Respiratory failure & ventilation

Racial and ethnic minority participants in clinical trials of acute respiratory distress syndrome

Intensive Care MedPublished Secondary analysis of eight acute respiratory distress syndrome (ARDS) Network and PETAL Network randomised trials

Authors' conclusion

Representation of racial and ethnic minority participants in ARDS trials from North America, published between 2000 and 2019, did not change over time. Black and Hispanic participants with ARDS may have similar mortality as White participants within trials.

Study context

Population
Participants with ARDS in ARDS Network and PETAL Network therapeutic trials published 2000–2019
Participants
5,375 participants · 8 trials
Comparison
Racial and ethnic minority vs White participants
Primary endpoint
Temporal trends of representation and mortality of racial and ethnic minority participants
Methodological detailspooled trial data, temporal trend analysis
  • Pooled trial data
  • Temporal trend analysis

Primary result

As reported in the abstract

Representation of racial and ethnic minority participants
Black, Hispanic, or Other race participants
1634 (30.4%)
Representation did not change significantly over time
p = 0.257

Further findings

Mortality, five most recent trials (n = 2923)

P = 0.633

Mortality difference, minority vs White, moderate to severe ARDS (PaO2/FiO2 < 150)

Difference in mortality between minority and White participants decreased over time

Mortality, five most recent trials (n = 2923)

No statistically significant differences in mortality between racial/ethnic groups, even after adjusting for potential confounders

Original publication

Racial and ethnic minority participants in clinical trials of acute respiratory distress syndrome. Intensive Care Med. Published 17 October 2023. doi:10.1007/s00134-023-07238-x

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