Evidence map›Paper›PMID 40680763›Full record

Observational studyThe Lancet. Respiratory medicine2025

Evaluating the generalisability of formulas used to set tidal volumes in mechanically ventilated patients: an observational, multicohort, retrospective study.

Aartik Sarma, Kathryn M Sullivan, Aaron D Baugh, Nirav R Bhakta, Carolyn S Calfee

Abstract readObservational StudyMulticenter Study
In one paragraph

Observational study in The Lancet. Respiratory medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Review
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

5 authors.

Aartik SarmaDivision of Pulmonology, Critical Care, Allergy, and Sleep Medicine, Department of Medicine, University of California, San Francisco, CA, USA; Joint Program in Computational Precision Health, University of California, San Francisco and University of California, Berkeley, CA, USA. Electronic address: aartik.sarma@ucsf.edu.
Kathryn M SullivanDivision of Pulmonology, Critical Care, Allergy, and Sleep Medicine, Department of Medicine, University of California, San Francisco, CA, USA.
Aaron D BaughDivision of Pulmonology, Critical Care, Allergy, and Sleep Medicine, Department of Medicine, University of California, San Francisco, CA, USA.
Nirav R BhaktaDivision of Pulmonology, Critical Care, Allergy, and Sleep Medicine, Department of Medicine, University of California, San Francisco, CA, USA.
Carolyn S CalfeeDivision of Pulmonology, Critical Care, Allergy, and Sleep Medicine, Department of Medicine, University of California, San Francisco, CA, USA; Department of Anesthesia, University of California, San Francisco, CA, USA.

Funding

MUTIDISCIPLINARY TRAINING PROGRAM IN LUNG DISEASEST32HL007185 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI David J Erle, LAURENCE HUANG · 1985 to 2026
$24.6M
Precision Medicine in the Acute Respiratory Distress SyndromeR35HL140026 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CALFEE, CAROLYN · 2018 to 2024
$6.8M
Evolution and resolution of ARDS molecular phenotypesK23HL163491 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Aartik Sarma · 2023 to 2026
$750k
NHLBI NIH HHS K23 HL163491NHLBI NIH HHS R35 HL140026NHLBI NIH HHS T32 HL007185
6 · The paper itself

Abstract

backgroundLung-protective mechanical ventilation with low tidal volume (V

methodsIn this observational, multicohort, retrospective study we compared ARMA PBW with PFVC estimated with the Global Lung Initiative 2012 reference equations for two cohorts: Medical Information Mart for Intensive Care-IV (MIMIC-IV), a cohort of patients from a single academic medical centre in Boston, MA, USA, and electronic Intensive Care Unit Collaborative Research Database (eICU-CRD), a cohort of patients from 208 hospitals in the USA. Patients who had lung-protective ventilation, hypoxaemia, and height in the range 150-210 cm were included. The data were collected from publicly available, deidentified datasets. We then studied the association between normalised V

findings9152 patients were included from MIMIC-IV (3064 [33·5%] female and 6088 [66·5%] male; 645 [7·0%] Black, 5885 [64·3%] White, and 2622 [28·6%] other race; mean age 63 years [SD 16]) and 12 420 patients were included from eICU-CRD (4262 [34·3%] female and 8158 [65·7%] male; 1023 [8·2%] Black, 10 093 [81·3%] White, and 1304 [10·5%] other race; mean age 62 years [SD 16]). Patients who were younger, male, and White had greater PFVCs than patients who were older, female, and non-White with the same PBW. A 1 SD increase in PBW:PFVC ratio was associated with 1·43-fold (95% CI 1·17-1·76) higher odds of death in MIMIC-IV and similar results were observed in the eICU-CRD cohort.

interpretationAdjusting V

fundingNational Heart, Lung, and Blood Institute.

Indexed as

Respiration, ArtificialTidal VolumeAgedBody WeightFemaleHumansIntensive Care UnitsLungMaleMiddle AgedRetrospective StudiesSpirometryVital Capacity

Identifiers

PMID40680763
PMCPMC12313249

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.