Respiratory failure & ventilation

Polymyxin B-immobilised fibre column treatment for acute exacerbation of idiopathic pulmonary fibrosis patients with mechanical ventilation: a nationwide observational study

J Intensive CarePublished Retrospective cohort study

Main findingResult — go to the resultOdds ratio 1.56 95% CI 0.80–3.06

Authors' conclusion

In AE-IPF patients using mechanical ventilation, the treatment outcome was not significantly better for PMX combined with high-dose mPSL than for high-dose mPSL alone.

Study context

Population
Adults with acute exacerbation of idiopathic pulmonary fibrosis (AE-IPF) receiving high-dose methylprednisolone (mPSL) and mechanical ventilation on admission, Japanese Diagnosis Procedure Combination database, 2010–2018
Participants
5,616 adults
Exposure
PMX combined with high-dose mPSL vs high-dose mPSL alone
  • PMXn = 199
  • mPSL alonen = 5,417reference
Outcome
In-hospital mortality
Methodological detailsnationwide database, stabilised inverse probability of treatment weighting (IPTW) using propensity scores
  • Nationwide database
  • Stabilised inverse probability of treatment weighting (IPTW) using propensity scores

Main finding

As reported in the abstract

Odds ratio

1.56

95% CI 0.80–3.06

P = 0.19

By group

PMX vs mPSL alone
OR 1.56 (95% CI 0.80–3.06); P = 0.19

Observational data: associations, not effects.

Secondary outcomes

14- and 28-day mortality and hospital LOS

No significant difference between the two groups

Original publication

Polymyxin B-immobilised fibre column treatment for acute exacerbation of idiopathic pulmonary fibrosis patients with mechanical ventilation: a nationwide observational study. J Intensive Care. Published 11 October 2023. doi:10.1186/s40560-023-00693-0

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