Evidence map›Paper›PMID 42449426›Full record

Trial reportCritical care (London, England)2026

Impact of ultra-low tidal volume ventilation on 1-year functional outcome in COVID-19 ARDS patients. A long-term follow-up analysis of a randomized controlled trial.

Jean-Christophe Richard, Fatima Chorfa, Nicolas Terzi, Hodane Yonis, Florent Wallet, Claire Dupuis, Laurent Argaud, Bertrand Delannoy, Guillaume Thiery, Gaël Bourdin and 11 more

Registry-linked trialAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Critical care (London, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04349618 (Open Label Randomized Controlled Trial of Ultraprotective Ventilation Without Extracorporeal Circulation in Patients With COVID 19 Pneumonia and Moderate to Severe ARDS), which is not on this 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.

NCT04349618 nacompletednot on this map

Open Label Randomized Controlled Trial of Ultraprotective Ventilation Without Extracorporeal Circulation in Patients With COVID 19 Pneumonia and Moderate to Severe ARDS

TypeinterventionalSponsorHospices Civils de LyonRan2020 to 2022Enrolled220ConditionsAcute Respiratory Distress Syndrome, COVID19, Sars-CoV2, PneumoniaArmsPROTECTIVE VENTILATION, ULTRAPROTECTIVE VENTILATION
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

21 authors.

Jean-Christophe RichardMedical Intensive Care Unit, Hospices Civils de Lyon, Croix-Rousse Hospital, Lyon, France. j-christophe.richard@chu-lyon.fr.ORCID http://orcid.org/0000-0003-1503-3035
Fatima ChorfaService de Biostatistique et Bioinformatique, Hospices Civils de Lyon, Pôle Santé Publique, Lyon, France.
Nicolas TerziService de Médecine Intensive Réanimation, CHU Grenoble Alpes, La Tronche, France.
Hodane YonisMedical Intensive Care Unit, Hospices Civils de Lyon, Croix-Rousse Hospital, Lyon, France.
Florent WalletMedical-Surgical Intensive Care Unit, Hospices Civils de Lyon, Lyon-Sud Hospital, Pierre-Bénite, France.
Claire DupuisMedical Intensive Care Unit, CHU Gabriel Montpied, Clermont- Ferrand, France.
Laurent ArgaudMedical Intensive Care Unit, Hospices Civils de Lyon, Edouard Herriot Hospital, Lyon, France.
Bertrand DelannoyMedical-Surgical Intensive Care Unit, Clinique de la Sauvegarde, Lyon, France.
Guillaume ThieryResearch on Healthcare Performance RESHAPE, INSERM U1290, Université Claude Bernard Lyon 1, Lyon, France.
Gaël BourdinMedical-Surgical Intensive Care Unit, Centre Hospitalier Saint Joseph-Saint Luc, Lyon, France.
Thomas RimmeleSurgical Intensive Care Unit, Hospices Civils de Lyon, Edouard Herriot Hospital, Lyon, France.
Michel MullerMedical-Surgical Intensive Care Unit, Centre Hospitalier Annecy Genevois, Pringy, France.
Florian SigaudService de Médecine Intensive Réanimation, CHU Grenoble Alpes, La Tronche, France.
Guillaume RigaultService de Médecine Intensive Réanimation, CHU Grenoble Alpes, La Tronche, France.
Emilie JoffredoMedical-Surgical Intensive Care Unit, Hospices Civils de Lyon, Lyon-Sud Hospital, Pierre-Bénite, France.
Mehdi MezidiMedical Intensive Care Unit, Hospices Civils de Lyon, Croix-Rousse Hospital, Lyon, France.
Bertrand SouweineMedical Intensive Care Unit, CHU Gabriel Montpied, Clermont- Ferrand, France.
Loredana BaboiMedical Intensive Care Unit, Hospices Civils de Lyon, Croix-Rousse Hospital, Lyon, France.
Hassan SerrierResearch on Healthcare Performance RESHAPE, INSERM U1290, Université Claude Bernard Lyon 1, Lyon, France.
Muriel RabilloudUniversité de Lyon, Université Lyon 1, Lyon, France.
Laurent BitkerMedical Intensive Care Unit, Hospices Civils de Lyon, Croix-Rousse Hospital, Lyon, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUltra-low tidal volume ventilation (ULTV) aims to minimize ventilator-induced lung injury in acute respiratory distress syndrome (ARDS), but is associated with an increase in arterial carbon dioxide (PaCO

methodsVT4COVID was an open-label multicenter randomized controlled superiority trial performed in ten French intensive care units. Eligible patients were COVID-19 ARDS patients with arterial oxygen pressure (PaO

resultsTwo hundred and fifteen patients were randomized to ULTV (n = 106) or LTV (n = 109) between April,2020 and April,2021. Seven patients were lost to follow-up and 34 surviving patients had missing data for at least one score. Mortality at day-365 was not significantly different between ULTV and LTV arms (47/102 [46%] vs. 44/106 [42%], hazard ratio 1.19 (95% confidence interval (CI

conclusionsULTV is associated with a small but significant decrease in cognitive status at day-365 possibly related to exposure to higher PaCO

trial registrationThe trial was prospectively registered with ClinicalTrials.gov (NCT04349618) on April 16, 2020.

Indexed as

COVID-19Respiration, ArtificialRespiratory Distress SyndromeTidal VolumeAgedFemaleFollow-Up StudiesFranceHumansIntensive Care UnitsMaleMiddle AgedTreatment OutcomeARDSCognitive functionCOVID-19HypercapniaProtective ventilation.

Identifiers

PMID42449426
PMCPMC13647660

What OpenQuestion holds

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Registered trials

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.