Evidence map›Paper›PMID 36238193›Full record

ArticleJACC. Advances2022

Oxygen Supplementation and Hyperoxia in Critically Ill Cardiac Patients: From Pathophysiology to Clinical Practice.

Alexander Thomas, Sean van Diepen, Rachel Beekman, Shashank S Sinha, Samuel B Brusca, Carlos L Alviar, Jacob Jentzer, Erin A Bohula, Jason N Katz, Andi Shahu and 5 more

Open access · diamondAbstract read
In one paragraph

Article in JACC. Advances, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
7.9field-weighted citation impact, top 2% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

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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

15 authors at 9 institutions in 2 countries.

Alexander ThomasSection of Cardiovascular Medicine, Yale School of Medicine, New Haven, CT.
Sean van DiepenDepartment of Critical Care and Division of Cardiology, Department of Medicine, University of Alberta, Edmonton, Canada.
Rachel BeekmanDepartment of Neurology, Yale University School of Medicine, New Haven, CT.
Shashank S SinhaInova Heart and Vascular Institute, Inova Fairfax Medical Center, Falls Church, VA.
Samuel B BruscaDivision of Cardiology, University of California San Francisco, San Francisco, CA.
Carlos L AlviarLeon H. Charney Division of Cardiology, New York University School of Medicine, New York, New York.
Jacob JentzerDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN.
Erin A BohulaTIMI Study Group, Cardiovascular Division, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
Jason N KatzDivision of Cardiology, Duke University Medical Center, Durham, NC.
Andi ShahuSection of Cardiovascular Medicine, Yale School of Medicine, New Haven, CT.
Christopher BarnettDivision of Cardiology, University of California San Francisco, San Francisco, CA.
David A MorrowTIMI Study Group, Cardiovascular Division, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
Emily J GilmoreDepartment of Neurology, Yale University School of Medicine, New Haven, CT.
Michael A SolomonCritical Care Medicine Department, National Institutes of Health Clinical Center and Cardiovascular Branch, National Heart, Lung, and Blood Institute, of the National Institutes of Health, Bethesda, MD.
P Elliott MillerSection of Cardiovascular Medicine, Yale School of Medicine, New Haven, CT.
Yale University · USBrigham and Women's Hospital · USUniversity of California, San Francisco · USDuke Medical Center · USInova Fairfax Hospital · USMayo Clinic · USNational Heart Lung and Blood Institute · USNew York University · USUniversity of Alberta · CA

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Institutional Career Development CoreKL2TR001862 · NCATS · YALE UNIVERSITY · PI CANTLEY, LLOYD G, EDELMAN, E. JENNIFER · 2016 to 2025
$12.2M
An Observational Study of Cardiac Critical Care Management in Multidisciplinary and Cardiac Intensive Care UnitsZIACL009027 · CLC · CLINICAL CENTER · PI SOLOMON, MICHAEL · 2018 to 2025
$0k
Intramural NIH HHS ZIA CL009027NCATS NIH HHS KL2 TR001862NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

Oxygen supplementation has been a mainstay in the management of patients with acute cardiac disease. While hypoxia is known to be detrimental, the adverse effects of artificially high oxygen levels (hyperoxia) have only recently been recognized. Hyperoxia may induce harmful hemodynamic effects, including peripheral and coronary vasoconstriction, and direct cellular toxicity through the production of reactive oxygen species. In addition, emerging evidence has shown that hyperoxia is associated with adverse clinical outcomes. Thus, it is essential for the cardiac intensive care unit (CICU) clinician to understand the available evidence and titrate oxygen therapies to specific goals. This review summarizes the pathophysiology of oxygen within the cardiovascular system and the association between supplemental oxygen and hyperoxia in patients with common CICU diagnoses, including acute myocardial infarction, heart failure, shock, cardiac arrest, pulmonary hypertension, and respiratory failure. Finally, we highlight lessons learned from available trials, gaps in knowledge, and future directions.

Identifiers

PMID36238193
PMCPMC9555075
OpenAlexW4293428611

What OpenQuestion holds

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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.