Respiratory failure & ventilation

Oxygenation Targets and Long-Term Cognitive and Pulmonary Functions in Hypoxemic Respiratory Failure: A Clinical Trial

Am J Respir Crit Care MedPublished Secondary analysis of the HOT-ICU and HOT-COVID randomised trials

Authors' conclusion

A PaO2 target of 60 versus 90 mm Hg appeared to result in similar cognitive impairment but might reduce pulmonary diffusion capacity in ICU survivors of hypoxemic respiratory failure included in this 1-year follow-up.

Study context

Population
ICU survivors of acute hypoxemic respiratory failure at 1 yearof 1,244 eligible survivors
Participants
417 survivors
Comparison
PaO2 target 60 vs 90 mm Hg
Methodological detailspreplanned 1-year follow-up
  • Preplanned 1-year follow-up

Further findings

OutcomeLower oxygenationHigher oxygenationAdjusted mean difference (95% CI)
Cognitive function (global RBANS score) · 1 yearMean78 (SD 19)76 (SD 21)2 (−2 to 6)
n assessed187188
OutcomeLower oxygenationHigher oxygenationAdjusted mean difference (percentage points) (95% CI)
Pulmonary function (% predicted DLCO) · 1 yearMean68% (SD 22)73% (SD 25)−5 (−9 to −1)
n assessed192195

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Oxygenation Targets and Long-Term Cognitive and Pulmonary Functions in Hypoxemic Respiratory Failure: A Clinical Trial. Am J Respir Crit Care Med. Published 8 September 2025. doi:10.1164/rccm.202412-2499oc

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