Evidence map›Paper›PMID 39992441›Full record

Observational studyIntensive care medicine2025

Ventilation practices in acute brain injured patients and association with outcomes: the VENTIBRAIN multicenter observational study.

Chiara Robba, Daniele Giardiello, Chiara Almondo, Karim Asehnoune, Rafael Badenes, Raphael Cinotti, Muhammed Elhadi, Francesca Graziano, Raimund Helbok, Lidan Jiang and 11 more

Erratum issuedAbstract readObservational StudyMulticenter Study
In one paragraph

Observational study in Intensive care medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 24 papers.

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

24 citing papers in PubMed.

  1. Mechanical ventilation in acute brain injury.Breathe (Sheffield, England) · 2026
    Review
  2. Article
  3. ARDS management in trauma patients.Intensive care medicine · 2026
    Review
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Observational
  12. Article
  13. Article
  14. Review
  15. Observational
  16. Article
  17. Bridging brain and lung: optimizing mechanical ventilation in acute brain injury.Journal of anesthesia, analgesia and critical care · 2025
    Review
  18. Review
  19. Brain Protective Ventilation Strategies in Severe Acute Brain Injury.Current neurology and neuroscience reports · 2025
    Review
  20. Capillary hemoglobin dynamics in COIntensive care medicine · 2025
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors.

Chiara Robba *Department of Surgical Science and Integrated Diagnostic, University of Genova, Genoa, Italy. kiarobba@gmail.com.ORCID 0000-0003-1628-3845
Daniele Giardiello *Bicocca Bioinformatics Biostatistics and Bioimaging B4 Center, School of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy.
Chiara AlmondoDepartment of Surgical Science and Integrated Diagnostic, University of Genova, Genoa, Italy.
Karim AsehnouneDepartment of Anaesthesia and Critical Care, CHU Nantes, Nantes Université, Hôtel Dieu, Nantes, France.
Rafael BadenesDepartment of Anesthesiology and Surgical-Trauma Intensive Care, Hospital Clinic Universitari de Valencia, University of Valencia, Valencia, Spain.
Raphael CinottiDepartment of Anaesthesia and Critical Care, CHU Nantes, Nantes Université, Hôtel Dieu, Nantes, France.
Muhammed ElhadiFaculty of Medicine, University of Tripoli, Tripoli, Libya.
Francesca GrazianoBicocca Bioinformatics Biostatistics and Bioimaging B4 Center, School of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy.
Raimund HelbokDepartment of Neurology, Kepler University Hospital, Johannes Kepler University Linz, Linz, Austria.
Lidan JiangDepartment of Neurosurgery, XuanWu Hospital, Capital Medical University, Beijing, China.
Wenjin ChenDepartment of Neurosurgery, XuanWu Hospital, Capital Medical University, Beijing, China.
John G LaffeyAnesthesia and Intensive Care Medicine, University Hospital Galway, University of Galway, Galway, Ireland.
Antonio MessinaHumanitas Clinical and Research Center-IRCCS, Rozzano, Milan, Italy.
Christian PutensenDepartment of Anesthesiology and Intensive Care Medicine, University Hospital Bonn, Bonn, Germany.
Marcus J SchultzDepartment of Clinical Medicine, University of Oxford Nuffield, Oxford, UK.
Sarah WahlsterDepartments of Neurology, Neurosurgery, and Anesthesiology, University of Washington, Seattle, USA.
Paola ReboraBicocca Bioinformatics Biostatistics and Bioimaging B4 Center, School of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy.
Stefania GalimbertiBicocca Bioinformatics Biostatistics and Bioimaging B4 Center, School of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy.
Fabio Silvio Taccone *Department of Intensive Care, Hôpital Universitaire de Bruxelles (HUB), Université Libre de Bruxelles (ULB), Brussels, Belgium.
Giuseppe Citerio *School of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy.
VENTIBRAIN study group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeCurrent mechanical ventilation practices for patients with acute brain injury (ABI) are poorly defined. This study aimed to describe ventilator settings/parameters used in intensive care units (ICUs) and evaluate their association with clinical outcomes in these patients.

methodsAn international, prospective, multicenter, observational study was conducted across 74 ICUs in 26 countries, including adult patients with ABI (e.g., traumatic brain injury, intracranial hemorrhage, subarachnoid hemorrhage, and acute ischemic stroke), who required ICU admission and invasive mechanical ventilation. Ventilatory settings were recorded daily during the first week and on days 10 and 14. ICU and 6-months mortality and 6-months neurological outcome were evaluated.

resultsOn admission, 2095 recruited patients (median age 58 [interquartile range 45-70] years, 66.1% male) had a median plateau pressure (Pplat) of 15 (13-18) cmH

conclusionsProtective ventilation strategies are commonly used in ABI patients but with high variability across different countries. Ventilator settings during ICU stay were associated with an increased risk of ICU and 6-month mortality, but not an unfavorable neurological outcome.

Indexed as

Brain InjuriesRespiration, ArtificialAgedFemaleHumansIntensive Care UnitsMaleMiddle AgedProspective StudiesAcute brain injuryCerebrovascular diseaseMechanical ventilationOutcomeTraumatic brain injury

Identifiers

PMID39992441
PMCPMC11903615

What OpenQuestion holds

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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.