Evidence map›Paper›PMID 39437755›Full record

ArticleAmerican journal of physiology. Lung cellular and molecular physiology2025

Deep phenotyping of pulmonary edema and pulmonary vascular permeability in COVID-19 ARDS.

Job R Schippers, Leila N Atmowihardjo, Erik Duijvelaar, Lars G Knaap, Mihai G Netea, Lilian J Meijboom, Lieuwe D J Bos, Harm Jan Bogaard, Jurjan Aman

Abstract read
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In one paragraph

Article in American journal of physiology. Lung cellular and molecular physiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Navigating the extravascular lung waters of pulmonary edema in COVID-19 ARDS.American journal of physiology. Lung cellular and molecular physiology · 2025
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Job R SchippersDepartment of Pulmonary Medicine, Amsterdam UMC location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.ORCID 0000-0002-4697-691X
Leila N AtmowihardjoIntensive Care, Amsterdam UMC location University of Amsterdam, Amsterdam, The Netherlands.ORCID 0000-0002-7452-1867
Erik DuijvelaarDepartment of Pulmonary Medicine, Amsterdam UMC location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.ORCID 0000-0002-5547-5578
Lars G KnaapDepartment of Pulmonary Medicine, Amsterdam UMC location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Mihai G NeteaDepartment of Internal Medicine, Radboudumc, Nijmegen, The Netherlands.ORCID 0000-0003-2421-6052
Lilian J MeijboomDepartment of Radiology and Nuclear Medicine, Amsterdam UMC location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Lieuwe D J BosDepartment of Pulmonary Medicine, Amsterdam UMC location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.ORCID 0000-0003-2911-4549
Harm Jan BogaardDepartment of Pulmonary Medicine, Amsterdam UMC location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.ORCID 0000-0001-5371-0346
Jurjan AmanDepartment of Pulmonary Medicine, Amsterdam UMC location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.ORCID 0000-0001-6211-1791

Funding

innovative medicines initiative 2 joint undertaking 101005142
6 · The paper itself

Abstract

Clinical monitoring of pulmonary edema due to vascular hyperpermeability in acute respiratory distress syndrome (ARDS) poses significant clinical challenges. Presently, no biological or radiological markers are available for quantifying pulmonary edema. Our aim was to phenotype pulmonary edema and pulmonary vascular permeability in patients with coronavirus disease 2019 (COVID-19) ARDS. Transpulmonary thermodilution measurements were conducted in 65 patients with COVID-19 ARDS on the day of intubation to determine the extravascular lung water index (EVLWi) and pulmonary vascular permeability index (PVPi). In parallel, ventilatory parameters, clinical outcomes, the volume of lung opacity measured by chest computed tomography (CT), radiographic assessment of lung edema (RALE) score by chest radiography, and plasma proteomics (358 unique proteins) were compared between tertiles based on the EVLWi and PVPi. Regression models were used to associate EVLWi and PVPi with plasma, radiological, and clinical parameters. Computational pathway analysis was performed on significant plasma proteins in the regression models. Patients with the highest EVLWi values at intubation exhibited poorer oxygenation parameters and more days on the ventilator. Extravascular lung water strongly correlated with the total volume of opacity observed on CT (

Indexed as

Capillary PermeabilityCOVID-19Extravascular Lung WaterPulmonary EdemaRespiratory Distress SyndromeSARS-CoV-2AgedFemaleHumansLungMaleMiddle AgedPhenotypeTomography, X-Ray Computedalveolocapillary barrierCOVID-19 ARDSpulmonary edemavascular hyperpermeability

Identifiers

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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.