Respiratory failure & ventilation

Cardiovascular Subphenotypes in Acute Respiratory Distress Syndrome*

Crit Care MedPublished Retrospective cohort study

Main finding · 90-day mortality by subphenotypeResult — go to the resultOdds ratio 6.9 95% CI 4.0–11.8

Authors' conclusion

LCA of TTE parameters identified four cardiovascular subphenotypes in ARDS that more closely aligned with circulatory failure mechanisms and mortality than current RVD definitions.

Study context

Population
ICU patients with acute respiratory distress syndrome (ARDS) who received TTE within 7 days of ARDS onset, University Hospital ICU, Birmingham, UK, April 2016–December 2021single centre
Participants
801 patients
Exposure
Four TTE/hemodynamic cardiovascular subphenotypes (latent class analysis (LCA)-derived) vs current right ventricular dysfunction (RVD) definitions for mortality
Outcome
90-day mortality by subphenotype
Follow-up
90 days
Methodological detailssingle-centre, latent class analysis
  • Single-centre
  • Latent class analysis

Main finding

As reported in the abstract

Odds ratio

6.9

95% CI 4.0–11.8

By group

Class 3
OR 6.9 (95% CI 4.0–11.8)

Observational data: associations, not effects.

Further findings

Different three-variable models had high diagnostic accuracy in identifying each latent subphenotype

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Cardiovascular Subphenotypes in Acute Respiratory Distress Syndrome*. Crit Care Med. Published 6 January 2023. doi:10.1097/ccm.0000000000005751

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

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