Respiratory failure & ventilation

A tidal volume of 7 mL/kg predicted body weight (PBW) or higher may be safe for coronavirus disease (COVID-19) patients

J Crit CarePublished Secondary analysis of a multicentre study

Primary result · ICU mortalityResult — go to the resultOdds ratio 0.62 95 % CI 0.40–0.95

Authors' conclusion

A tidal volume ≥ 7 (up to 9) mL/kg PBW was associated with lower ICU mortality in these COVID-19 patients, including those with compliance <40 mL/cmH2O.

Study context

Population
Ventilated COVID-19 patients; compliance categorized as <40, 40–50, or > 50 mL/cmH2O
Participants
600 patients
Comparison
Tidal volume ≥7 vs <7 mL/kg PBW
  • ≥7n = 254
  • <7n = 346reference
Primary endpoint
ICU mortality
Methodological detailsretrospective
  • Retrospective

Primary result

As reported in the abstract

Odds ratio

0.62

95 % CI 0.40–0.95

By group

≥7 vs <7
OR 0.62 (95 % CI 0.40–0.95)

Further findings

Intensive Care Unit (ICU) mortality by compliance category (subgroup)

Tidal volume ≥ 7 mL/kg PBW associated with lower ICU mortality in each compliance category
  • Multivariable regression

Original publication

A tidal volume of 7 mL/kg PBW or higher may be safe for COVID-19 patients. J Crit Care. Published 25 September 2024. doi:10.1016/j.jcrc.2024.154921

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