Table 2.
uOR analysis |
aOR analysis |
aHR analysis |
Mean difference analysis |
GRADE certainty | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Studies, n | Patients, n | uOR (95% CI) | Studies, n | Patients, n | aOR (95% CI) | Studies, n | Patients, n | aHR (95% CI) | Studies, n | Patients, n | Mean difference (95% CI) | ||
Patient factors | |||||||||||||
Older age | 1145, 48, 49, 52, 56, 61, 62, 68, 69, 71, 72 | 6275 | 2·51 (2·07 to 3·03) | 443, 44, 67, 68 | 1137 | 2·09 (1·22 to 3·59) | 513, 38, 45, 70, 71 | 5607 | 2·27 (1·63 to 3·16) | .. | .. | .. | High |
Male sex | 266, 37, 39, 40, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 58, 60, 62, 63, 64, 65, 66, 67, 68, 71, 74 | 7947 | 1·34 (1·20 to 1·49) | 442, 43, 44, 67 | 887 | 1·42 (0·98 to 2·05) | 413, 44, 71, 75 | 5669 | 1·06 (0·96 to 1·16) | .. | .. | .. | Moderate |
Chronic lung disease | 1935, 37, 39, 40, 46, 49, 50, 52, 55, 60, 62, 64, 66, 67, 68, 71, 72, 73, 74 | 9387 | 1·08 (0·92 to 1·26) | 335, 43, 44 | 431 | 2·50 (1·09 to 5·74) | 313, 35, 71 | 5103 | 1·55 (1·20 to 2·00) | .. | .. | .. | Moderate |
Obesity | 1435, 41, 49, 51, 54, 55, 61, 62, 66, 67, 68, 72, 73, 74 | 5408 | 0·84 (0·72 to 0·97) | 243, 44 | 330 | 0·67 (0·36 to 1·27) | 271, 74 | 275 | 0·94 (0·75 to 1·19) | .. | .. | .. | Low |
Immunocompromised | 535, 46, 50, 68, 71 | 666 | 2·34 (1·19 to 4·61) | 173 | 1985 | 4·35 (2·46 to 7·69) | 113 | 4812 | 1·06 (0·83 to 1·35) | .. | .. | .. | Low |
Pre-cannulation disease factors | |||||||||||||
Higher driving pressure | .. | .. | .. | .. | .. | .. | 238, 74 | 244 | 2·36 (1·40 to 3·97) | .. | .. | .. | High |
Longer symptom duration | .. | .. | .. | .. | .. | .. | .. | .. | .. | 837, 42, 56, 58, 63, 65, 69, 71 | 463 | −1·51 days (−2·65 to −0·36) | Moderate |
Higher PaCO2 | .. | .. | .. | .. | .. | .. | 238, 74 | 244 | 3·18 (1·41 to 7·15) | 1635, 37, 40, 41, 43, 46, 49, 51, 53, 54, 58, 60, 64, 71, 72, 74 | 1929 | −4·04 mm Hg (−6·44 to −1·64) | Moderate |
Longer IMV duration | 635, 36, 45, 57, 59, 72 | 1482 | 1·94 (1·40 to 2·67) | 343, 67, 73 | 455 | 1·11 (0·65 to 1·92) | 145 | 127 | 1·66 (1·00 to 2·75) | 2037, 38, 40, 41, 42, 43, 46, 53, 54, 56, 58, 60, 63, 64, 65, 69, 71, 72, 73, 74 | 3897 | −1·15 days (−1·85 to −0·46) | Moderate |
Lower PaO2/FiO2 ratio | .. | .. | .. | .. | .. | .. | 238, 71 | 349 | 1·28 (1·12 to 1·46) | 2035, 37, 38, 41, 43, 49, 51, 53, 54, 55, 58, 60, 63, 64, 65, 69, 71, 72, 73, 74 | 4189 | 1·52 (−1·16 to 4·20) | Low |
Higher plateau pressure | .. | .. | .. | .. | .. | .. | .. | .. | .. | 1235, 38, 40, 41, 43, 49, 54, 58, 65, 71, 72, 74 | 1738 | −0·71 cm H2O (−1·15 to −0·06) | Low |
Need for renal replacement therapy | 749, 51, 54, 60, 65, 71, 72 | 1145 | 3·18 (1·41 to 7·17) | .. | .. | .. | .. | .. | .. | .. | .. | .. | Low |
Lower positive end expiratory pressure | .. | .. | .. | .. | .. | .. | .. | .. | .. | 1637, 40, 46, 49, 51, 54, 58, 60, 63, 64, 65, 68, 71, 72, 73, 74 | 3750 | −0·05 cm H2O (−0·37 to 0·26) | No effect (low) |
Higher tidal volume | .. | .. | .. | .. | .. | .. | .. | .. | .. | 935, 38, 40, 41, 53, 54, 71, 72, 74 | 1304 | 0·03 mL/kg (−0·09 to 0·15) | No effect (low) |
Lower compliance | .. | .. | .. | .. | .. | .. | .. | .. | .. | 1038, 41, 43, 53, 54, 60, 63, 65, 71, 74 | 1149 | 1·55 (−0·12 to 3·21) | Very low |
Higher peak pressure | .. | .. | .. | .. | .. | .. | .. | .. | .. | 537, 49, 51, 64, 73 | 2235 | 1·20 (−1·51 to 3·90) cm H2O | Very low |
Bacterial co-infection | .. | .. | .. | 240, 73 | 2059 | 0·58 (0·13 to 2·57) | 213, 70 | 5131 | 1·03 (0·88 to 1·20) | .. | .. | .. | Moderate |
Pre-ECMO proning | .. | .. | .. | 267, 73 | 2490 | 0·97 (0·58 to 1·63) | 244, 75 | 667 | 1·18 (0·86 to 1·61) | .. | .. | .. | Low |
Centre factors | |||||||||||||
Lower volume | .. | .. | .. | 243, 68 | 609 | 2·27 (1·28 to 4·05) | 313, 70, 75 | 5526 | 1·57 (1·11 to 2·20) | .. | .. | .. | Moderate |
uOR=unadjusted odds ratio. aOR=adjusted odds ratio. aHR=adjusted hazard ratio. GRADE=Grading of Recommendations Assessment, Development and Evaluation. PaCO2=partial pressure of arterial carbon dioxide. IMV=invasive mechanical ventilation. PaO2=partial pressure of arterial oxygen. FiO2=fractional concentration of oxygen in inspired air. ECMO=extracorporeal membrane oxygenation.