Cochrane · systematic review · CD012631

Higher versus lower fractions of inspired oxygen or targets of arterial oxygenation for adults admitted to the intensive care unit

Klitgaard, TL, Schjørring, OL, Nielsen, FM, et al. · Cochrane Database of Systematic Reviews · 2023 · Cochrane Library

Emergency and Critical Care2 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 7 · 100%Low 0 · 0%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Show all 2 versions

Higher vs lower FiO2 or targets of arterial oxygenation for adults admitted to the ICU

Population: adults admitted to the ICU
7 questions
OutcomeEffectEvidenceStatus / GRADE
All‐cause mortality: range 1 mo to 1 y
Higher vs lower FiO2 or targets of arterial oxygenation
RR 1.01 [0.96, 1.06]16 studies · 9408 participantsVery low
Downgraded: risk of bias, indirectness
Proportion of participants with ≥ 1 serious adverse events according to International Conference on Harmonisation Good Clinical Practice: range 3 d to 180 d
Higher vs lower FiO2 or targets of arterial oxygenation
RR 1.01 [0.96, 1.06]17 studies · 9466 participantsVery low
Downgraded: risk of bias, indirectness
Quality of life (any measure): range 180 d to 1 y
Higher vs lower FiO2 or targets of arterial oxygenation
no estimate extracted2 studies · 1649 participantsVery low
Downgraded: risk of bias, indirectness
Lung injury diagnosed after randomisation (composite outcome): range 4 d to 23 d
Higher vs lower FiO2 or targets of arterial oxygenation
RR 1.08 [0.85, 1.38]8 studies · 2048 participantsVery low
Downgraded: risk of bias, indirectness
Myocardial infarction diagnosed after randomisation: range ≤ 90 d
Higher vs lower FiO2 or targets of arterial oxygenation
RR 0.77 [0.51, 1.15]4 studies · 5002 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Stroke diagnosed after randomisation: range 1 mo to 3 mo
Higher vs lower FiO2 or targets of arterial oxygenation
RR 1.08 [0.72, 1.64]5 studies · 6110 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Sepsis diagnosed after randomisation: range 28 d to 60 d
Higher vs lower FiO2 or targets of arterial oxygenation
RR 1.85 [1.17, 2.93]3 studies · 752 participantsVery low
Downgraded: risk of bias, imprecision, indirectness