Evidence map›Paper›PMID 38730306›Full record

ArticleCritical care (London, England)2024

Effect of immediate initiation of invasive ventilation on mortality in acute hypoxemic respiratory failure: a target trial emulation.

Ricard Mellado-Artigas, Xavier Borrat, Bruno L Ferreyro, Christopher Yarnell, Sicheng Hao, Kerollos N Wanis, Enric Barbeta, Antoni Torres, Carlos Ferrando, Laurent Brochard

Abstract read
In one paragraph

Article in Critical care (London, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

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

  1. Pooled it
  2. Article
  3. Article
  4. Airway management strategies in critical care.American journal of respiratory and critical care medicine · 2026
    Article
  5. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Ricard Mellado-ArtigasSurgical Intensive Care Unit, Hospital Clínic de Barcelona, Barcelona, Spain. rmellado@clinic.cat.ORCID http://orcid.org/0000-0003-2815-6819
Xavier BorratSurgical Intensive Care Unit, Hospital Clínic de Barcelona, Barcelona, Spain.
Bruno L FerreyroInterdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, Canada.
Christopher YarnellInterdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, Canada.
Sicheng HaoMIT IMES: Massachussetts Institute of Technology Institute for Medical Engineering and Science, Cambridge, USA.
Kerollos N WanisDepartment of Breast Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Enric BarbetaSurgical Intensive Care Unit, Hospital Clínic de Barcelona, Barcelona, Spain.
Antoni TorresCIBER de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, Spain.
Carlos FerrandoSurgical Intensive Care Unit, Hospital Clínic de Barcelona, Barcelona, Spain.
Laurent BrochardKeenan Research Centre for Biomedical Science, Li Ka Shing Knowledge Institute, St Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeInvasive ventilation is a fundamental treatment in intensive care but its precise timing is difficult to determine. This study aims at assessing the effect of initiating invasive ventilation versus waiting, in patients with hypoxemic respiratory failure without immediate reason for intubation on one-year mortality.

methodsEmulation of a target trial to estimate the benefit of immediately initiating invasive ventilation in hypoxemic respiratory failure, versus waiting, among patients within the first 48-h of hypoxemia. The eligible population included non-intubated patients with SpO

results2996 Patients fulfilled the inclusion criteria of whom 792 were intubated within 48 h. Among the non-invasive support devices, the use of oxygen through facemask was the most common (75%). Compared to patients with the same probability of intubation but who were not intubated, intubation decreased the hazard of dying for the first year after ICU admission HR 0.81 (95% CI 0.68-0.96, p = 0.018). Intubation was associated with a 30-day mortality HR of 0.80 (95% CI 0.64-0.99, p = 0.046).

conclusionThe initiation of mechanical ventilation in patients with acute hypoxemic respiratory failure reduced the hazard of dying in this emulation of a target trial.

Indexed as

Respiration, ArtificialRespiratory InsufficiencyAgedFemaleHumansHypoxiaIntensive Care UnitsMaleMiddle AgedProportional Hazards ModelsTime FactorsArtificial respirationCritical careRespiratory insufficiency

Identifiers

PMID38730306
PMCPMC11088053

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Registered trials

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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.