Evidence map›Paper›PMID 40316046›Full record

Trial reportChest2025

Oxygen Saturation Targets and Neurologic Outcomes Following Cardiac Arrest: A Secondary Analysis of the Pragmatic Investigation of Optimal Oxygen Targets Trial.

Stephanie C DeMasi, Alexander T Clark, Amelia L Muhs, Jin H Han, Kipp Shipley, Jared J McKinney, Li Wang, Todd W Rice, Ari Moskowitz, Matthew E Prekker and 6 more

Abstract readRandomized Controlled TrialPragmatic Clinical TrialMulticenter Study
In one paragraph

Trial report in Chest, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Pooled it
  2. A logical interpretation of the data on optimal oxygen therapy targets for unresponsive adults in ICU after cardiac arrest.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2026
    Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors.

Stephanie C DeMasiDepartment of Emergency Medicine, Vanderbilt University Medical Center, Nashville, TN. Electronic address: stephanie.demasi@vumc.org.
Alexander T ClarkDivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI.
Amelia L MuhsDivision of Allergy, Pulmonary, and Critical Care Medicine, Vanderbilt University Medical Center, Nashville, TN.
Jin H HanDepartment of Emergency Medicine, Vanderbilt University Medical Center, Nashville, TN; Geriatric Research, Education, and Clinical Center, Tennessee Valley Healthcare System, Nashville, TN.
Kipp ShipleyDepartment of Anesthesia, Vanderbilt University Medical Center, Nashville, TN.
Jared J McKinneyDepartment of Emergency Medicine, Vanderbilt University Medical Center, Nashville, TN.
Li WangDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, TN.
Todd W RiceDivision of Allergy, Pulmonary, and Critical Care Medicine, Vanderbilt University Medical Center, Nashville, TN; Vanderbilt Institute for Clinical and Translational Research, Vanderbilt University Medical Center, Nashville, TN.
Ari MoskowitzDivision of Critical Care Medicine, Montefiore Medical Center, Bronx, NY.
Matthew E PrekkerDepartment of Emergency Medicine, Division of Pulmonary, Allergy, and Critical Care, Hennepin County Medical Center, Minneapolis, MN; Department of Medicine, Division of Pulmonary, Allergy, and Critical Care, Hennepin County Medical Center, Minneapolis, MN.
Nicholas J JohnsonDepartment of Emergency Medicine, Harborview Medical Center, University of Washington School of Medicine, Seattle, WA; Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, University of Washington, Seattle, WA.
Wesley H SelfDepartment of Emergency Medicine, Vanderbilt University Medical Center, Nashville, TN; Vanderbilt Institute for Clinical and Translational Research, Vanderbilt University Medical Center, Nashville, TN.
Jonathan D CaseyDivision of Allergy, Pulmonary, and Critical Care Medicine, Vanderbilt University Medical Center, Nashville, TN; Vanderbilt Institute for Clinical and Translational Research, Vanderbilt University Medical Center, Nashville, TN.
Matthew W SemlerDivision of Allergy, Pulmonary, and Critical Care Medicine, Vanderbilt University Medical Center, Nashville, TN; Vanderbilt Institute for Clinical and Translational Research, Vanderbilt University Medical Center, Nashville, TN.
Kevin P SeitzDivision of Allergy, Pulmonary, and Critical Care Medicine, Vanderbilt University Medical Center, Nashville, TN.
Pragmatic Critical Care Research Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMore than 600,000 adults in the United States experience an out-of-hospital or in-hospital cardiac arrest each year. Following resuscitation from cardiac arrest, most patients receive mechanical ventilation. The oxygenation target that optimizes neurologic outcomes following cardiac arrest is uncertain. RESEARCH QUESTION: Following cardiac arrest, does a lower oxygen saturation (Spo STUDY DESIGN AND

methodsThis study was a secondary analysis of patients who experienced a cardiac arrest prior to enrollment in the Pragmatic Investigation of Optimal Oxygen Targets (PILOT) trial. The PILOT trial assigned critically ill adults receiving mechanical ventilation to a lower (88%-92%), intermediate (92%-96%), or higher (96%-100%) Spo

resultsOf 2,987 patients in the PILOT trial, 339 (11.3%) experienced a cardiac arrest prior to enrollment: 221 were assigned to a lower or intermediate Spo

interpretationAmong patients receiving mechanical ventilation following a cardiac arrest, use of a lower or intermediate Spo

Indexed as

Cardiopulmonary ResuscitationHeart ArrestOut-of-Hospital Cardiac ArrestOxygenOxygen SaturationRespiration, ArtificialAgedFemaleHumansMaleMiddle AgedPilot ProjectsUnited StatesOxygencardiac arrestcritical illnessfunctional statusmechanical respirationoxygen/administration and dosageoxygen/therapeutic use

Identifiers

PMID40316046
PMCPMC12833482

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.