Evidence map›Paper›PMID 27601891›Full record

Trial reportInternational journal of chronic obstructive pulmonary disease2016

Automated oxygen titration and weaning with FreeO2 in patients with acute exacerbation of COPD: a pilot randomized trial.

François Lellouche, Pierre-Alexandre Bouchard, Maude Roberge, Serge Simard, Erwan L'Her, François Maltais, Yves Lacasse

4 registry-linked trialsOpen access · goldAbstract readComparative StudyRandomized Controlled TrialVideo-Audio Media
In one paragraph

Trial report in International journal of chronic obstructive pulmonary disease, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 30 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 3 pooled it
4.4field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03464695 nacompletednot on this mapstarted 2018, after this paper: background citation

Automated Oxygen Delivery by O2matic to Patients Admitted With an Exacerbation in COPD

TypeinterventionalSponsorHvidovre University HospitalRan2018 to 2018Enrolled20ConditionsCOPD Exacerbation, Hypoxia, Hyperoxia, Respiratory FailureArmsO2matic
NCT03661086 nacompletednot on this mapstarted 2018, after this paper: background citation

Oxygen Control and Weaning by O2matic to Patients Admitted With an Exacerbation of COPD

TypeinterventionalSponsorHvidovre University HospitalRan2018 to 2022Enrolled157ConditionsCOPD Exacerbation, Hypoxia, Hypoxemia, HyperoxiaArmsO2matic
NCT04189991 nasuspendednot on this mapstarted 2020, after this paper: background citation

Oxygen Titration Protocol for Exertion of COPD Patients by an Automated Adjustment Device: a Monocentric, Prospective, Cross-over Study.

TypeinterventionalSponsorADIR AssociationRan2020 to 2023Enrolled25ConditionsCOPD, Chronic Respiratory InsufficiencyArmsFree 02
NCT04320056 naunknown statusnot on this mapstarted 2020, after this paper: background citation

Automated Oxygen Titration - Monitoring and Weaning in Patients With Infectious Pneumonia Requiring Oxygen - Impact on the Number of Interventions for Healthcare Workers. An Innovative Device to Manage Patients With COVID-19 Pneumonia COVID Study (Closed-Loop Oxygen to Verify That Healthcare Workers Interventions Decreaseduring Pneumonia)

TypeinterventionalSponsorLaval UniversityRan2020 to 2021Enrolled216ConditionsCoronavirus, Pneumonia, Oxygen ToxicityArmsStandard administration of oxygen flow, Automated oxygen administration - FreeO2
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 3 syntheses or guidelines pooled it, 69 citations in OpenAlex.

  1. Manual compared to automated closed-loop oxygen control strategies in hospitalised adults: a systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2026
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. Trial
  12. Trial
  13. Trial
  14. Trial
  15. Automated oxygen control with O2maticInternational journal of chronic obstructive pulmonary disease
    Trial
  16. Article
  17. Article
  18. Effect of automated titration of oxygen on time spent in a prescribed oxygen saturation range in adults in the ICU after cardiac surgery.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2024
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 1 institution in 2 countries.

François LelloucheResearch Centre.
Pierre-Alexandre BouchardResearch Centre.
Maude RobergeResearch Centre.
Serge SimardResearch Centre; Biostatistics Department, Quebec Heart and Lung Institute, Laval University.
Erwan L'HerResearch Centre; Emergency Medicine, Hôtel-Dieu de Lévis, Laval University, Quebec City, QC, Canada.
François MaltaisResearch Centre.
Yves LacasseResearch Centre.
Art Research Centre of the Slovak Academy of Sciences · SK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWe developed a device (FreeO2) that automatically adjusts the oxygen flow rates based on patients' needs, in order to limit hyperoxia and hypoxemia and to automatically wean them from oxygen.

objectiveThe aim of this study was to evaluate the feasibility of using FreeO2 in patients hospitalized in the respiratory ward for an acute exacerbation of COPD.

methodsWe conducted a randomized controlled trial comparing FreeO2 vs manual oxygen titration in the respiratory ward of a university hospital. We measured the perception of appropriateness of oxygen titration and monitoring in both groups by nurses and attending physicians using a Likert scale. We evaluated the time in the target range of oxygen saturation (SpO2) as defined for each patient by the attending physician, the time with severe desaturation (SpO2 <85%), and the time with hyperoxia (SpO2 >5% above the target). We also recorded length of stay, intensive care unit admissions, and readmission rate. Fifty patients were randomized (25 patients in both groups; mean age: 72±8 years; mean forced expiratory volume in 1 second: 1.00±0.49 L; and mean initial O2 flow 2.0±1.0 L/min).

resultsNurses and attending physicians felt that oxygen titration and monitoring were equally appropriate with both O2 administration systems. The percentage of time within the SpO2 target was significantly higher with FreeO2, and the time with severe desaturation and hyperoxia was significantly reduced with FreeO2. Time from study inclusion to hospital discharge was 5.8±4.4 days with FreeO2 and 8.4±6.0 days with usual oxygen administration (P=0.051).

conclusionFreeO2 was deemed as an appropriate oxygen administration system by nurses and physicians of a respiratory unit. This system maintained SpO2 at the target level better than did manual titration and reduced periods of desaturation and hyperoxia. Our results also suggest that FreeO2 has the potential to reduce the hospital length of stay.

Indexed as

AgedAged, 80 and overAttitude of Health PersonnelBiomarkersEquipment DesignFeasibility StudiesFemaleHealth Knowledge, Attitudes, PracticeHospitalizationHospitals, UniversityHumansHyperoxiaHypoxiaLungMaleMedical Staff, HospitalBiomarkersOxygenclosed-loophyperoxiahypoxiaoxygen inhalation therapytechnological innovations

Identifiers

PMID27601891
PMCPMC5003517
OpenAlexW2509190120

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.