Effects of Conservative Oxygen Therapy versus Conventional Oxygen Therapy on the Mortality in ICU Patients: A Meta-Analysis.


Journal

Canadian respiratory journal
ISSN: 1916-7245
Titre abrégé: Can Respir J
Pays: Egypt
ID NLM: 9433332

Informations de publication

Date de publication:
2023
Historique:
received: 20 10 2022
revised: 10 09 2023
accepted: 27 09 2023
medline: 1 11 2023
pubmed: 23 10 2023
entrez: 23 10 2023
Statut: epublish

Résumé

To compare the effects of conservative oxygen therapy and conventional oxygen therapy on the mortality of critically ill patients in ICU. Searching for randomized controlled clinical trials (RCT) on the effect of conservative oxygen therapy and conventional oxygen therapy on the mortality of critically ill patients in computer databases, including PubMed, Embase, Cochrane Library, CNKI, VIP, and Wanfang, with postdate before August 2022. We have two researchers evaluating the quality of the literature included and extracting data as per the inclusion and exclusion criteria and then analyzed it with RevMan 5.4 statistical software. Primary outcome included short-term mortality (28-day mortality or ICU mortality); secondary outcome included 90-day mortality, ICU length of stay, hospital length of stay, incidence of new organ dysfunction in ICU, incidence of new infection in ICU, and incidence of ICUAW. A total of 5779 subjects were included in 10 articles, including 2886 in the conservative oxygen therapy group and 2893 in the conventional oxygen therapy group. The meta-analysis showed that conservative oxygen therapy had an advantage over conventional oxygen therapy in terms of short-term mortality ( Compared with conventional oxygen therapy, conservative oxygen therapy can reduce the short-term mortality of severe patients, especially when the conservative oxygen therapy target is set above 90%. And it can also reduce the incidence of ICU new infections and ICUAW, while having no effect on 90-day mortality, ICU length of stay, and hospital length of stay.

Identifiants

pubmed: 37868784
doi: 10.1155/2023/7023712
pmc: PMC10590270
doi:

Substances chimiques

Oxygen S88TT14065

Types de publication

Meta-Analysis Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

7023712

Informations de copyright

Copyright © 2023 Xinyu Jiang and Dong Qiu.

Déclaration de conflit d'intérêts

The authors declare that they have no conflicts of interest.

Références

J Thorac Dis. 2019 Oct;11(10):4234-4240
pubmed: 31737308
JAMA. 2016 Oct 18;316(15):1583-1589
pubmed: 27706466
Lancet Respir Med. 2017 Mar;5(3):180-190
pubmed: 28219612
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2021 Sep;33(9):1069-1073
pubmed: 34839863
Crit Care Resusc. 2015 Sep;17(3):202-7
pubmed: 26282259
J Intensive Care Soc. 2021 Nov;22(4):280-287
pubmed: 35154365
Crit Care Med. 2017 Feb;45(2):187-195
pubmed: 27763912
N Engl J Med. 2020 Mar 12;382(11):999-1008
pubmed: 32160661
Crit Care Med. 2012 Dec;40(12):3135-9
pubmed: 22971589
N Engl J Med. 2020 Mar 12;382(11):989-998
pubmed: 31613432
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2019 Feb;31(2):203-208
pubmed: 30827310
Crit Care. 2021 Dec 19;25(1):440
pubmed: 34924022
Crit Care. 2008;12(6):R156
pubmed: 19077208
Crit Care. 2009;13(1):205
pubmed: 19291278
Crit Care. 2015 Aug 17;19:284
pubmed: 26278383
N Engl J Med. 2021 Apr 8;384(14):1301-1311
pubmed: 33471452
Lancet. 2018 Apr 28;391(10131):1693-1705
pubmed: 29726345
Thorax. 2017 Jun;72(Suppl 1):ii1-ii90
pubmed: 28507176
Zhonghua Yi Xue Za Zhi. 2017 May 30;97(20):1534-1536
pubmed: 28592058
Am J Respir Crit Care Med. 2016 Jan 1;193(1):43-51
pubmed: 26334785
N Engl J Med. 1983 Oct 13;309(15):878-83
pubmed: 6888481
Crit Care Resusc. 2013 Sep;15(3):186-90
pubmed: 23944204
JAMA. 2021 Sep 14;326(10):940-948
pubmed: 34463696
Respirology. 2015 Nov;20(8):1182-91
pubmed: 26486092
Intensive Care Med. 2021 Nov;47(11):1181-1247
pubmed: 34599691
JAMA. 2012 Jun 20;307(23):2526-33
pubmed: 22797452

Auteurs

Xinyu Jiang (X)

The First Affiliated Hospital of Soochow University, Suzhou 215006, China.

Dong Qiu (D)

The First Affiliated Hospital of Soochow University, Suzhou 215006, China.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH