Respiratory failure & ventilation

Effect of mechanical power on mortality in invasively ventilated ICU patients without the acute respiratory distress syndrome: An analysis of three randomised clinical trials

Eur J AnaesthesiolPublished Individual patient data analysis of three multicentre randomised trials

Authors' conclusion

In ICU patients receiving invasive ventilation for reasons other than ARDS, MP had an independent association with mortality.

Study context

Population
Invasively ventilated ICU patients without acute respiratory distress syndrome (ARDS), academic and nonacademic ICUs in the Netherlands706 (36%) women
Participants
1,962 participants
Comparison
Increasing mechanical power levels
Outcome
All-cause mortality
Follow-up
Day 28

Pooled result

As reported in the abstract

Died at day 28
644 patients (33%)
Hazard ratios for mortality higher with increasing mechanical power (MP), even when stratified for driving pressure
P < 0.001
Higher with increasing MP, stratified for tidal volume
P < 0.001
Higher with increasing MP, stratified for respiratory rate
P < 0.001
Higher with increasing MP, stratified for maximum airway pressure
P = 0.001

Further pooled results

Mortality at day 90, ICU and hospital LOS

Similar associations of MP found

Original publication

Effect of mechanical power on mortality in invasively ventilated ICU patients without the acute respiratory distress syndrome: An analysis of three randomised clinical trials. Eur J Anaesthesiol. Published 18 November 2022. doi:10.1097/eja.0000000000001778

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

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