Cardiothoracic & vascular anesthesia

Association of Oxygenation Targets and Mortality in Critical Care Patients Following Cardiac Surgery: A Retrospective Cohort Study

J Cardiothorac Vasc AnesthPublished Retrospective cohort study

Authors' conclusion

The relationship between PaO2 level and all-cause in-hospital mortality followed a J-shaped curve among patients following cardiac surgery. When PaO2 > 196.1mmHg, higher levels of PaO2 within 24 hours after cardiac surgery were associated with an increased risk of hospital mortality.

Study context

Population
Patients who underwent cardiac surgery under extracorporeal circulation, admitted to intensive care units (ICUs) at Beth Israel Deaconess Medical Center (MIMIC-III)
Exposure
Four PaO2 categories within 24 h of ICU admission after cardiac surgery
Outcome
In-hospital all-cause mortality
Methodological detailsMIMIC-III database, restricted cubic spline regression
  • MIMIC-III database
  • Restricted cubic spline regression

Main finding

As reported in the abstract

In-hospital mortality vs PaO2

Nonlinear (J-shaped) relationship between PaO2 and in-hospital mortality

Poverall = 0.004; Pnonlinearity = 0.012

In-hospital deaths

73

1.4%

Observational data: associations, not effects.

Further findings

All-cause mortality during follow-up · 1 year

Deaths during 1-year follow-up
296 (5.5%)
Deaths within 30 days
83 (1.6%)
Deaths within 90 days
167 (3.1%)

Subgroup and sensitivity analyses

Consistent with the primary analysis

Original publication

Association of Oxygenation Targets and Mortality in Critical Care Patients Following Cardiac Surgery: A Retrospective Cohort Study. J Cardiothorac Vasc Anesth. Published 3 March 2025. doi:10.1053/j.jvca.2025.02.053

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