Evidence map›Paper›PMID 39661133›Full record

ArticleIntensive care medicine2025

Rethinking ARDS classification: oxygenation impairment fails to predict VILI risk.

Giulia Catozzi, Tommaso Pozzi, Domenico Nocera, Beatrice Donati, Stefano Giovanazzi, Valentina Ghidoni, Mauro Galizia, Rosanna D'Albo, Mattia Busana, Federica Romitti and 8 more

Abstract read
In one paragraph

Article in Intensive care medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing 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

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

  1. Pooled it
  2. Trial
  3. Review
  4. Review
  5. Review
  6. Article
  7. Update on acute respiratory failure.Intensive care medicine · 2026
    Article
  8. Beyond the PaOAnnals of intensive care · 2026
    Review
  9. Observational
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Observational
  17. Review
  18. Article
  19. Article
  20. Analyzing PaOIntensive care medicine · 2025
    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

18 authors.

Giulia CatozziDepartment of Anaesthesiology, University Medical Center Göttingen, Göttingen, Germany.
Tommaso PozziDepartment of Health Sciences, University of Milan, Milan, Italy.
Domenico NoceraDepartment of Anaesthesiology, University Medical Center Göttingen, Göttingen, Germany.
Beatrice DonatiDepartment of Anaesthesiology, University Medical Center Göttingen, Göttingen, Germany.
Stefano GiovanazziDepartment of Anaesthesiology, University Medical Center Göttingen, Göttingen, Germany.
Valentina GhidoniDepartment of Anaesthesiology, University Medical Center Göttingen, Göttingen, Germany.
Mauro GaliziaDepartment of Anaesthesiology, University Medical Center Göttingen, Göttingen, Germany.
Rosanna D'AlboDepartment of Anaesthesiology, University Medical Center Göttingen, Göttingen, Germany.
Mattia BusanaDepartment of Anaesthesiology, University Medical Center Göttingen, Göttingen, Germany.
Federica RomittiDepartment of Anaesthesiology, University Medical Center Göttingen, Göttingen, Germany.
Alessandro GattaDepartment of Anesthesia and Intensive Care, Ceccarini Hospital, AUSL della Romagna, Riccione, Italy.
Onnen MoererDepartment of Anaesthesiology, University Medical Center Göttingen, Göttingen, Germany.
Konrad MeissnerDepartment of Anaesthesiology, University Medical Center Göttingen, Göttingen, Germany.
Michael QuintelDepartment of Anaesthesiology, University Medical Center Göttingen, Göttingen, Germany.
Peter HerrmannDepartment of Anaesthesiology, University Medical Center Göttingen, Göttingen, Germany.
Davide ChiumelloDepartment of Health Sciences, University of Milan, Milan, Italy.
Luigi CamporotaDepartment of Adult Critical Care, Guy's and St. Thomas' NHS Foundation Trust, Centre for Human & Applied Physiological Sciences, School of Basic & Medical Biosciences, King's College London, London, UK.
Luciano GattinoniDepartment of Anaesthesiology, University Medical Center Göttingen, Göttingen, Germany. gattinoniluciano@gmail.com.ORCID 0000-0001-5380-2494

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe selection and intensity of respiratory support for ARDS are guided by PaO

methodsWe analysed data on 228 ARDS subjects with PaO

resultsPredictors of VILI, such as MPR and DP, were similar across ARDS severity groups based on PaO

conclusionsARDS severity based on oxygenation impairment does not reflect the prerequisites and determinants of VILI. This should prompt a reconsideration of recommending respiratory support based on oxygenation impairment, rather than VILI determinants.

Indexed as

OxygenRespiration, ArtificialRespiratory Distress SyndromeVentilator-Induced Lung InjuryAdultAgedFemaleHumansMaleMiddle AgedPulmonary Gas ExchangeRespiratory MechanicsRisk FactorsSeverity of Illness IndexOxygenARDS severityGas exchangeMechanical powerRespiratory mechanicsVentilator-induced lung injury

Identifiers

PMID39661133
PMCPMC11787250

What OpenQuestion holds

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LicenceCC BY-NC
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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.