuan 333, Taiwan.ORCID 0000-0002-8777-1638
Chang Gung University · TW

Funding

Chang Gung Memorial Hospital CMRPG2L0331
6 · The paper itself

Abstract

Driving pressure (ΔP) and mechanical power (MP) are associated with increased mortality in patients with acute respiratory distress syndrome (ARDS). We aimed to investigate which was better to predict mortality between changes in ΔP and MP. We reanalyzed data from a prospective observational cohort study of patients with ARDS in our hospital. Serial ΔP and MP values were calculated. The factors associated with survival were analyzed. Binary logistic regression showed that age (odds ratio (OR), 1.012; 95% confidence interval (CI), 1.003-1.022), Sequential Organ Failure assessment (SOFA) score (OR, 1.144; 95% CI, 1.086-1.206), trauma (OR, 0.172; 95% CI, 0.035-0.838), ΔP (OR, 1.077; 95% CI, 1.044-1.111), change in ΔP (OR, 1.087; 95% CI, 1.054-1.120), and change in MP (OR, 1.018; 95% CI, 1.006-1.029) were independently associated with 30-day mortality. Change in MP, change in ΔP, and SOFA scores were superior to ΔP in terms of the accuracy of predicting 30-day mortality. In conclusion, calculating change in ΔP is easy for respiratory therapists in clinical practice and may be used to predict mortality in patients with ARDS.

Indexed as

acute respiratory distress syndromedriving pressuremechanical powermortality

Identifiers

PMID37046444
PMCPMC10093066
OpenAlexW4360856459

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.