Evidence map›Paper›PMID 41055553›Full record

Trial reportActa anaesthesiologica Scandinavica2025

Effects of Hyperoxia and Antioxidants on Mortality, Hospital Admissions, and Myocardial Infarction After Noncardiac Surgery: 1-Year Follow-Up of a Randomized Controlled Trial.

Frederik C Loft, Cecilie Holse, Eske K Aasvang, Morten Vester-Andersen, Lars S Rasmussen, Lars N Jørgensen, Christian S Meyhoff

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Acta anaesthesiologica Scandinavica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03494387 (Hyperoxia and Antioxidants During Major Non-cardiac Surgery and Risk of Cardiovascular Complications, a Blinded 2x2 Factorial Randomised Clinical Trial), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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.

NCT03494387 phase4completednot on this map

Hyperoxia and Antioxidants During Major Non-cardiac Surgery and Risk of Cardiovascular Complications, a Blinded 2x2 Factorial Randomised Clinical Trial

TypeinterventionalSponsorUniversity Hospital Bispebjerg and FrederiksbergRan2018 to 2020Enrolled600ConditionsPostoperative Cardiac ComplicationArmsOxygen, Antioxidants
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. 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

7 authors.

Frederik C LoftDepartment of Anaesthesia and Intensive Care, Copenhagen University Hospital - Bispebjerg and Frederiksberg Hospital, Copenhagen, Denmark.
Cecilie HolseNovo Nordisk, Søborg, Denmark.
Eske K AasvangDepartment of Anaesthesia, Center of Cancer and Organ Dysfunction, Copenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.
Morten Vester-AndersenDepartment of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.
Lars S RasmussenPersonnel Agency, Danish Ministry of Defence, Copenhagen, Denmark.ORCID 0000-0002-7480-3004
Lars N JørgensenDepartment of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.
Christian S MeyhoffDepartment of Anaesthesia and Intensive Care, Copenhagen University Hospital - Bispebjerg and Frederiksberg Hospital, Copenhagen, Denmark.ORCID 0000-0002-4885-4609

Funding

Dansk Selskab for Anæstesiologi og Intensiv MedicinScandinavian Society of Anaesthesiology and Intensive Care Medicinethe Bispebjerg and Frederiksberg Hospital Research Foundation
6 · The paper itself

Abstract

backgroundPerioperative hyperoxia may be associated with increased long-term mortality, whereas perioperative antioxidants may be associated with reduced long-term mortality. This study aimed to determine if high perioperative inspiratory oxygen fraction (FiO

methodsThis was the preplanned 1-year follow-up of 600 patients with cardiovascular risk factors, scheduled for noncardiac surgery. They were randomized in a 2 × 2 factorial design to perioperative FiO

resultsFollow-up was completed for 594 patients (99%). Twenty-five of 298 patients (8.4%) allocated to FiO

conclusionsDifferences in all-cause mortality, hospital admission, or MI were not statistically significant at 1-year follow-up for either oxygen fractions or antioxidant administration in patients undergoing major noncardiac surgery. EDITORIAL COMMENT: In this preplanned long-term study of the VIXIE trial, no differences in total mortality, hospitalization, or myocardial infarction were found for oxygen fractions of 0.80 compared to 0.30 or antioxidant administration compared to placebo. Interestingly, the study showed a higher rate of fatalities with 80% oxygen which appeared only to be present in patients not given the antioxidant intervention, but this is hypothesis-generating and needs to be further investigated in new clinical trials.

trial registrationClinicaltrials.gov identifier: NCT03494387.

Indexed as

AntioxidantsHyperoxiaMyocardial InfarctionPostoperative ComplicationsSurgical Procedures, OperativeAcetylcysteineAgedAscorbic AcidDouble-Blind MethodFemaleFollow-Up StudiesHospitalizationHumansMaleMiddle AgedOxygen Inhalation TherapyAcetylcysteineAntioxidantsAscorbic Acid

Identifiers

PMID41055553
PMCPMC12503005

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Registered trials

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.