Effect modification by chronic obstructive pulmonary disease, anion gap, and serum creatinine on the association between invasive mechanical ventilation and 28-day mortality in intensive care unit sepsis patients: a retrospective cohort study - Takeaways - MDSpire

Effect modification by chronic obstructive pulmonary disease, anion gap, and serum creatinine on the association between invasive mechanical ventilation and 28-day mortality in intensive care unit sepsis patients: a retrospective cohort study

  • By

  • Yan Xue

  • Shao-Xiong Chen

  • Guo-Ren Chen

  • Wei Lin

  • Xing-Feng Yu

  • Hao Lin

  • Ran Chen

  • May 27, 2026

  • 0 min

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  • 1

    Mechanical ventilation (MV) is independently associated with increased 28-day mortality in ICU sepsis patients.

  • 2

    The 28-day mortality rate was significantly higher in patients receiving MV compared to those who did not.

  • 3

    Chronic obstructive pulmonary disease (COPD), anion gap, and serum creatinine significantly modify the MV-mortality association.

  • 4

    Patients with an elevated anion gap showed a pronounced adverse association with MV and mortality.

  • 5

    These findings emphasize the need for individualized assessment and tailored respiratory management strategies in sepsis patients.

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