Respiratory failure & ventilation

Sex-dependent differences in regional lung mechanics; A retrospective observational study

J Crit CarePublished Retrospective observational study

Authors' conclusion

The difference between dynamic compliance/positive end-expiratory pressure during electrical impedance tomography between men and women could be explained by the difference in height.

Study context

Population
Critically ill mechanically ventilated patients who underwent an electrical impedance tomography measurement with incremental and decremental PEEP trials
Participants
259 participants
Exposure
Women vs men
  • Womenn = 69
  • Menn = 190reference
Outcome
Mean dynamic compliance/PEEP steps (linear regression)

Main finding

As reported in the abstract

Dynamic compliance
Women vs MenDifference, mL/cmH2O (CI)P value
Adjusted for height; not significant
1.0(−4.6 to 2.6)
P = 0.593
Adjusted for predicted body weight; not significant
0.5(−3.6 to 4.7)
P = 0.800
Lower in women; unadjusted
difference 4.8 mL/cmH2O (CI −7.5 to −2.1); P = 0.001

Observational data: associations, not effects.

Further findings

Tidal volume per predicted body weight · higher in women

P < 0.001

Original publication

Sex-dependent differences in regional lung mechanics; A retrospective observational study. J Crit Care. Published 28 November 2025. doi:10.1016/j.jcrc.2025.155366

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