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Activity Number: 144
Type: Contributed
Date/Time: Monday, August 7, 2006 : 10:30 AM to 12:20 PM
Sponsor: Section on Statistics in Epidemiology
Abstract - #307272
Title: Estimating the Causal Effect of LTVV on ALI with G-Computation
Author(s): Weiwei Wang*+ and Daniel Scharfstein and Dale Needham and Roy Brower and Peter Pronovost
Companies: Johns Hopkins University and Johns Hopkins Bloomberg School of Public Health and Johns Hopkins Medical Institutions and Johns Hopkins Medical Institutions and Johns Hopkins Medical Institutions
Address: 615 N. Wolfe Street, Baltimore, MD, 21205,
Keywords: causal inference ; g-computation ; dynamic treatment regime ; potential outcomes
Abstract:

The Lower Tidal Volume Ventilation (LTVV) approach is a dynamic treatment regime using volume- and pressure-limited mechanical ventilation for patients with Acute Lung Injury (ALI). We used G-Computation (Lok et al., 2004) to estimate the potential survival function of the LTVV approach among ALI patients in an ARDSNetwork clinical trial (ARDSNetwork, 2000). Our results demonstrate that strict adherence to LTVV is efficacious at reducing short-term mortality.


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