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Table 3 Respiratory mechanics, gas exchange and outcome of the patients divided according to lower or higher airway driving pressure at PEEP 15 cmH2O

From: Airway driving pressure and lung stress in ARDS patients

Variable

Overall population (N = 150)

Lower airway driving pressure (<15 cmH2O) (N = 97)

Higher airway driving pressure (≥15 cmH2O) (N = 53)

p value

Airway driving pressure (cmH2O)

13.2 [11.2–16.9]

11.9 [10.2–13.0]

18.0 [16.6–19.9]

<0.001

Transpulmonary driving pressure (cmH2O)

9.5 [7.8–12.2]

8.4 [6.6–9.7]

13.1 [10.4–15.5]

<0.001

End-inspiratory airway plateau pressure (cmH2O)

28.4 [25.8–31.3]

26.7 [24.8–28.2]

32.9 [30.8–35.1]

<0.001

Lung stress (cmH2O)

20.7 [17.9–23.1]

19.3 [16.8–21.7]

23.9 [20.8–26.2]

<0.001

Respiratory system elastance (cmH2O/L)

26.3 [21.2–32.2]

22.8 [19.5–26.6]

34.2 [29.6–41.9]

<0.001

Lung elastance (cmH2O/L)

18.7 [14.5–24.2]

16.7 [13.1–19.7]

24.6 [19.5–31.3]

<0.001

Chest wall elastance (cmH2O/L)

7.0 [4.8–10.3]

6.2 [4.6–8.2]

10.2 [5.9–12.3]

<0.001

PaCO2 (mmHg)a

45 [40.2–50.4]

43.8 [39.0–49]

46.8 [41.9–53.2]

0.039

PaO2/FiO2 ratioa

178 [137–237]

175 [136–230]

187 [146–257]

0.314

ICU mortality N (%)

48 (32.0)

28 (28.9)

20 (37.7)

0.352

  1. Lung mechanics and gas exchange variables were determined at PEEP 15 cmH2O. Statistical analysis: Mann-Whitney rank sum test, chi-square, as appropriate
  2. Abbreviations: PEEP positive end-expiratory pressure, PaCO 2 arterial partial pressure of carbon dioxide, PaO 2 arterial partial pressure of oxygen, FiO 2 inspired fraction of oxygen, ICU intensive care unit
  3. aData available in 91 patients (64 in the “lower airway driving pressure” group and 27 in the “higher airway driving pressure” group)