Cardiac arrest & resuscitation

Oxygen Saturation Targets and Neurologic Outcomes Following Cardiac Arrest: A Secondary Analysis of the Pragmatic Investigation of Optimal Oxygen Targets Trial

ChestPublished Secondary analysis of the PILOT randomised trial

Primary resultResult — go to the resultAbsolute risk difference 9.9 percentage points 95% CI 1.8–18.1

Authors' conclusion

Among patients receiving mechanical ventilation following a cardiac arrest, use of a lower or intermediate Spo2 target was associated with a higher incidence of a favorable neurologic outcome compared with a higher target.

Study context

Population
Mechanically ventilated critically ill adults in the PILOT trial who had a cardiac arrest before enrollmentof 2,987 PILOT patients
Participants
339 participants
Comparison
Lower or intermediate SpO2 target vs higher SpO2 target
  • Lower or intermediaten = 221
  • Highern = 118reference
Primary endpoint
Survival with a favorable neurologic outcome (Cerebral Performance Category 1 or 2)
Follow-up
Hospital discharge
Methodological detailssubgroup analysis, pragmatic
  • Subgroup analysis
  • Pragmatic

Primary result

As reported in the abstract

Absolute risk difference

9.9 percentage points

95% CI 1.8–18.1

P = 0.03

Events by treatment group

Lower or intermediate vs Higher
absolute risk difference 9.9 percentage points (95% CI 1.8–18.1); P = 0.03

Original publication

Oxygen Saturation Targets and Neurologic Outcomes Following Cardiac Arrest: A Secondary Analysis of the Pragmatic Investigation of Optimal Oxygen Targets Trial. Chest. Published 30 April 2025. doi:10.1016/j.chest.2025.04.027

Composed by AI from the published abstract and checked against it. How Briefs are made →

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