Accès ouvert déclaré
2025
article
Mechanical power is not associated with mortality in COVID-19 mechanically ventilated patients
Enric Barbeta, Cláudia Barreiros, Edoardo Forin, Amedeo Guzzardella, Ana Motos, Laia Fernández‐Barat, Albert Gabarrús, Adrián Ceccato, Ricard Ferrer, Jordi Riera, Óscar Peñuelas, José A. Lorente, David de Gonzalo-Calvo, Jessica González, Rosario Amaya‐Villar, José M. Añón, Ana Balan, Carme Barberà, José Barberán, Aarón Blandino, María Victoria Boado, Elena Bustamante‐Munguira, Jesús Caballero, María Luisa Cantón‐Bulnes, Cristina Carbajales, Nieves Carbonell, Mercedes Catalán-González, Nieves Franco, Víctor D. Gumucio-Sanguino, María del Carmen de la Torre, Emilio Díaz, Ángel Estella, Elena Gallego, López Gómez Jm, Arturo Huerta, Ruth Noemí Jorge García, Ana Loza-Vázquez, Judith Marín‐Corral, M.C. Martín Delgado, Amalia Martínez, Ignacio Martínez Ruiz, Juan José López Gómez, Guillermo M. Albaiceta, María Teresa García Nieto, Mariana Andrea Novo, Yhivian Peñasco, Felipe Pérez‐García, Pilar Ricart, Alejandro Rodrı́guez, Víctor Sagredo, Ángel Sánchez-Miralles, Susana Sancho, Ferran Roche‐Campo, Lorenzo Socías, Jordi Solé‐Violán, Luís Tamayo, José Trenado, Alejandro Úbeda, Luis Jorge Valdivia, Pablo Vidal, Ferrán Barbé, Jordi Vallverdú, Antoní Torres, Berta Adell-Serrano, Alexander Agrifoglio, María Aguilar Cabello, Luciano Aguilera, Victoria Alcaraz-Serrano, César Aldecoa, Cynthia Alegre, Sergio Álvarez, Antonjo Álvarez Ruiz, Rut Andrea, José Ángel, Marta Arrieta, Ignacio Ayestarán, Joan R. Badia, Mariona Badía, Orville Báez Pravia, Begoña Balsera, Laura Barbena, Tommaso Bardi, Patricia Barral Segade, Marta Barroso, José Ángel Berezo García, Judit Bigas, Rafael Blancas, María Luisa Blasco, María Bodi Saera, Neus Bofill, María Teresa Bouza Vieiro, Leticia Bueno, Juan Bustamante‐Munguira, Lucia Cachafeiro, David Campi Hermoso, Sandra Campos Fernández, Iosune Cano, Pablo Cardina Fernández, Laura Carrión García, Sula Carvalho, Núria Casacuberta-Barberà, Manuel Castellà, Andrea Castellví, Pedro Castro, Ramón Cicuéndez Avila, Catia Cillóniz, Luisa Clar, Cristina Climent, Jordi Codina, Pamela Conde, Sofía Contreras, Raúl de Pablo, Diego de Mendoza, Cecilia del Busto Martínez, Yolanda Díaz, María Digna Rivas Vilas, Cristina Moreno, Irene Dot, Pedro Enríquez Giraudo, Inés Esmorís Arijón, Teresa Farre Monjo, Javier Fernández, Carlos Ferrando, Albert Figueras, Eva Forcadell-Ferreres, Lorena Forcelledo Espina, Àngels Furro, Beatriz García, Emilio García-Prieto, Carlos García Redruello, Amaia García Sagastume, Maria Luisa Gascón Castillo, Gemma Gomà, Vanesa Gómez Casal, Sílvia Gómez, Carmen Gómez González, Jessica González, Federico Gordo, M.P. Gracia, Alba Herraiz, Rubén Herrán‐Monge, Mercedes Ibarz, Sílvia Iglesias, Maria Teresa Janer, Gabriel Jiménez, Mar Juan Díaz, Kasra Kiarostami, Juan I. Lazo Álvarez, Miguel Leonardo García León, Alexandre López-Gavín, Ana López Lago, Desire Macias Guerrero, Nuria Mamolar Herrera, Rafael Mañez Mendiluce, Cecilia L. Mantellini, Gregorio Marco Naya, Pilar Marcos, Enrique Marmol Peis, Paula Martín Vicente, María Martínez-Martínez, Carmen Eulalia Martínez Fernández, Maria Dolores Martínez Juan, J.F. Masa Jiménez, Joan Ramón Masclans, Emilio Maseda, Eva María Menor Fernández, Mar Miralbés, Josman Monclou, Juan Carlos Montejo, Neus Montserrat, María Mora Aznar, Pedro Moral-Parras, Dulce Morales, Sara Guadalupe Moreno Cano, David Mosquera Rodríguez, Rosana Muñoz-Bermúdez, José M. Nicolás, Ramón Nogué Bou, Rafaela Nogueras Salinas, Marta Ocón, Ana Ortega, Sergio Ossa, Pablo Pagliarani, Anna Pous, F Parrilla, Leire Pérez Bastida, Purificación Pérez, Gloria Pérez Planelles, Eva Pérez Rubio, David Pestaña Laguna, Àngels Piñol-Tena, Javier Prados, Andrés Pujol, Núria Ramon Coll, Gloria Renedo Sánchez‐Girón, Laura Rodríguez, Felipe Rodrı́guez de Castro, Silvia Rodríguez, Covadonga Rodríguez Ruiz, Jorge Rubio, Alberto Rubio-López, Miriam Ruiz Miralles, Pablo Ryan Murúa, Eva Saborido Paz, Ana Salazar Degracia, Miguel Sánchez, Ana Sánchez, Bitor Santacoloma, María Teresa Sariñena, Marta Segura Pensado, Lidia Serra, Mireia Serra-Fortuny, A. Serrano Lázaro, Luis Serviá, Laura Soliva, Carla Speziale, Daniel Tognetti, Adrián Tormos, Mateu Torres, Sandra Trefler, Javier Trujillano, Luis Urrelo-Cerrón, Estela Val, Luis Valdivia Ruiz, Montse Vallverdú, Maria Van der Hofstadt Martin-Montalvo, Sabela Vara Adrio, Nil Vázquez, Javier Vengoechea, Pablo Vidal Cortés, C. Vilà, Judit Vilanova, Tatiana Villada Warrington, Hua Yang, Minlan Yang, Ana Zapatero, Júlia Vidal
9Citations signalées — pas une note de qualité
64Institutions déclarées
2Pays d’affiliation déclarés
Résumé fourni par la source
BACKGROUND: The relative contribution of the different components of mechanical power to mortality is a subject of debate and has not been studied in COVID-19. The aim of this study is to evaluate both the total and the relative impact of each of the components of mechanical power on mortality in a well-characterized cohort of patients with COVID-19-induced acute respiratory failure undergoing invasive mechanical ventilation. This is a secondary analysis of the CIBERESUCICOVID project, a multicenter observational cohort study including fifty Spanish intensive care units that included COVID-19 mechanically ventilated patients between February 2020 and December 2021. We examined the association between mechanical power and its components (elastic static, elastic dynamic, total elastic and resistive power) with 90-day mortality after adjusting for confounders in seven hundred ninety-nine patients with COVID-19-induced respiratory failure undergoing invasive mechanical ventilation. RESULTS: O. Mechanical power at the initiation of mechanical ventilation was 24.3 (18.9; 29.6) J/min, showing no significant changes after three days. In multivariable regression analyses, mechanical power and its components were not associated with 90-day mortality at the start of mechanical ventilation. After three days, total elastic and elastic static power were associated with higher 90-day mortality, but this relationship was also found for positive end-expiratory pressure. CONCLUSIONS: Neither mechanical power nor its components were independently associated with mortality in COVID-19-induced acute respiratory failure at the start of MV. Nevertheless, after three days, static elastic power and total elastic power were associated with lower odds of survival. Positive end-expiratory pressure and plateau pressure, however, captured this risk in a similar manner.
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Contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Mechanical power is not associated with mortality in COVID-19 mechanically ventilated patients
- Date Crossref
- 01/01/2025
- Éditeur
- Elsevier BV
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude et ne compte pas comme une seconde source scientifique indépendante.
Institutions déclarées
Une affiliation ne permet pas de déduire la nationalité d’un auteur.
Sujets associés
Respiratory Support and MechanismsSepsis Diagnosis and TreatmentIntensive Care Unit Cognitive Disorders