Respiratory failure & ventilation

The Association Between Mechanical Power and Mortality in Critically Ill Patients Receiving Invasive Mechanical Ventilation: A Systematic Review and Meta-Analysis

Crit Care MedPublished Systematic review and meta-analysis

Pooled result · Mechanical powerResult — go to the resultMD 1.91 J/min 95% CI 1.30–2.51

Authors' conclusion

Higher mechanical power was consistently associated with increased mortality in invasively ventilated adults.

Study context

Population
Adult critically ill patients receiving invasive mechanical ventilation34 studies
Comparison
Mechanical power in nonsurvivors vs survivors
Outcome
Association between mechanical power and mortality
Methodological detailsrandom-effects models
  • Random-effects models

Pooled result

Mechanical power

MD

1.91 J/min

95% CI 1.30–2.51

Nonsurvivors vs Survivors
MD 1.91 J/min (95% CI 1.30–2.51)

As reported in the abstract

Further pooled results

OutcomeMD (J/min/kg) (95% CI)
Mechanical power normalized to predicted body weight0.06 (0.04–0.08)
OutcomeMD (J/min/mL/cm H 2 O) (95% CI)
Mechanical power normalized to respiratory system compliance0.28 (0.10–0.45)
OutcomeEstimate
Mortality per 1 J/min increase in mechanical power (adjusted)Per 1 J/min increaseaOR 1.04 (95% CI 1.03–1.06)
Mortality per 1 J/min increase in mechanical power (adjusted)Per 1 J/min increaseaHR 1.03 (95% CI 1.00–1.07)

Mortality with mechanical power threshold >17 J/min

OR (95% CI)
Mechanical power >17 J/minAbstract prints "threshold older than 17 J/min"1.60 (1.34–1.91)

Original publication

The Association Between Mechanical Power and Mortality in Critically Ill Patients Receiving Invasive Mechanical Ventilation: A Systematic Review and Meta-Analysis. Crit Care Med. Published 18 May 2026. doi:10.1097/ccm.0000000000007146

Composed by AI from the published abstract and checked against it. How Briefs are made →

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