Respiratory failure & ventilation

Oxygen-Saturation Targets and Cognitive and Functional Outcomes in Mechanically Ventilated Adults

Am J Respir Crit Care MedPublished Secondary analysis of the PILOT randomised trial

Authors' conclusion

Among mechanically ventilated critically ill adults who completed follow-up at 12 months, oxygen-saturation targets were not associated with cognition or related outcomes.

Study context

Population
Mechanically ventilated critically ill adults enrolled in the PILOT trialcompleted follow-up
Participants
501 participants
Comparison
Lower vs intermediate vs higher oxygen-saturation targets
  • Lowern = 142
  • Intermediaten = 186
  • Highern = 173
Primary endpoint
Global cognition (Telephone Montreal Cognitive Assessment)
Follow-up
12 months
Methodological detailsblinded outcome assessment
  • Blinded outcome assessment

Primary result

As reported in the abstract

Telephone Montreal Cognitive Assessment score
Adjusted odds ratio (95% CI)
Lower vs Intermediate
1.36(0.92–2.00)
Intermediate vs Higher
0.90(0.62–1.29)
Higher vs Lower
1.22(0.83–1.79)

Further findings

Median

OutcomeLowerIntermediateHigher
Achieved SpO294% (IQR 91–96%)95% (IQR 93–97%)97% (IQR 95–99%)

Individual cognitive domains, disability, employment, quality of life · 12 months

No difference between target groups

Original publication

Oxygen-Saturation Targets and Cognitive and Functional Outcomes in Mechanically Ventilated Adults. Am J Respir Crit Care Med. Published 1 April 2024. doi:10.1164/rccm.202310-1826oc

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