Hemodynamics, fluids & transfusion

Correlation between central venous oxygen saturation and mixed venous oxygen saturation in surgical patients: A systematic review and meta-analysis

Ann Intensive CarePublished Systematic review and meta-analysis of observational studies

Pooled result · Interchangeability, aggregated perioperative data (10 studies, n = 524)Result — go to the resultMD −0.49 % 95% CI −1.34 to 0.35

Authors' conclusion

ScvO2 is positively correlated with SvO₂ in the perioperative period. However, wide individual-level LOA indicate that the two measurements are not interchangeable in surgical patients.

Study context

Population
Surgical patients with paired perioperative ScvO2 and SvO2 measurements
Participants
1,369 patients · 28 studies
Comparison
Central venous oxygen saturation vs mixed venous oxygen saturation
Outcome
Clinical interchangeability (pooled MD 95% CI and 95% limits of agreement both within ±5%)
Methodological detailsrandom-effects models, prespecified subgroup and sensitivity analyses
  • Random-effects models
  • Prespecified subgroup and sensitivity analyses

Pooled result

As reported in the abstract

Interchangeability, aggregated perioperative data (10 studies, n = 524)

MD

−0.49 %

95% CI −1.34 to 0.35

ScvO2 vs SvO₂
MD −0.49 % (95% CI −1.34 to 0.35)
Limits of agreement (exceeded predefined ±5% threshold; not clinically interchangeable)
−12.15% to 11.17%

Further pooled results

Pooled correlation (5 studies, n = 197)

Pooled correlation
0.72 (95% CI 0.57-0.82; I² = 64.3%)

Subgroups: non-cardiovascular and off-pump procedures (subgroup)

Narrower limits of agreement (LOA) and higher correlation in non-cardiovascular and off-pump procedures

Original publication

Correlation between central venous oxygen saturation and mixed venous oxygen saturation in surgical patients: A systematic review and meta-analysis. Ann Intensive Care. Published 12 May 2026. doi:10.1016/j.aicoj.2026.100076

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