Observational studyCritical care (London, England)2025
Diagnostic performance of the recruitment-to-inflation ratio to assess lung recruitability by PEEP in ARDS. a computed tomography study.
Observational study in Critical care (London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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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.
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Who cites it
2 citing papers in PubMed.
- Characterizing heterogeneity and subphenotyping acute respiratory distress syndrome with computed tomography.Intensive care medicine experimental · 2026Review
- Multimodal phenotyping of ARDS: design and preliminary insights from the prospective BIOWARE cohort for precision critical management.Respiratory research · 2026Article
Corrections and comments
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Authors and funding
17 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe recruitment-to-inflation (R/I) ratio is a new bedside tool with potential to evaluate lung recruitability by positive end-expiratory pressure (PEEP) but was only validated using pressure-volume curves and the optimal threshold separating low and high recruiters by PEEP is not precisely known. The aim of the study is to evaluate the diagnostic performance of the R/I ratio using computed tomography (CT) as a gold standard in patients with acute respiratory distress syndrome (ARDS).
methodsThis study is a single-center prospective observational study performed on adults ARDS patients under invasive mechanical ventilation. The R/I ratio was measured with the ventilator, and low-dose CT scans were acquired at PEEP 15 and 5 cmH
resultsFifty patients were included, and eight patients were secondarily excluded (7/50 [14%] for suspected air leaks, and 1/50 [2%] for airway opening pressure > 15 cmH
conclusionsIn a population of ARDS patients with low recruitment potential, the R/I ratio had a poor diagnostic performance to predict lung recruitability, but R/I ratio values below 0.57 reliably identified ARDS patients with low recruitability, provided they did not present focal ARDS.
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