Evidence map›Paper›PMID 38516615›Full record

ArticleCHEST critical care2023

Use of Inhaled Epoprostenol in Patients With COVID-19 Receiving Humidified, High-Flow Nasal Oxygen Is Associated With Progressive Respiratory Failure.

Andrew P Michelson, Patrick G Lyons, Nguyet M Nguyen, Daniel Reynolds, Rachel McDonald, Colleen A McEvoy, Vladimir Despotovic, Steven L Brody, Marin H Kollef, Bryan D Kraft

Open access · diamondAbstract read
In one paragraph

Article in CHEST critical care, 2023. 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
0.5field-weighted citation impact, top 28% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

10 authors at 1 institution in 1 country.

Andrew P MichelsonDivision of Pulmonary and Critical Care Medicine, Washington University School of Medicine, Saint Louis, MO.; Department of Medicine, the Institute for Informatics, Washington University School of Medicine, Saint Louis, MO.
Patrick G LyonsDivision of Pulmonary and Critical Care Medicine, Washington University School of Medicine, Saint Louis, MO.
Nguyet M NguyenDivision of Pulmonary and Critical Care Medicine, Washington University School of Medicine, Saint Louis, MO.
Daniel ReynoldsDivision of Pulmonary and Critical Care Medicine, Washington University School of Medicine, Saint Louis, MO.
Rachel McDonaldDivision of Pulmonary and Critical Care Medicine, Washington University School of Medicine, Saint Louis, MO.
Colleen A McEvoyDivision of Pulmonary and Critical Care Medicine, Washington University School of Medicine, Saint Louis, MO.
Vladimir DespotovicDivision of Pulmonary and Critical Care Medicine, Washington University School of Medicine, Saint Louis, MO.
Steven L BrodyDivision of Pulmonary and Critical Care Medicine, Washington University School of Medicine, Saint Louis, MO.
Marin H KollefDivision of Pulmonary and Critical Care Medicine, Washington University School of Medicine, Saint Louis, MO.
Bryan D KraftDivision of Pulmonary and Critical Care Medicine, Washington University School of Medicine, Saint Louis, MO.
Washington University in St. Louis · US

Funding

WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
Washington University Institute of Clinical and Translational Sciences (KL2) KL2TR002346 · NCATS · WASHINGTON UNIVERSITY · PI Dominic N Reeds · 2017 to 2026
$14.0M
CRITICAL: Collaborative Resource for Intensive care Translational science, Informatics, Comprehensive Analytics, and LearningU01TR003528 · NCATS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI CIMINO, JAMES J, LUO, YUAN · 2021 to 2024
$4.9M
NCATS NIH HHS KL2 TR002346NCATS NIH HHS U01 TR003528NCATS NIH HHS UL1 TR002345
6 · The paper itself

Abstract

backgroundThe clinical benefit of using inhaled epoprostenol (iEpo) through a humidified high-flow nasal cannula (HHFNC) remains unknown for patients with COVID-19. RESEARCH QUESTION: Can iEpo prevent respiratory deterioration for patients with positive SARS-CoV-2 findings receiving HHFNC? STUDY DESIGN AND

methodsThis multicenter retrospective cohort analysis included patients aged 18 years or older with COVID-19 pneumonia who required HHFNC treatment. Patients who received iEpo were propensity score matched to patients who did not receive iEpo. The primary outcome was time to mechanical ventilation or death without mechanical ventilation and was assessed using Kaplan-Meier curves and Cox proportional hazard ratios. The effects of residual confounding were assessed using a multilevel analysis, and a secondary analysis adjusted for outcome propensity also was performed in a multivariable model that included the entire (unmatched) patient cohort.

resultsAmong 954 patients with positive SARS-CoV-2 findings receiving HHFNC therapy, 133 patients (13.9%) received iEpo. After propensity score matching, the median number of days until the composite outcome was similar between treatment groups (iEpo: 5.0 days [interquartile range, 2.0-10.0 days] vs no-iEpo: 6.5 days [interquartile range, 2.0-11.0 days];

interpretationIn patients with COVID-19 receiving HHFNC therapy, use of iEpo was associated with the need for invasive mechanical ventilation.

Indexed as

Acute respiratory distress syndromeARDSCOVID-19humidified high-flow nasal cannulainhaled epoprostenolinhaled pulmonary vasodilatorsSARS-CoV-2

Identifiers

PMID38516615
PMCPMC10956404
OpenAlexW4387007138

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.