Respiratory failure & ventilation

Mechanical power normalisation methods to predict ICU mortality: a retrospective cohort study

Ann Intensive CarePublished Retrospective cohort study

Authors' conclusion

Mechanical power normalised to compliance and MPratio had better discrimination for ICU mortality than MP, although the difference was modest and absolute predictive power remained limited.

Study context

Population
Mechanically ventilated adults in a single centre over a seven-year period
Participants
3,578 participants
Exposure
Mechanical power (MP) normalised to dead space, compliance or as MPratio vs MP without normalisation
Outcome
Discriminatory accuracy (AUROC) for ICU mortality
Methodological detailssingle-centre, observational
  • Single-centre
  • Observational

Main finding

As reported in the abstract

ICU mortality discrimination (AUROC)

MP/compliance

0.71

AUROC · 95% CI 0.69–0.73

MPratio

0.71

AUROC · 95% CI 0.68–0.73

MP

0.69

AUROC · 95% CI 0.66–0.71

MP/compliance vs MP: P = 0.007 · MPratio vs MP: P = 0.0014

Observational data: associations, not effects.

Further findings

Linearity of MP and MPratio relationship with ICU mortality

Statistically significant but small departure from linearity

Original publication

Mechanical power normalisation methods to predict ICU mortality: a retrospective cohort study. Ann Intensive Care. Published 30 September 2025. doi:10.1186/s13613-025-01562-9

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

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