Evidence map›Paper›PMID 41210536›Full record

ArticleIndian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine2025

Mechanical Power and its Components vs Driving Pressure for Predicting Mortality in Acute Respiratory Distress Syndrome: A Prospective Observational Study.

Pratik P Medhi, Souvik Chaudhuri, Vishwas Parampalli, Shubhada Devadiga, Abhilash B Mareguddi, Shubhada Karanth, Shwethapriya Rao, Thejesh Srinivas

Abstract read
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In one paragraph

Article in Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Mechanical Power and Driving Pressure in ARDS: 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
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

8 authors.

Pratik P MedhiDepartment of Critical Care Medicine, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.ORCID https://orcid.org/0009-0002-3755-3189
Souvik ChaudhuriDepartment of Critical Care Medicine, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.ORCID https://orcid.org/0000-0001-8392-2366
Vishwas ParampalliDepartment of Critical Care Medicine, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.ORCID https://orcid.org/0000-0002-6149-9509
Shubhada DevadigaDepartment of Respiratory Therapy, Manipal College of Health Professions, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.ORCID https://orcid.org/0009-0006-4618-2358
Abhilash B MareguddiDepartment of Critical Care Medicine, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.ORCID https://orcid.org/0009-0000-9286-9050
Shubhada KaranthDepartment of General Medicine, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.ORCID https://orcid.org/0000-0002-1813-538X
Shwethapriya RaoDepartment of Critical Care Medicine, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.ORCID https://orcid.org/0000-0002-5635-5332
Thejesh SrinivasDepartment of Critical Care Medicine, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.ORCID https://orcid.org/0000-0002-7354-1030

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: Mechanical power (MP) has been proposed as a predictor of acute respiratory distress syndrome (ARDS) mortality, but evidence remains conflicting. We aimed to study its prognostic utility in predicting mortality in ARDS. Patients and methods: This was a single-center prospective observational study including 137 ARDS patients. The organ dysfunction scores, MP and its components (elastic static, elastic dynamic, and resistive power), driving pressure (DP), severity of acute kidney injury (AKI), lung ultrasound scores, pulmonary artery hypertension, days of intensive care unit (ICU) stay, and mortality outcomes were noted. Results: Out of 137 ARDS patients, there were 73 (53.3%) non-survivors. Mechanical power was significantly higher with median [interquartile range (IQR)] 29 (24.55-32) J/min in the mortality group and 24 (20-28.75) J/min in the survival group ( Conclusion: Although MP is significantly higher in ARDS non-survivors as compared to survivors, adjustments for confounders showed that it is not an independent predictor of mortality. Driving pressure is an independent predictor of mortality. Elastic dynamic power is the most important component of high MP. How to cite this article: Medhi PP, Chaudhuri S, Parampalli V, Devadiga S, Mareguddi AB, Karanth S,

Indexed as

Acute respiratory distress syndromeDriving pressureElastic dynamic powerMechanical powerMortality

Identifiers

PMID41210536
PMCPMC12592954

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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.