Evidence map›Paper›PMID 39266439›Full record

Observational studyBritish journal of anaesthesia2024

Association between inspired oxygen fraction and development of postoperative pulmonary complications in thoracic surgery: a multicentre retrospective cohort study.

Nicholas J Douville, Mark E Smolkin, Bhiken I Naik, Michael R Mathis, Douglas A Colquhoun, Sachin Kheterpal, Stephen R Collins, Linda W Martin, Wanda M Popescu, Nathan L Pace and 2 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in British journal of anaesthesia, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. FiOFrontiers in medicine · 2026
    Article
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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

12 authors.

Nicholas J DouvilleDepartment of Anesthesiology, Michigan Medicine, Ann Arbor, MI, USA; Institute of Healthcare Policy & Innovation, University of Michigan, Ann Arbor, MI, USA; Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor, MI, USA.
Mark E SmolkinDepartment of Public Health Sciences, Division of Biostatistics, University of Virginia, Charlottesville, VA, USA.
Bhiken I NaikDepartment of Anesthesiology, University of Virginia School of Medicine, Charlottesville, VA, USA.
Michael R MathisDepartment of Anesthesiology, Michigan Medicine, Ann Arbor, MI, USA; Institute of Healthcare Policy & Innovation, University of Michigan, Ann Arbor, MI, USA.
Douglas A ColquhounDepartment of Anesthesiology, Michigan Medicine, Ann Arbor, MI, USA; Institute of Healthcare Policy & Innovation, University of Michigan, Ann Arbor, MI, USA.
Sachin KheterpalDepartment of Anesthesiology, Michigan Medicine, Ann Arbor, MI, USA; Institute of Healthcare Policy & Innovation, University of Michigan, Ann Arbor, MI, USA.
Stephen R CollinsDepartment of Anesthesiology, University of Virginia School of Medicine, Charlottesville, VA, USA.
Linda W MartinDivision of Thoracic and Cardiovascular Surgery, Department of Surgery, University of Virginia School of Medicine, Charlottesville, VA, USA.
Wanda M PopescuDepartment of Anesthesiology, Yale School of Medicine, New Haven, CT, USA.
Nathan L PaceDepartment of Anesthesiology, The University of Utah, Salt Lake City, UT, USA.
Randal S BlankDepartment of Anesthesiology, University of Virginia School of Medicine, Charlottesville, VA, USA. Electronic address: rsb8p@uvahealth.org.
Multicentre Perioperative Clinical Research Committee

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
Predicting Postoperative Acute Kidney Injury through Integration of Genetics and Electronic Health RecordsK08DK131346 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Nicholas J Douville · 2022 to 2026
$839k
Data Driven Approaches to Improving Risk Prediction of Pulmonary Complications After Major Inpatient SurgeryK08HL159327 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI COLQUHOUN, DOUGLAS ALASTAIR · 2021 to 2025
$811k
NCATS NIH HHS UL1 TR001863NHLBI NIH HHS K08 HL159327NIDDK NIH HHS K08 DK131346
6 · The paper itself

Abstract

backgroundLimited data exist to guide oxygen administration during one-lung ventilation for thoracic surgery. We hypothesised that high intraoperative inspired oxygen fraction during lung resection surgery requiring one-lung ventilation is independently associated with postoperative pulmonary complications (PPCs).

methodsWe performed this retrospective multicentre study using two integrated perioperative databases (Multicenter Perioperative Outcomes Group and Society of Thoracic Surgeons General Thoracic Surgery Database) to study adult thoracic surgical procedures using one-lung ventilation. The primary outcome was a composite of PPCs (atelectasis, acute respiratory distress syndrome, pneumonia, respiratory failure, reintubation, and prolonged ventilation >48 h). The exposure of interest was high inspired oxygen fraction (FiO

resultsAcross four US medical centres, 141/2733 (5.2%) procedures conducted in 2716 patients (55% female; mean age 66 yr) resulted in PPCs. FiO

conclusionsOur results do not support limiting the inspired oxygen fraction for the purpose of reducing postoperative pulmonary complications in thoracic surgery involving one-lung ventilation.

Indexed as

One-Lung VentilationPostoperative ComplicationsThoracic Surgical ProceduresAdultAgedCohort StudiesFemaleHumansLung DiseasesMaleMiddle AgedOxygenOxygen Inhalation TherapyRetrospective StudiesOxygenhyperoxiainspired oxygen fractionlung resectionone-lung ventilationpostoperative pulmonary complicationsprotective ventilationsingle-lung ventilationthoracic surgery

Identifiers

PMID39266439
PMCPMC11619793

What OpenQuestion holds

Textmetadata
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.