Evidence map›Paper›PMID 42110421›Full record

SynthesisFrontiers in medicine2026

Conservative versus liberal oxygen therapy for mechanically ventilated patients: a systematic review and meta-analysis of randomized controlled trials.

Juan Liu, Jing Huang, Xiaohui Wang, Xiaomei Xu, Chao Huang, Daiqiang Liu, Junchen Zhu, Lvlin Chen, Xinwei Chen, Lin Chen and 2 more

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Juan LiuDepartment of Intensive Care Medicine, Affiliated Hospital of Chengdu University, Chengdu, Sichuan, China.
Jing HuangChengdu Fourth People's Hospital, Chengdu, Sichuan, China.
Xiaohui WangDepartment of Nursing, Affiliated Hospital of Chengdu University, Chengdu, Sichuan, China.
Xiaomei XuDepartment of Nursing, Affiliated Hospital of Chengdu University, Chengdu, Sichuan, China.
Chao HuangDepartment of Intensive Care Medicine, Affiliated Hospital of Chengdu University, Chengdu, Sichuan, China.
Daiqiang LiuDepartment of Intensive Care Medicine, Affiliated Hospital of Chengdu University, Chengdu, Sichuan, China.
Junchen ZhuDepartment of Intensive Care Medicine, Affiliated Hospital of Chengdu University, Chengdu, Sichuan, China.
Lvlin ChenDepartment of Intensive Care Medicine, Affiliated Hospital of Chengdu University, Chengdu, Sichuan, China.
Xinwei ChenDepartment of Intensive Care Medicine, Affiliated Hospital of Chengdu University, Chengdu, Sichuan, China.
Lin ChenChengdu University, Chengdu, Sichuan, China.
Dongjiao DouDepartment of Intensive Care Medicine, Affiliated Hospital of Chengdu University, Chengdu, Sichuan, China.
Xiangui LvDepartment of Intensive Care Medicine, Affiliated Hospital of Chengdu University, Chengdu, Sichuan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Currently, clinicians lack sufficient evidence to determine which oxygen therapy approach yields better outcomes in mechanically ventilated (MV) patients, whether conservative oxygen therapy (COT) or liberal oxygen therapy (LOT). Methods: This study systematically searched for randomized controlled trials (RCTs) in PubMed, Embase, Web of Science, and Cochrane Library from the inception of each database to 1 September 2025. The outcome measures in MV patients included overall mortality, intensive care unit (ICU) mortality, 90-day mortality, ICU length of stay (LOS), hospital LOS, and MV hours. Results: This meta-analysis included 11 RCTs published between 2014 and 2025, involving a total of 20,786 adult MV patients. There was no significant difference in overall mortality between the COT and LOT groups (RR 1.02, 95% CI 0.95-1.10; Conclusion: In this meta-analysis of MV patients, COT was not associated with a reduction in overall mortality, ICU mortality, 90-day mortality, ICU LOS, hospital LOS, and MV hours when compared with LOT. The absence of overall benefit from COT in this broad population does not preclude the possibility that selected subgroups or different target ranges could prove advantageous. Systematic review registration: https://www.crd.york.ac.uk/PROSPERO/view/CRD420251137389.

Indexed as

conservative oxygen therapyliberal oxygen therapymechanically ventilated patientmeta-analysissystematic review

Identifiers

PMID42110421
PMCPMC13153105

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.