Evidence map›Paper›PMID 37452196›Full record

ArticleAnnals of intensive care2023

Broadening the Berlin definition of ARDS to patients receiving high-flow nasal oxygen: an observational study in patients with acute hypoxemic respiratory failure due to COVID-19.

Fleur-Stefanie L I M van der Ven, Christel M A Valk, Siebe Blok, Michelle G Brouwer, Dai Ming Go, Amanda Lokhorst, Pien Swart, David M P van Meenen, Frederique Paulus, Marcus J Schultz and 1 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Annals of intensive care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04719182 (Practice of Adjunctive Treatments in Intensive Care Unit Patients With Coronavirus Disease 2019), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
5.4field-weighted citation impact, top 4% 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.

NCT04719182 completednot on this map

Practice of Adjunctive Treatments in Intensive Care Unit Patients With Coronavirus Disease 2019 (PRoAcT-COVID) - an Observational Study in the Netherlands

TypeobservationalSponsorAcademisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)Ran2020 to 2021Enrolled1,011ConditionsCovid19, Pneumonia, Thrombosis, ThromboembolismArmsAdjunctive therapies
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 21 citations in OpenAlex.

  1. Review
  2. Defining the Acute Respiratory Distress Syndrome - Are You a Splitter or a Lumper? The Choice Matters more than You Think.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2025
    Article
  3. Validation of Global Definition of Acute Respiratory Distress Syndrome in COVID-19 Patients: A Retrospective Study.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2025
    Article
  4. Observational
  5. Review
  6. Article
  7. 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

11 authors at 3 institutions in 3 countries.

Fleur-Stefanie L I M van der Ven *Department of Intensive Care, Amsterdam UMC, Location AMC,, Amsterdam, The Netherlands. f.ven@amsterdamumc.nl.ORCID http://orcid.org/0000-0002-8791-394X
Christel M A Valk *Department of Intensive Care, Amsterdam UMC, Location AMC,, Amsterdam, The Netherlands.
Siebe Blok *Department of Intensive Care, Amsterdam UMC, Location AMC,, Amsterdam, The Netherlands.
Michelle G BrouwerDepartment of Intensive Care, Amsterdam UMC, Location AMC,, Amsterdam, The Netherlands.
Dai Ming GoDepartment of Intensive Care, Amsterdam UMC, Location AMC,, Amsterdam, The Netherlands.
Amanda LokhorstDepartment of Intensive Care, Amsterdam UMC, Location AMC,, Amsterdam, The Netherlands.
Pien SwartDepartment of Intensive Care, Amsterdam UMC, Location AMC,, Amsterdam, The Netherlands.
David M P van MeenenDepartment of Intensive Care, Amsterdam UMC, Location AMC,, Amsterdam, The Netherlands.
Frederique PaulusDepartment of Intensive Care, Amsterdam UMC, Location AMC,, Amsterdam, The Netherlands.
Marcus J SchultzDepartment of Intensive Care, Amsterdam UMC, Location AMC,, Amsterdam, The Netherlands.
PRoAcT–COVID study investigators
Amsterdam University Medical Centers · NLMahidol University · THRode Kruis Ziekenhuis · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHigh-flow nasal oxygen (HFNO) is increasingly used in patients with acute hypoxemic respiratory failure. It is uncertain whether a broadened Berlin definition of acute respiratory distress syndrome (ARDS), in which ARDS can be diagnosed in patients who are not receiving ventilation, results in similar groups of patients receiving HFNO as in patients receiving ventilation.

methodsWe applied a broadened definition of ARDS in a multicenter, observational study in adult critically ill patients with acute hypoxemic respiratory failure due to coronavirus disease 2019 (COVID-19), wherein the requirement for a minimal level of 5 cm H

resultsOf 728 included patients, 229 patients started with HFNO and 499 patients with ventilation. All patients fulfilled the broadened Berlin definition of ARDS. Patients receiving HFNO had lower disease severity scores and lower PaO

conclusionsUsing a broadened definition of ARDS may facilitate an earlier diagnosis of ARDS in patients receiving HFNO; however, ARDS patients receiving HFNO and ARDS patients receiving ventilation have distinct baseline characteristics and mortality rates.

trial registrationThe study is registered at ClinicalTrials.gov (identifier NCT04719182).

Identifiers

PMID37452196
PMCPMC10349031
OpenAlexW4384296867

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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.