Organ support & nutrition

Conservative or liberal oxygen targets in patients on venoarterial extracorporeal membrane oxygenation

Intensive Care MedPublished Randomised controlled trial

An erratum to this article was published (Intensive Care Med, Dec 2024 ↗)

Primary result · ICU-free days to day 28Result — go to the resultMedian treatment effect 0 days 95% CI - 3.1 to 3.1

Authors' conclusion

In adults receiving VA-ECMO in ICU, a conservative compared to a liberal oxygen strategy, did not affect the number of ICU-free days to day 28.

Study context

Population
Adults receiving venoarterial extracorporeal membrane oxygenation (VA-ECMO) in an intensive care unit (ICU) (cardiogenic shock or refractory cardiac arrest)192 cardiogenic shock, 108 refractory cardiac arrest
Participants
300 adults
Comparison
Conservative vs liberal oxygen strategy
  • Conservativen = 149
  • Liberaln = 151reference
Primary endpoint
ICU-free days to day 28
Follow-up
Day 28
Methodological detailsregistry-embedded, multicentre
  • Registry-embedded
  • Multicentre

Primary result

As reported in the abstract

Median treatment effect

0 days

95% CI - 3.1 to 3.1

By group

Conservative

0

median · IQR 0–13.7 · days

Liberal

0

median · IQR 0–13.7 · days

Secondary outcomes

Mortality · day 28

Denominator as printed Conservative 159

Denominator Liberal 151

Mortality · day 60

Major protocol deviations

P < 0.001

Mortality · day 28

Similar in conservative and liberal groups

Mortality · day 60

Similar in conservative and liberal groups

All other secondary outcomes (ICU-free days to day 60, ECMO and ventilation duration, ICU and hospital LOS, functional outcomes at 6 months)

Similar in conservative and liberal groups

Safety

Adverse events

Similar in conservative and liberal groups

Original publication

Conservative or liberal oxygen targets in patients on venoarterial extracorporeal membrane oxygenation. Intensive Care Med. Published 20 August 2024. doi:10.1007/s00134-024-07564-8

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