Evidence map›Paper›PMID 28651648›Full record

Trial reportTrials2017

The Risk of Oxygen during Cardiac Surgery (ROCS) trial: study protocol for a randomized clinical trial.

Marcos G Lopez, Mias Pretorius, Matthew S Shotwell, Robert Deegan, Susan S Eagle, Jeremy M Bennett, Bantayehu Sileshi, Yafen Liang, Brian J Gelfand, Adam J Kingeter and 7 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02361944 (Risk of Oxygen During Cardiac Surgery), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.4field-weighted citation impact, top 17% 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.

NCT02361944 phase2 / phase3completednot on this map

Risk of Oxygen During Cardiac Surgery (ROCS) Trial

TypeinterventionalSponsorVanderbilt UniversityRan2016 to 2021Enrolled213ConditionsCardiac SurgeryArmsOxygen - normoxia, Oxygen - hyperoxia
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 24 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Review
  5. Review
  6. Review
  7. Article
  8. Intraoperative Oxygen Practices in Cardiac Surgery: A National Survey.Journal of cardiothoracic and vascular anesthesia · 2022
    Article
  9. Year in Review 2021: Noteworthy Literature in Cardiothoracic Anesthesia.Seminars in cardiothoracic and vascular anesthesia · 2022
    Review
  10. Review
  11. Article
  12. Article
  13. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 1 institution in 1 country.

Marcos G LopezDivision of Anesthesiology Critical Care Medicine, Department of Anesthesiology, Vanderbilt University Medical Center, 1211 21st Avenue South, Suite 526, Nashville, TN, 37212, USA.
Mias PretoriusDivision of Cardiothoracic Anesthesiology, Department of Anesthesiology, Vanderbilt University Medical Center, 1211 21st Avenue South, Suite 526, Nashville, TN, 37212, USA.
Matthew S ShotwellDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, TN, USA.
Robert DeeganDivision of Cardiothoracic Anesthesiology, Department of Anesthesiology, Vanderbilt University Medical Center, 1211 21st Avenue South, Suite 526, Nashville, TN, 37212, USA.
Susan S EagleDivision of Cardiothoracic Anesthesiology, Department of Anesthesiology, Vanderbilt University Medical Center, 1211 21st Avenue South, Suite 526, Nashville, TN, 37212, USA.
Jeremy M BennettDivision of Cardiothoracic Anesthesiology, Department of Anesthesiology, Vanderbilt University Medical Center, 1211 21st Avenue South, Suite 526, Nashville, TN, 37212, USA.
Bantayehu SileshiDivision of Cardiothoracic Anesthesiology, Department of Anesthesiology, Vanderbilt University Medical Center, 1211 21st Avenue South, Suite 526, Nashville, TN, 37212, USA.
Yafen LiangDivision of Cardiothoracic Anesthesiology, Department of Anesthesiology, Vanderbilt University Medical Center, 1211 21st Avenue South, Suite 526, Nashville, TN, 37212, USA.
Brian J GelfandDivision of Cardiothoracic Anesthesiology, Department of Anesthesiology, Vanderbilt University Medical Center, 1211 21st Avenue South, Suite 526, Nashville, TN, 37212, USA.
Adam J KingeterDivision of Anesthesiology Critical Care Medicine, Department of Anesthesiology, Vanderbilt University Medical Center, 1211 21st Avenue South, Suite 526, Nashville, TN, 37212, USA.
Kara K SiegristDivision of Cardiothoracic Anesthesiology, Department of Anesthesiology, Vanderbilt University Medical Center, 1211 21st Avenue South, Suite 526, Nashville, TN, 37212, USA.
Frederick W LombardDivision of Cardiothoracic Anesthesiology, Department of Anesthesiology, Vanderbilt University Medical Center, 1211 21st Avenue South, Suite 526, Nashville, TN, 37212, USA.
Tiffany M RichburgDivision of Cardiothoracic Anesthesiology, Department of Anesthesiology, Vanderbilt University Medical Center, 1211 21st Avenue South, Suite 526, Nashville, TN, 37212, USA.
Dane A ForneroCardiovascular Perfusion Technology Program, Vanderbilt University Medical Center, Nashville, TN, USA.
Andrew D ShawDivision of Cardiothoracic Anesthesiology, Department of Anesthesiology, Vanderbilt University Medical Center, 1211 21st Avenue South, Suite 526, Nashville, TN, 37212, USA.
Antonio HernandezDivision of Anesthesiology Critical Care Medicine, Department of Anesthesiology, Vanderbilt University Medical Center, 1211 21st Avenue South, Suite 526, Nashville, TN, 37212, USA.
Frederic T BillingsDivision of Anesthesiology Critical Care Medicine, Department of Anesthesiology, Vanderbilt University Medical Center, 1211 21st Avenue South, Suite 526, Nashville, TN, 37212, USA. frederic.t.billings@vanderbilt.edu.
Vanderbilt University Medical Center · US

Funding

The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
Hyper-oxygenation, oxidative stress, and kidney injury following cardiac surgeryR01GM112871 · NIGMS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BILLINGS, FREDERIC TREMAINE · 2015 to 2019
$1.8M
Mitochondrial dysfunction, oxidative stress, and surgical acute kidney injuryK23GM102676 · NIGMS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BILLINGS, FREDERIC TREMAINE · 2012 to 2016
$808k
NCATS NIH HHS UL1 TR000445NIGMS NIH HHS K23 GM102676NIGMS NIH HHS R01 GM112871
6 · The paper itself

Abstract

backgroundAnesthesiologists administer excess supplemental oxygen (hyper-oxygenation) to patients during surgery to avoid hypoxia. Hyper-oxygenation, however, may increase the generation of reactive oxygen species and cause oxidative damage. In cardiac surgery, increased oxidative damage has been associated with postoperative kidney and brain injury. We hypothesize that maintenance of normoxia during cardiac surgery (physiologic oxygenation) decreases kidney injury and oxidative damage compared to hyper-oxygenation. METHODS/

designThe Risk of Oxygen during Cardiac Surgery (ROCS) trial will randomly assign 200 cardiac surgery patients to receive physiologic oxygenation, defined as the lowest fraction of inspired oxygen (FIO DISCUSSION: The ROCS trial will test the hypothesis that intraoperative physiologic oxygenation decreases oxidative damage and organ injury compared to hyper-oxygenation in patients undergoing cardiac surgery.

trial registrationClinicalTrials.gov, ID: NCT02361944 . Registered on the 30th of January 2015.

Indexed as

Cardiac Surgical ProceduresBiomarkersClinical ProtocolsCreatinineF2-IsoprostanesFuransHumansHyperoxiaIntraoperative CareOxidative StressOxygenOxygen Inhalation TherapyOxyhemoglobinsResearch DesignRespiration, ArtificialRisk FactorsBiomarkersCreatinineF2-IsoprostanesFuransOxygenOxyhemoglobinsAcute kidney injuryCardiac surgeryClinical trialDeliriumEndothelial dysfunctionHyperoxiaHyper-oxygenationIsofuransIsoprostanesNormoxiaOxidative stressPhysiologic oxygenationReactive oxygen species

Identifiers

PMID28651648
PMCPMC5485572
OpenAlexW2643274989

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.