Evidence map›Paper›PMID 39254736›Full record

ArticleIntensive care medicine2024

Fluid responsiveness in acute respiratory distress syndrome patients: a post hoc analysis of the HEMOPRED study.

Adrien Joseph, Bruno Evrard, Matthieu Petit, Marine Goudelin, Gwenaël Prat, Michel Slama, Cyril Charron, Philippe Vignon, Antoine Vieillard-Baron

Abstract read
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In one paragraph

Article in Intensive care medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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

7 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Update on acute respiratory failure.Intensive care medicine · 2026
    Article
  5. Review
  6. Observational
  7. 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

9 authors.

Adrien JosephMedical and Surgical intensive care unit, University Hospital Ambroise Paré, GHU Paris-Saclay, Assistance Publique Hôpitaux de Paris, Boulogne-Billancourt, France. adrien.joseph@aphp.fr.ORCID 0000-0002-5278-8966
Bruno EvrardMedical-Surgical Intensive Care Unit, INSERM CIC 1435 and Faculty of Medicine, University of Limoges, Limoges, France.
Matthieu PetitMedical and Surgical intensive care unit, University Hospital Ambroise Paré, GHU Paris-Saclay, Assistance Publique Hôpitaux de Paris, Boulogne-Billancourt, France.
Marine GoudelinMedical-Surgical Intensive Care Unit, INSERM CIC 1435 and Faculty of Medicine, University of Limoges, Limoges, France.
Gwenaël PratMedical Intensive Care Unit, Brest University Hospital, Brest, France.
Michel SlamaMedical Intensive Care Unit, Amiens University Hospital, Amiens, France.
Cyril CharronMedical and Surgical intensive care unit, University Hospital Ambroise Paré, GHU Paris-Saclay, Assistance Publique Hôpitaux de Paris, Boulogne-Billancourt, France.
Philippe VignonMedical-Surgical Intensive Care Unit, INSERM CIC 1435 and Faculty of Medicine, University of Limoges, Limoges, France.
Antoine Vieillard-BaronMedical and Surgical intensive care unit, University Hospital Ambroise Paré, GHU Paris-Saclay, Assistance Publique Hôpitaux de Paris, Boulogne-Billancourt, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOptimal fluid management in patients with acute respiratory distress syndrome (ARDS) is challenging due to risks associated with both circulatory failure and fluid overload. The performance of dynamic indices to predict fluid responsiveness (FR) in ARDS patients is uncertain.

methodsThis post hoc analysis of the HEMOPRED study compared the performance of dynamic indices in mechanically ventilated patients with shock, with and without ARDS, to predict FR, defined as an increase in aortic velocity time integral (VTI)  > 10% after passive leg raising (PLR).

resultsAmong 540 patients, 117 (22%) had ARDS and were ventilated with a median tidal volume of 7.6 mL/kg [6.9-8.4] and a median positive end-expiratory pressure of 7 cmH

conclusionPerformance of dynamic indices to predict FR appears preserved in ARDS patients, albeit with distinct thresholds. Hypovolemia, indicated by a  > 32% increase in aortic VTI during PLR, rather than FR, was associated with ICU mortality in this population.

Indexed as

Fluid TherapyRespiratory Distress SyndromeAgedFemaleHumansIntensive Care UnitsMaleMiddle AgedReproducibility of ResultsRespiration, ArtificialShockAcute respiratory distress syndromeEchocardiographyFluid therapyHemodynamic

Identifiers

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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.