Respiratory failure & ventilation

Conservative versus Liberal Oxygenation Targets in Intensive Care Unit Patients (ICONIC): A Randomized Clinical Trial

Am J Respir Crit Care MedPublished Randomised controlled trial

Primary result · 28-day mortalityResult — go to the resultRelative risk 1.11 95% CI 0.9–1.4
  • stopped prematurely (COVID-19 pandemic)
  • Stopped prematurely because of the COVID-19 pandemic

Authors' conclusion

Among mechanically ventilated ICU patients with an expected mechanical ventilation duration of at least 24 hours, using a low-oxygenation strategy did not result in a reduction of 28-day mortality compared with a high-oxygenation strategy.

Study context

Population
Mechanically ventilated ICU patients with expected ventilation duration of at least 24 hoursof planned 1,512
Participants
664 participants
Comparison
Low- vs high-oxygenation target
  • Low-oxygenationn = 335
  • High-oxygenationn = 329reference
Primary endpoint
Mortality
Follow-up
28 days
Methodological detailsmulticentre
  • Multicentre

Primary result

28-day mortality · Day 28

Relative risk

1.11

95% CI 0.9–1.4

P = 0.30

Events by treatment group

Low-oxygenation vs High-oxygenation
RR 1.11 (95% CI 0.9–1.4); P = 0.30

As reported in the abstract

Further findings

Achieved PaO2

Safety

At least one serious adverse event

Original publication

Conservative versus Liberal Oxygenation Targets in Intensive Care Unit Patients (ICONIC): A Randomized Clinical Trial. Am J Respir Crit Care Med. Published 1 October 2023. doi:10.1164/rccm.202303-0560oc

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