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Table 2 Unadjusted and adjusted outcome data extracted for the included studies

From: Arterial hyperoxia and mortality in critically ill patients: a systematic review and meta-analysis

 

Unadjusted data

Adjusted data

 

Hyperoxia

Not exposed to hyperoxia

Normoxia

OR [95% CI] a

Comparator group

Variables in the model

ICU patients

     

de Jonge et al. 2008 [16]

NA

NA

NA

1.23 [1.13-1.34] (upper quintile)

PaO2 66-80 mmHg

Age, SAPS II, GCS <15, admission type, individual hospital

Eastwood et al. 2012 [20]

58,855/17,225b

54,406/22,164

NA

0.73 [0.68-0.78] (upper decile)

PaO2 75-85 mmHg

Site, APACHE III risk of death (O2 component removed), FiO2, year

Suzuki et al. 2013 [2]

21/11

13/6

NA

NA

Suzuki et al. 2014 [32]

35/16

45/9

NA

0.35 [0.12-1.06]

Conservative group

APACHE III score, primary diagnosis, reason for mechanical ventilation

Post-cardiac arrest

    

Bellomo et al. 2011 [21]

531/754

4,609/6,214

1,008/911

1.2 [1.0-1.5]

Normoxia

APACHE III risk of death (O2 component removed), treatment limitation, year of admission, lowest glucose in the first 24 h, hospital admission from home, hypoxia/poor O2 exchange

Ihle et al. 2013 [31]c

11/7

137/78

129/60

NA

Janz et al. 2012 [35]c

15/31

66/62

NA

1.44 [1.03-2.02]d

Not defined

Age, time to return of spontaneous circulation, presence of shock, bystander CPR, initial rhythm

Kilgannon et al. 2010 [17]

424/732

2,341/2,829

639/532

1.8 [1.5-2.2]

Not exposed to hyperoxia

Age, ED origin, non-independent functional status at admission, chronic renal failure, active chemotherapy, high heart rate in ICU, hypotension at ICU arrival, hypoxia exposure

Lee et al. 2014 [36]c

39/14

111/49

NA

0.604 [0.225-1.621]

PaO2 116.9-134.9 mmHg

Age, witness of collapse, hypertension, first monitored rhythm, etiology of cardiac arrest, time to return of spontaneous circulation, time from initiation of therapeutic hypothermia to achieve target temperature, SOFA score (respiratory component removed)

Nelskyla et al. 2013 [37]

20/29

24/46

NA

NA

Stroke

      

Rincon (a) et al. 2014 [19]

182/268

1,252/1,192

582/502

1.22 [1.04-1.48]

Normoxia

Age, GCS, intracranial hemorrhage diagnosis, hypothermia at ICU admission, hypotension or hypertension, organ dysfunctions

Young et al. 2012 [23]

101/163

1,028/1,351

927/1,188

NA

Traumatic brain injury

   

Asher et al. 2013 [33]

87/45

23/38

4/10

3.1 [0.4-24.4] (for survival)

Not exposed to hyperoxia

Age, sex, ISS, politrauma, hematocrit >30%, any PaCO2 ≥35 mmHg, chest injury, ARDS in the first 72 h

Brenner et al. 2012 [18]

459/207

651/230

587/191

1.56 [1.18-2.07]

Normoxia

Age, sex, ISS, mechanism of injury, admission GCS, admission systolic blood pressure

Davis et al. 2009 [34]

210/129

2,342/739

1,602/479

2.0 [1.4-2.7]

Not exposed to hyperoxia

GCS, age, sex, hypotension, ISS, intubation, penetrating mechanism, head Abbreviated ISS, eucapnia, base deficit

Raj et al. 2013 [22]

423/144

380/169

270/105

0.94 [0.65-1.36]

Normoxia

APACHE II (O2 component removed), year of admission, emergency operation, intracranial pressure monitoring, controlled hypothermia, platelet count

Rincon (b) et al. 2014 [38]

176/80

645/311

316/87

1.50 [1.02-2.40]

Not exposed to hyperoxia

Age, comorbidities, GCS, MAP, anemia, organ dysfunction, gender, non-white race, ED boarder status, ICP monitor, abnormal pH, hospital characteristics

  1. Data are expressed as number of survivors/nonsurvivors, unless stated otherwise. aAssociation between hyperoxia exposure and increased mortality, unless otherwise stated; bPaO2 >120 mmHg for hyperoxia; cdata requested from the authors; dPaO2 as continuous variable. OR, odds ratio; CI, confidence interval; ICU, intensive care unit; NA, not available; SAPS, Simplified Acute Physiology Score; GCS, Glasgow Coma Scale; APACHE, Acute Physiology and Chronic Health Evaluation; O2, oxygen; FiO2, inspired oxygen fraction; CPR, cardiopulmonary resuscitation; ED, Emergency Department; SOFA, Sequential Organ Failure Assessment; ISS, Injury Severity Score; PaCO2, partial pressure of carbon dioxide; ARDS, acute respiratory distress syndrome; MAP, mean arterial pressure; ICP, intracranial pressure