Evidence map›Paper›PMID 37085585›Full record

ArticleScientific reports2023

Acute COPD exacerbation treatment with noninvasive ventilation.

Ewert Ralf, Alexander Heine, Anne Obst, Karoline Koerner, Veit Hustig-Kittler, Michael Boesche, Mohamed Elhadad, Beate Stubbe, Michael Westhoff

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Review
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

9 authors at 2 institutions in 1 country.

Ewert RalfDivision of Pneumology, Department of Internal Medicine B, University Hospital Greifswald, F.-Sauerbruchstrasse, 17489, Greifswald, Germany.
Alexander HeineDivision of Pneumology, Department of Internal Medicine B, University Hospital Greifswald, F.-Sauerbruchstrasse, 17489, Greifswald, Germany.
Anne ObstDivision of Pneumology, Department of Internal Medicine B, University Hospital Greifswald, F.-Sauerbruchstrasse, 17489, Greifswald, Germany.
Karoline KoernerDivision of Pneumology, Department of Internal Medicine B, University Hospital Greifswald, F.-Sauerbruchstrasse, 17489, Greifswald, Germany.
Veit Hustig-KittlerDivision of Pneumology, Department of Internal Medicine B, University Hospital Greifswald, F.-Sauerbruchstrasse, 17489, Greifswald, Germany.
Michael BoescheDivision of Pneumology, Department of Internal Medicine B, University Hospital Greifswald, F.-Sauerbruchstrasse, 17489, Greifswald, Germany.
Mohamed ElhadadDivision of Pneumology, Department of Internal Medicine B, University Hospital Greifswald, F.-Sauerbruchstrasse, 17489, Greifswald, Germany.
Beate StubbeDivision of Pneumology, Department of Internal Medicine B, University Hospital Greifswald, F.-Sauerbruchstrasse, 17489, Greifswald, Germany. beate.stubbe@med.uni-greifswald.de.
Michael WesthoffCenter for Pneumology and Thoracic Surgery, Lung Clinic Hemer, Hemer, Germany.
Universitätsmedizin Greifswald · DEWitten/Herdecke University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The establishment of a guideline for long-term noninvasive ventilation treatment (LTH-NIV) of acute hypercapnic exacerbations of chronic obstructive pulmonary disease (AECOPD) requiring acute ventilation has proven elusive. Most studies thus far have shown no mortality benefit of long-term noninvasive ventilation treatment. Using retrospective analysis of the data of our patients (n = 143) recruited from 2012 to 2019, we aimed to compare patients discharged with and without long-term noninvasive ventilation. The follow-up results showed no significant difference (p = 0.233) between the groups [LTH-NIV (n = 83); non-NIV (n = 60)] regarding readmission due to clinical worsening. However, the first- and second-year survival rates were 82% and 72%, respectively, in the LTH-NIV group and significantly different (p = 0.023) from 67 and 55% in the non-NIV group. The statistical models showed a significant mortality risk for the non-NIV group, with a hazard ratio (HR) of 2.82 (1.31; 6.03). To the best of our knowledge, this is the first study to demonstrate the mortality benefit of long-term NIV therapy for patients with AECOPD under real-world conditions.

Indexed as

Noninvasive VentilationPulmonary Disease, Chronic ObstructiveRespiratory InsufficiencyHumansHypercapniaLungRespiration, ArtificialRetrospective Studies

Identifiers

PMID37085585
PMCPMC10121675
OpenAlexW4366742364

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.