Evidence map›Paper›PMID 41947056›Full record

Observational studyBMC anesthesiology2026

Impact of immunosuppression on the incidence of ventilator-associated events: an observational study.

Sergei Vladimirov, Ilia Klimenko, Nikita Matiushkov, Denis Protsenko, Dmitry Sergeev

Abstract readObservational Study
In one paragraph

Observational study in BMC anesthesiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Sergei VladimirovSaint Petersburg Information Technologies, Mechanics and Optics University (ITMO) University, Kronverkskiy prospekt, 49, St. Petersburg, 197101, Russia. vladimiroffsergey@gmail.com.ORCID http://orcid.org/0009-0003-4795-1807
Ilia KlimenkoKommunarka Moscow multi-purpose clinical center, Sosensky Stan Street, bldg 8, Moscow, 108814, Russia.
Nikita MatiushkovSaint Petersburg Information Technologies, Mechanics and Optics University (ITMO) University, Kronverkskiy prospekt, 49, St. Petersburg, 197101, Russia.
Denis ProtsenkoKommunarka Moscow multi-purpose clinical center, Sosensky Stan Street, bldg 8, Moscow, 108814, Russia.
Dmitry SergeevSaint Petersburg Information Technologies, Mechanics and Optics University (ITMO) University, Kronverkskiy prospekt, 49, St. Petersburg, 197101, Russia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCritically ill immunocompromised patients requiring mechanical ventilation (MV) may be particularly vulnerable to ventilator-associated events (VAE), yet the impact of baseline immunosuppression on VAE incidence remains unclear.

methodsWe conducted a secondary analysis of a cohort of adults requiring MV for ≥4 days in two ICUs of a tertiary hospital in Moscow, Russia. Using competing-risk regression, we compared the 30-day incidence of VAE between immunocompromised and non-immunocompromised patients. We then evaluated the association between VAE and 30-day ICU mortality among immunocompromised patients using Cox regression.

resultsOf 269 patients, 122 (45.4%) had baseline immunosuppression. The incidence of any VAE was higher in immunocompromised patients, though the estimate was imprecise (adjusted subhazard ratio [aSHR] 1.64; 95% CI 0.82–3.30); for infection-related ventilator-associated complications (IVAC), the estimate suggested a more than twofold increased hazard, but with considerable uncertainty (aSHR 2.22; 95% CI 0.85–5.78). In patients with immunosuppression, IVAC were associated with increased mortality (adjusted hazard ratio 2.38; 95% CI 1.16–4.89).

conclusionDespite a higher estimated incidence of VAE in immunocompromised patients, we could not establish a clear association between baseline immunosuppression and VAE risk. IVAC were associated with increased mortality in immunocompromised patients, although this finding should be considered exploratory.

Indexed as

Immunocompromised HostImmunosuppression TherapyPneumonia, Ventilator-AssociatedRespiration, ArtificialAgedCohort StudiesCritical IllnessFemaleHumansIncidenceIntensive Care UnitsMaleMiddle AgedImmunosuppressionMechanical ventilationVentilator-associated events

Identifiers

PMID41947056
PMCPMC13185420

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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.