Evidence map›Paper›PMID 37921678›Full record

SynthesisAmerican journal of therapeutics

Oxygen Targets After Cardiac Arrest: A Meta-analysis of Randomized Controlled Trials.

Sahib Singh, Amit Rout, Rahul Chaudhary, Aakash Garg, Udaya S Tantry, Paul A Gurbel

Open access · greenAbstract readMeta-Analysis
In one paragraph

Synthesis in American journal of therapeutics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 70% 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

1 citing paper in PubMed, 0 citations in OpenAlex.

  1. 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

6 authors at 4 institutions in 1 country.

Sahib SinghDepartment of Medicine, Sinai Hospital of Baltimore, Baltimore, MD.ORCID 0000-0001-5660-782
Amit RoutDivision of Cardiology, University of Louisville, Louisville, KY.
Rahul ChaudharyDivision of Cardiology, University of Pittsburgh, Pittsburgh, PA.
Aakash GargCardiology Associates of Schenectady, St. Peter's Health Partners, Albany, NY.
Udaya S TantrySinai Center for Thrombosis Research, Sinai Hospital of Baltimore, Baltimore, MD; and.
Paul A GurbelSinai Center for Thrombosis Research, Sinai Hospital of Baltimore, Baltimore, MD; and.
Sinai Hospital · USHealthPartners · USUniversity of Louisville · USUniversity of Pittsburgh · US

Funding

Training Program in Imaging Sciences in Translational Cardiovascular ResearchT32HL129964 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Flordeliza S Villanueva · 2016 to 2026
$4.7M
NHLBI NIH HHS T32 HL129964
6 · The paper itself

Abstract

backgroundOptimal oxygen saturation target in patients resuscitated after cardiac arrest is unknown. Previous randomized controlled trials (RCTs) comparing restrictive oxygen therapy with liberal therapy have shown conflicting results. STUDY QUESTION: We performed a meta-analysis of available RCTs to consolidate the contrasting findings regarding the oxygen targets after cardiac arrest. DATA SOURCES: We searched electronic databases for RCTs comparing restrictive versus liberal oxygen targets in patients resuscitated after cardiac arrest. STUDY

designEnd points of interest were mortality, unfavorable neurological outcomes, and rearrests. Random-effects meta-analysis was performed to estimate the risk ratio (RR) with a 95% confidence interval (CI).

resultsEight RCTs with 1641 patients (restrictive n = 833, liberal n = 808) were included in the analysis. The oxygen targets were defined by either saturation, partial pressure (PaO2), or supplementation rates. The mean age and male percentage were 63 years and 80%, respectively. There was no significant difference observed in the 2 groups for overall mortality (RR = 0.91, 95% CI = 0.75-1.10, P = 0.33), unfavorable neurological outcomes (RR = 0.93, 95% CI = 0.74-1.18, P = 0.56), and rearrests (RR = 0.67, 95% CI = 0.22-1.98, P = 0.47).

conclusionsOverall, this meta-analysis shows no significant difference in mortality, unfavorable neurological outcomes, and rearrests when using restrictive or liberal oxygen targets in patients after cardiac arrest. The limitations in the newer trials should be kept in mind while interpreting the overall results.

Indexed as

Heart ArrestOxygenHumansOxygen Inhalation TherapyRandomized Controlled Trials as TopicOxygen

Identifiers

PMID37921678
PMCPMC10809880
OpenAlexW4388302379

What OpenQuestion holds

Textmetadata
LicenceTDM
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.