Evidence map›Paper›PMID 41065265›Full record

Trial reportJournal of the American Heart Association2026

Normobaric Hyperoxia in Patients With Acute Stroke: Enhancing Neuroprotection Through Inhibition of Inflammation.

Hongmei Niu, Jiayue Ding, Zhiying Chen, Shuhua Yuan, Zhifeng Qi, Xunming Ji, Weili Li

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Heart Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03620370 (The Safety and Efficacy of Normobaric Hyperoxia Combined With Reperfusion for Acute Ischemic Stroke:A Randomized, Controlled Pilot Study), 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.

NCT03620370 nacompletednot on this map

The Safety and Efficacy of Normobaric Hyperoxia Combined With Reperfusion for Acute Ischemic Stroke:A Randomized, Controlled Pilot Study

TypeinterventionalSponsorCapital Medical UniversityRan2018 to 2019Enrolled86ConditionsStroke, AcuteArmsNormobaric oxygen therapy
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Unmasking the Hidden Burden: Inflammation and Cardiovascular DiseaseJournal of the American Heart Association · 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

7 authors.

Hongmei NiuMedical Faculty Northwest Minzu University Lanzhou China.
Jiayue DingDepartment of Neurology Tianjin Medical University General Hospital Tianjin China.ORCID 0000-0003-3562-2187
Zhiying ChenDepartment of Neurology Jiujiang University Affiliated Hospital Jiujiang China.
Shuhua YuanCerebrovascular Diseases Research Institute, Xuanwu Hospital Capital Medical University Beijing China.ORCID 0000-0003-0421-8229
Zhifeng QiCerebrovascular Diseases Research Institute, Xuanwu Hospital Capital Medical University Beijing China.ORCID 0000-0002-4709-1750
Xunming JiCerebrovascular Diseases Research Institute, Xuanwu Hospital Capital Medical University Beijing China.ORCID 0000-0002-0527-2852
Weili LiCerebrovascular Diseases Research Institute, Xuanwu Hospital Capital Medical University Beijing China.ORCID 0000-0003-0886-7330

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInflammatory response is an important pathological and physiological mechanism in the occurrence and development of acute ischemic stroke. This study investigated the effects of normobaric hyperoxia on the inflammatory response in acute ischemic stroke and explored the role of inflammation in stroke-induced brain injury.

methodsThis secondary analysis of the OPENS (Normobaric Hyperoxia Combined With Reperfusion for Acute Ischemic Stroke) trial, included 86 acute ischemic stroke patients with anterior circulation large vessel occlusion: 43 received normobaric hyperoxia (10 L/min, 100% oxygen for 4 hours) with endovascular thrombectomy, and 43 received endovascular thrombectomy alone. Inflammatory markers were measured at different time points (admission, 24 hours, 7 days), and National Institutes of Health Stroke Scale score and cerebral infarction volume were also recorded. The main outcome measures were serum CRP (C-reactive protein) levels, peripheral blood leukocyte count, neutrophil count, and neutrophil-to-lymphocyte ratio. Correlation analysis was used to analyze the relationship between inflammatory markers and stroke.

resultsThe results showed that the normobaric hyperoxia group had significantly lower levels of inflammatory markers compared with the control group at 24 hours (

conclusionsNormobaric hyperoxia attenuates early postthrombectomy inflammation, as evidenced by reduced CRP, neutrophil counts, and neutrophil-to-lymphocyte ratio. These inflammation markers were significantly associated with acute stroke severity and infarct volume. REGISTRATION: URL: https://www.clinicaltrials.gov; Unique Identifier: NCT03620370.

Indexed as

HyperoxiaInflammationIschemic StrokeNeuroprotectionOxygen Inhalation TherapyThrombectomyAgedBiomarkersC-Reactive ProteinEndovascular ProceduresFemaleHumansInflammation MediatorsMaleMiddle AgedTime FactorsBiomarkersC-Reactive ProteinInflammation MediatorsC‐reactive proteininflammatory markersleukocyte countnormobaric hyperoxiastroke

Identifiers

PMID41065265
PMCPMC13055835

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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.