Evidence map›Paper›PMID 39998751›Full record

ArticleAnnals of intensive care2025

Mechanical power is not associated with mortality in COVID-19 mechanically ventilated patients.

Enric Barbeta, Cláudia Barreiros, Edoardo Forin, Amedeo Guzzardella, Anna Motos, Laia Fernández-Barat, Albert Gabarrús, Adrián Ceccato, Ricard Ferrer, Jordi Riera and 55 more

Abstract read
In one paragraph

Article in Annals of intensive care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

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

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

  1. Pooled it
  2. Review
  3. The role of mechanical power in lung ventilation for the prevention of ventilator-induced lung injury: a narrative review.European respiratory review : an official journal of the European Respiratory Society · 2026
    Review
  4. Observational
  5. Article
  6. Author Response: Mechanical Power and Driving Pressure in Acute Respiratory Distress Syndrome: Clarifying Overlap Context and Clinical Meaning.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2025
    Article
  7. Mechanical Power and its Components vs Driving Pressure for Predicting Mortality in Acute Respiratory Distress Syndrome: A Prospective Observational Study.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical 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

65 authors.

Enric BarbetaCIBER de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, Spain.
Cláudia BarreirosSurgical Intensive Care Unit, Anesthesiology, Hospital Clinic of Barcelona, Barcelona, Spain.
Edoardo ForinDepartment of Anesthesiology and Intensive Care, San Bortolo Hospital, Vicenza, Italy.
Amedeo GuzzardellaDepartment of Pathophysiology and Transplantation, Università Degli Studi di Milano, Milan, Italy.
Anna MotosCIBER de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, Spain.
Laia Fernández-BaratCIBER de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, Spain.
Albert GabarrúsCIBER de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, Spain.
Adrián CeccatoCIBER de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, Spain.
Ricard FerrerIntensive Care Department, Hospital Universitari Vall d'Hebron, Vall d'Hebron Institut de Recerca, Barcelona, Spain.
Jordi RieraIntensive Care Department, Hospital Universitari Vall d'Hebron, Vall d'Hebron Institut de Recerca, Barcelona, Spain.
Oscar PeñuelasCIBER de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, Spain.
José Ángel LorenteCIBER de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, Spain.
David de Gonzalo-CalvoCIBER de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, Spain.
Jessica GonzalezCIBER de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, Spain.
Rosario Amaya-VillarIntensive Care Clinical Unit, Hospital Universitario Virgen de Rocío, Seville, Spain.
José Manuel AñónCIBER de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, Spain.
Ana BalanHospital Universitario San Agustín, Asturias, Spain.
Carme BarberàHospital Santa Maria, IRBLleida, Lleida, Spain.
José BarberánHospital Universitario HM Montepríncipe, Facultad HM Hospitales de Ciencias de la Salud, Universidad Camilo Jose Cela, Madrid, Spain.
Aaron BlandinoServicio de Medicina Intensiva, Hospital Universitario Ramón y Cajal, Madrid, Spain.
Maria Victoria BoadoHospital Universitario de Cruces, Barakaldo, Spain.
Elena Bustamante-MunguiraCIBER de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, Spain.
Jesús CaballeroCritical Intensive Medicine Department, Hospital Universitari Arnau de Vilanova de Lleida, IRBLleida, Lleida, Spain.
María Luisa Cantón-BulnesIntensive Care Clinical Unit, Hospital Universitario Virgen Macarena, Seville, Spain.
Cristina CarbajalesIntensive Care Unit, Hospital Álvaro Cunqueiro, Vigo, Spain.
Nieves CarbonellIntensive Care Unit, Hospital Clínico Universitario, Valencia, Spain.
Mercedes Catalán-GonzálezDepartment of Intensive Care Medicine, Hospital Universitario 12 de Octubre, Madrid, Spain.
Nieves FrancoHospital Universitario de Móstoles, Madrid, Spain.
Cristóbal GalbánDepartment of Critical Care Medicine, CHUS, Complejo Hospitalario Universitario de Santiago, Santiago, Spain.
Víctor D Gumucio-SanguinoDepartment of Intensive Care, Hospital Universitari de Bellvitge, Bellvitge Biomedical Research Institute (IDIBELL), L'Hospitalet de Llobregat, Barcelona, Spain.
Maria Del Carmen de la TorreHospital de Mataró de Barcelona, Barcelona, Spain.
Emilio DíazDepartment of Medicine, Critical Care Department, Corporació Sanitària Parc Taulí, Universitat Autònoma de Barcelona (UAB), Sabadell, Barcelona, Spain.
Ángel EstellaDepartment of Medicine, Intensive Care Unit University Hospital of Jerez, University of Cádiz, INIBiCA, Cádiz, Spain.
Elena GallegoCIBER de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, Spain.
José Manuel GómezHospital General Universitario Gregorio Marañón, Madrid, Spain.
Arturo HuertaPulmonary and Critical Care Division, Emergency Department, Clínica Sagrada Família, Barcelona, Spain.
Ruth Noemí Jorge GarcíaIntensive Care Department, Hospital Nuestra Señora de Gracia, Saragossa, Spain.
Ana Loza-VázquezHospital Universitario Virgen de Valme, Unidad de Medicina Intensiva, Seville, Spain.
Judith Marin-CorralCritical Care Department, Hospital del Mar-IMIM, Barcelona, Spain.
María Cruz Martin DelgadoHospital Universitario Torrejón-Universidad Francisco de Vitoria, Madrid, Spain.
Amalia MartínezDepartment of Intensive Medicine, Hospital Universitario Infanta Leonor, Madrid, Spain.
Ignacio MartínezCritical Care Department, Hospital Universitario Lucus Augusti, Lugo, Spain.
Juan LopezComplejo Asistencial Universitario de Palencia, Palencia, Spain.
Guillermo M AlbaicetaCIBER de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, Spain.
María Teresa NietoHospital General de Segovia, Segovia, Spain.
Mariana Andrea NovoServei de Medicina Intensiva, Hospital Universitari Son Espases, Illes Balears, Palma, Spain.
Yhivian PeñascoServicio de Medicina Intensiva, Hospital Universitario Marqués de Valdecilla, Santander, Spain.
Felipe Pérez-GarcíaServicio de Microbiología Clínica, Facultad de Medicina, Departamento de Biomedicina y Biotecnología, Hospital Universitario Príncipe de Asturias - Universidad de Alcalá, Madrid, Spain.
Pilar RicartServei de Medicina Intensiva, Hospital Universitari Germans Trias, Badalona, Spain.
Alejandro RodríguezCritical Care Department, Hospital Universitario Joan XXIII, CIBERES, Rovira & Virgili University, IISPV, Tarragona, Spain.
Victor SagredoHospital Universitario de Salamanca, Salamanca, Spain.
Angel Sánchez-MirallesIntensive Care Unit, Hospital Universitario Sant Joan d'Alacant, Sant Joan d'Alacant, Alicante, Spain.
Susana SanchoServicio de Medicina Intensiva, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
Ferran Roche-CampoInstitut d'Investigació Sanitària Pere Virgili (IISPV), Hospital Verge de la Cinta, Tortosa, Tarragona, Spain.
Lorenzo SociasIntensive Care Unit, Hospital Son Llàtzer, Illes Balears, Palma, Spain.
Jordi Solé-ViolanCIBER de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, Spain.
Luis TamayoCIBER de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, Spain.
José TrenadoServicio de Medicina Intensiva, Hospital Universitario Mútua de Terrassa, Terrassa, Barcelona, Spain.
Alejandro ÚbedaServicio de Medicina Intensiva, Hospital Punta de Europa, Algeciras, Spain.
Luis Jorge ValdiviaHospital Universitario de León, León, Spain.
Pablo VidalComplexo Hospitalario Universitario de Ourense, Orense, Spain.
Ferran BarbéCIBER de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, Spain.
Jordi VallverdúSurgical Intensive Care Unit, Anesthesiology, Hospital Clinic of Barcelona, Barcelona, Spain.
Antoni TorresCIBER de Enfermedades Respiratorias (CIBERES), Instituto de Salud Carlos III, Madrid, Spain. atorres@clinic.cat.ORCID http://orcid.org/0000-0002-8643-2167
CIBERESUCICOVID Project investigators (COV20/00110, ISCIII)

Funding

Instituto de Salud Carlos III COV20/00110Instituto de Salud Carlos III (ISCIIIInstituto de Salud Carlos III ISCIIIInstituto de Salud Carlos III Miguel Servet 2020: CP20/00041Instituto de Salud Carlos III Sara Borrell 2021: CD21/00087
6 · The paper itself

Abstract

backgroundThe relative contribution of the different components of mechanical power to mortality is a subject of debate and has not been studied in COVID-19. The aim of this study is to evaluate both the total and the relative impact of each of the components of mechanical power on mortality in a well-characterized cohort of patients with COVID-19-induced acute respiratory failure undergoing invasive mechanical ventilation. This is a secondary analysis of the CIBERESUCICOVID project, a multicenter observational cohort study including fifty Spanish intensive care units that included COVID-19 mechanically ventilated patients between February 2020 and December 2021. We examined the association between mechanical power and its components (elastic static, elastic dynamic, total elastic and resistive power) with 90-day mortality after adjusting for confounders in seven hundred ninety-nine patients with COVID-19-induced respiratory failure undergoing invasive mechanical ventilation.

resultsAt the initiation of mechanical ventilation, the PaO

conclusionsNeither mechanical power nor its components were independently associated with mortality in COVID-19-induced acute respiratory failure at the start of MV. Nevertheless, after three days, static elastic power and total elastic power were associated with lower odds of survival. Positive end-expiratory pressure and plateau pressure, however, captured this risk in a similar manner.

Indexed as

COVID-19Mechanical powerMechanical ventilationRespiratory failure

Identifiers

PMID39998751
PMCPMC11861844

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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.