Evidence map›Paper›PMID 40859250›Full record

SynthesisBMC pulmonary medicine2025

Comparison of clinical outcomes between high-flow nasal cannula and non-invasive ventilation in acute exacerbation of COPD: a meta-analysis of randomized controlled trials.

Zhaoshuang Zhong, Long Zhao, Yan Zhao, Rongmei Li, Shuyue Xia

Abstract readMeta-AnalysisComparative StudySystematic Review
In one paragraph

Synthesis in BMC pulmonary medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  2. Author Response: High Flow Nasal Cannula Over Non-invasive Ventilation in Preventing Reintubation: Signal Bias or Both?Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2026
    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

5 authors.

Zhaoshuang ZhongDepartment of Respiratory Medicine, Central Hospital Affiliated to Shenyang Medical College, Shenyang, China.
Long ZhaoDepartment of Respiratory Medicine, Central Hospital Affiliated to Shenyang Medical College, Shenyang, China.
Yan ZhaoDepartment of Respiratory Medicine, Central Hospital Affiliated to Shenyang Medical College, Shenyang, China.
Rongmei LiDepartment of Respiratory Medicine, Central Hospital Affiliated to Shenyang Medical College, Shenyang, China.
Shuyue XiaDepartment of Respiratory Medicine, Central Hospital Affiliated to Shenyang Medical College, Shenyang, China. dr_syxia@qq.com.

Funding

Basic Research Programs of Educational Committee of Liaoning Province, China No. JYTMS20231385
6 · The paper itself

Abstract

backgroundHigh-flow nasal cannula (HFNC) has recently emerged as a promising alternative to non-invasive ventilation (NIV) for patients with chronic obstructive pulmonary disease (COPD). However, direct comparative evidence on the clinical efficacy of HFNC versus NIV in acute exacerbations of COPD (AECOPD) remains limited and inconclusive.

methodsA systematic search of PubMed, EMBASE, Cochrane Library, and Web of Science was conducted up to January 2025 for randomized controlled trials (RCTs) comparing HFNC and NIV in AECOPD patients. Outcomes included mortality, treatment failure, intubation rates, and treatment intolerance.

resultsNine RCTs involving 786 patients were included in the meta-analysis. No significant differences were observed in mortality (I

conclusionHFNC therapy showed a trend towards a higher treatment failure rate compared to NIV, though the difference was not statistically significant. No significant differences were found in mortality or intubation rates between the two groups.

Indexed as

CannulaNoninvasive VentilationOxygen Inhalation TherapyPulmonary Disease, Chronic ObstructiveDisease ProgressionHumansRandomized Controlled Trials as TopicTreatment OutcomeAECOPDHigh-flow nasal cannulaNon-invasive ventilation

Identifiers

PMID40859250
PMCPMC12379362

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.