Respiratory failure & ventilation

Different microcirculatory patterns in patients with COVID-19 and non-COVID-19 ARDS: A multicenter cross-sectional study

J Crit CarePublished Cross-sectional study

Authors' conclusion

Patients with COVID-19 exhibited a distinctive pattern of sublingual microcirculation, mainly characterized by increased vascular density.

Study context

Population
Mechanically ventilated patients with ARDS from four ICUs, and healthy volunteersfour ICUs
Participants
62 / 20 / 20
Exposure
COVID-19 vs non-COVID-19 ARDS
  • COVID-19n = 62
  • non-COVID-19 ARDSn = 20
  • Healthy volunteersn = 20reference
Outcome
Sublingual microcirculation (total vascular density) assessed by videomicroscopy
Methodological detailsmulticentre
  • Multicentre

Main finding

As reported in the abstract

Total vascular density

P < 0.001

Observational data: associations, not effects.

Further findings

Proportion of perfused vessels and microvascular flow index

Less alterations in COVID-19 vs non-COVID-19

Determinants of total vascular density (multivariate linear analysis)

Independently associated with proportion of perfused vessels, SOFA score, base excess and hematocrit

Original publication

Different microcirculatory patterns in patients with COVID-19 and non-COVID-19 ARDS: A multicenter cross-sectional study. J Crit Care. Published 5 November 2025. doi:10.1016/j.jcrc.2025.155348

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