Evidence map›Paper›PMID 34496830›Full record

Observational studyBMC pulmonary medicine2021

Hyperoxaemia and hypoxaemia are associated with harm in patients with ARDS.

Andrew J Boyle, David N Holmes, Jonathan Hackett, Susanna Gilliland, Michael McCloskey, Cecilia M O'Kane, Paul Young, Stefania Di Gangi, Daniel F McAuley

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC pulmonary medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
4.7field-weighted citation impact, top 4% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 35 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Bench evidence, bedside uncertainty: hyperoxia, mechanical ventilation and lung injury.European respiratory review : an official journal of the European Respiratory Society · 2026
    Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. 2024 EACTS/EACTAIC Guidelines on patient blood management in adult cardiac surgery in collaboration with EBCP.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2025
    Article
  10. Article
  11. Effects ofBMJ open respiratory research · 2025
    Article
  12. Review
  13. Article
  14. Dangers of hyperoxia.Critical care (London, England) · 2021
    Review
  15. Article
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

9 authors at 4 institutions in 4 countries.

Andrew J Boyle *Regional Intensive Care Unit, Royal Victoria Hospital, Belfast, Northern Ireland. aboyle26@qub.ac.uk.ORCID http://orcid.org/0000-0002-6201-805X
David N Holmes *Regional Intensive Care Unit, Royal Victoria Hospital, Belfast, Northern Ireland.
Jonathan HackettRegional Intensive Care Unit, Royal Victoria Hospital, Belfast, Northern Ireland.
Susanna GillilandRegional Intensive Care Unit, Royal Victoria Hospital, Belfast, Northern Ireland.
Michael McCloskeyRegional Intensive Care Unit, Royal Victoria Hospital, Belfast, Northern Ireland.
Cecilia M O'KaneCentre for Experimental Medicine, Queen's University Belfast, 97 Lisburn Road, Belfast, Northern Ireland.
Paul YoungDepartment of Intensive Care Medicine, Wellington Regional Hospital, Wellington, New Zealand.
Stefania Di Gangi *Institute of Primary Care, University Hospital Zürich, Pestalozzistrasse 24, 8091, Zürich, Switzerland.
Daniel F McAuley *Regional Intensive Care Unit, Royal Victoria Hospital, Belfast, Northern Ireland.
Royal Victoria Eye and Ear Hospital · IEQueen's University Belfast · GBUniversity Hospital of Zurich · CHWellington Hospital · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOxygen therapy is routinely administered to mechanically ventilated patients. However, there remains uncertainty about the optimal oxygen titration target in patients with the acute respiratory distress syndrome (ARDS).

methodsProspectively identified adult patients meeting the Berlin definition of ARDS between 1st January 2014 and 13th December 2016 were analyzed. Oxygen exposure variables were collected at 6-hourly intervals. The primary exposure was the average time-weighted partial pressure of arterial oxygen (PaO

results202 patients were included in the final analysis. Overall ICU mortality was 31%. The average time-weighted PaO

conclusionsIn patients with ARDS, the predicted probability of both ICU and hospital mortality was lowest when the average time-weighted PaO

Indexed as

AdultAgedFemaleHospital MortalityHumansHyperoxiaHypoxiaIntensive Care UnitsLogistic ModelsMaleMiddle AgedMultivariate AnalysisOxygenOxygen Inhalation TherapyProspective StudiesRespiratory Distress SyndromeOxygenAcute respiratory distress syndromeExcess oxygenHyperoxaemiaHyperoxiaOxygen

Identifiers

PMID34496830
PMCPMC8424163
OpenAlexW3197002321

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.