Neuroanesthesia & neurocritical care

Neurological outcomes and mortality following hyperoxemia in adult patients with acute brain injury: an updated meta-analysis and meta-regression

Crit CarePublished Systematic review and meta-analysis with meta-regression

Pooled resultResult — go to the resultUnadjusted odds ratio 1.295 95% CI 1.040–1.616

Authors' conclusion

In our study we found that hyperoxemia is significantly associated with an increased risk of poor neurological outcomes and mortality in patients with acute brain injury compared to those with no hyperoxemia.

Study context

Population
Hospitalised adults with acute brain injury (e.g. TBI, post-cardiac arrest, SAH, intracerebral hemorrhage, ischemic stroke)
Participants
16,635 adults · 24 studies
Comparison
Hyperoxemia vs no hyperoxemia
Outcome
Poor neurological outcome as defined by each study
Methodological detailsrandom-effects model, PRISMA, subgroup analyses, 66 studies fulfilled eligibility criteria for systematic review
  • Random-effects model
  • PRISMA
  • Subgroup analyses
  • 66 studies fulfilled eligibility criteria for systematic review

Pooled result

As reported in the abstract

Unadjusted odds ratio

1.295

95% CI 1.040–1.616

Hyperoxemia vs No hyperoxemia
unadjusted OR 1.295 (95% CI 1.040–1.616)

Further pooled results

OutcomeOR (95% CI)
All-cause mortality (35 studies, 98,207 patients)1.13 (1.002–1.282)

Original publication

Neurological outcomes and mortality following hyperoxemia in adult patients with acute brain injury: an updated meta-analysis and meta-regression. Crit Care. Published 23 April 2025. doi:10.1186/s13054-025-05387-7

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