Evidence map›Paper›PMID 37379286›Full record

ArticlePloS one2023

Timing of invasive mechanical ventilation and death in critically ill adults with COVID-19: A multicenter cohort study.

Adam Green, Jean-Sebastien Rachoin, Christa Schorr, Phil Dellinger, Jonathan D Casey, Isabel Park, Shruti Gupta, Rebecca M Baron, Shahzad Shaefi, Krystal Hunter and 2 more

Registry-linked trialOpen access · goldAbstract readMulticenter Study
In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04343898 (Study of the Treatment and Outcomes in Critically Ill Patients With COVID-19), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.3field-weighted citation impact, top 18% 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.

NCT04343898 completednot on this map

Study of the Treatment and Outcomes in Critically Ill Patients With COVID-19

TypeobservationalSponsorBrigham and Women's HospitalRan2020 to 2023Enrolled5,154ConditionsCoronavirus InfectionArmsNo intervention
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. 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

12 authors at 4 institutions in 1 country.

Adam GreenCooper University Health Care and Cooper Medical School of Rowan University, Camden, NJ, United States of America.ORCID 0000-0003-2562-746X
Jean-Sebastien RachoinCooper University Health Care and Cooper Medical School of Rowan University, Camden, NJ, United States of America.
Christa SchorrCooper University Health Care and Cooper Medical School of Rowan University, Camden, NJ, United States of America.
Phil DellingerCooper University Health Care and Cooper Medical School of Rowan University, Camden, NJ, United States of America.
Jonathan D CaseyDivision of Allergy, Pulmonary and Critical Care Medicine, Vanderbilt University Medical Center, Nashville, TN, United States of America.
Isabel ParkDivision of Renal Medicine, Brigham and Women's Hospital, Boston, MA, United States of America.
Shruti GuptaDivision of Renal Medicine, Brigham and Women's Hospital, Boston, MA, United States of America.
Rebecca M BaronDivision of Pulmonary and Critical Care Medicine, Brigham and Women's Hospital, Boston, MA, United States of America.
Shahzad ShaefiDepartment of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, United States of America.
Krystal HunterCooper University Health Care and Cooper Medical School of Rowan University, Camden, NJ, United States of America.ORCID 0000-0002-8991-2625
David E LeafDivision of Renal Medicine, Brigham and Women's Hospital, Boston, MA, United States of America.ORCID 0000-0001-7875-090X
STOP-COVID Investigators
Cooper Medical School of Rowan University · USBrigham and Women's Hospital · USBeth Israel Deaconess Medical Center · USVanderbilt University Medical Center · US

Funding

COVID and Translational Science supercomputer (CATS)S10OD030463 · OD · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI KOVATCH, PATRICIA · 2021 to 2021
$2.0M
Big Omics Data Engine 2 SupercomputerS10OD026880 · OD · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI KOVATCH, PATRICIA · 2019 to 2019
$2.0M
Diet Related Inflammation and Kidney Function Decline in Racial/Ethnic MinoritiesK23DK124644 · NIDDK · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI JOHNS, TANYA · 2021 to 2023
$752k
NIDDK NIH HHS K23 DK124644NIH HHS S10 OD026880NIH HHS S10 OD030463
6 · The paper itself

Abstract

purposeTo investigate if the timing of initiation of invasive mechanical ventilation (IMV) for critically ill patients with COVID-19 is associated with mortality. MATERIALS AND

methodsThe data for this study were derived from a multicenter cohort study of critically ill adults with COVID-19 admitted to ICUs at 68 hospitals across the US from March 1 to July 1, 2020. We examined the association between early (ICU days 1-2) versus late (ICU days 3-7) initiation of IMV and time-to-death. Patients were followed until the first of hospital discharge, death, or 90 days. We adjusted for confounding using a multivariable Cox model.

resultsAmong the 1879 patients included in this analysis (1199 male [63.8%]; median age, 63 [IQR, 53-72] years), 1526 (81.2%) initiated IMV early and 353 (18.8%) initiated IMV late. A total of 644 of the 1526 patients (42.2%) in the early IMV group died, and 180 of the 353 (51.0%) in the late IMV group died (adjusted HR 0.77 [95% CI, 0.65-0.93]).

conclusionsIn critically ill adults with respiratory failure from COVID-19, early compared to late initiation of IMV is associated with reduced mortality.

Indexed as

COVID-19AdultCohort StudiesCritical IllnessHumansMaleMiddle AgedRespiration, ArtificialSARS-CoV-2

Identifiers

PMID37379286
PMCPMC10306211
OpenAlexW4382468309

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.