Respiratory failure & ventilation

High positive end-expiratory pressure (PEEP)/low FiO2 ventilation is associated with lower mortality in COVID–19

J Crit CarePublished Retrospective observational study

Main findingResult — go to the resultHazard ratio 0.66 CI 0.46–0.96

Authors' conclusion

High PEEP ventilation was associated with improved ICU survival in patients with COVID-ARDS.

Study context

Population
Invasively ventilated COVID-19 acute respiratory distress syndrome (ARDS) patients during the second wave in the Netherlands790 included (groups' n sum differs)
Participants
142 vs 848
Exposure
High PEEP/low FiO2 vs low PEEP ventilation
  • High PEEPn = 142
  • Low PEEPn = 848reference
Outcome
ICU mortality
Methodological detailspropensity matching
  • Propensity matching

Main finding

As reported in the abstract

Hazard ratio

0.66

CI 0.46–0.96

P = 0.03

Events by group

High PEEP vs Low PEEP
HR 0.66 (CI 0.46–0.96); P = 0.03

Observational data: associations, not effects.

Secondary outcomes

Hospital and 90-day mortality, duration of ventilation, LOS, kidney injury

High PEEP linked to improved secondary outcomes

ICU mortality (propensity-matched analysis)

Matched analysis did not change findings

Original publication

High PEEP/low FiO2 ventilation is associated with lower mortality in COVID–19. J Crit Care. Published 11 July 2024. doi:10.1016/j.jcrc.2024.154854

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

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