دورية أكاديمية
أعرض في EDS

Closed-loop oxygen control for critically ill patients--A systematic review and meta-analysis.

التفاصيل البيبلوغرافية
العنوان: Closed-loop oxygen control for critically ill patients--A systematic review and meta-analysis.
المؤلفون: Mól CG; Department of Critical Care Medicine, Hospital Israelita Albert Einstein, São Paulo, SP, Brazil., Vieira AGDS; Department of Critical Care Medicine, Hospital Israelita Albert Einstein, São Paulo, SP, Brazil., Garcia BMSP; Department of Critical Care Medicine, Hospital Israelita Albert Einstein, São Paulo, SP, Brazil., Dos Santos Pereira E; Department of Critical Care Medicine, Hospital Israelita Albert Einstein, São Paulo, SP, Brazil., Eid RAC; Department of Critical Care Medicine, Hospital Israelita Albert Einstein, São Paulo, SP, Brazil., Schultz MJ; Department of Intensive Care, Amsterdam UMC, Location AMC, Amsterdam, The Netherlands.; Mahidol-Oxford Tropical Medicine Research Unit (MORU), Mahidol University, Bangkok, Thailand.; Nuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.; Department of Anesthesia, General Intensive Care and Pain Management, Medical University Wien, Vienna, Austria., Pinto ACPN; Iberoamerican Cochrane Center, Biomedical Research Institute Sant Pau, Barcelona, Spain., Nawa RK; Department of Critical Care Medicine, Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
المصدر: PloS one [PLoS One] 2024 Jun 12; Vol. 19 (6), pp. e0304745. Date of Electronic Publication: 2024 Jun 12 (Print Publication: 2024).
نوع المنشور: Journal Article; Systematic Review; Meta-Analysis
اللغة: English
بيانات الدورية: Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE
أسماء مطبوعة: Original Publication: San Francisco, CA : Public Library of Science
مواضيع طبية MeSH: Critical Illness*/therapy , Oxygen*/administration & dosage , Oxygen Inhalation Therapy*/methods, Humans ; Oxygen Saturation
مستخلص: Background: The impact of closed-loop control systems to titrate oxygen flow in critically ill patients, including their effectiveness, efficacy, workload and safety, remains unclear. This systematic review investigated the utilization of closed-loop oxygen systems for critically ill patients in comparison to manual oxygen titration systems focusing on these topics.
Methods and Findings: A search was conducted across several databases including MEDLINE, CENTRAL, EMBASE, LILACS, CINAHL, LOVE, ClinicalTrials.gov, and the World Health Organization on March 3, 2022, with subsequent updates made on June 27, 2023. Evidence databases were searched for randomized clinical parallel or crossover studies investigating closed-loop oxygen control systems for critically ill patients. This systematic review and meta-analysis was performed following the Preferred Reporting Items for Systematic Review and Meta-analysis guidelines. The analysis was conducted using Review Manager software, adopting the mean difference or standardized mean difference with a 95% confidence interval (95% CI) for continuous variables or risk ratio with 95% CI for dichotomous outcomes. The main outcome of interest was the percentage of time spent in the peripheral arterial oxygen saturation target. Secondary outcomes included time for supplemental oxygen weaning, length of stay, mortality, costs, adverse events, and workload of healthcare professional. A total of 37 records from 21 studies were included in this review with a total of 1,577 participants. Compared with manual oxygen titration, closed-loop oxygen control systems increased the percentage of time in the prescribed SpO2 target, mean difference (MD) 25.47; 95% CI 19.7, 30.0], with moderate certainty of evidence. Current evidence also shows that closed-loop oxygen control systems have the potential to reduce the percentage of time with hypoxemia (MD -0.98; 95% CI -1.68, -0.27) and healthcare workload (MD -4.94; 95% CI -7.28, -2.61) with low certainty of evidence.
Conclusion: Closed-loop oxygen control systems increase the percentage of time in the preferred SpO2 targets and may reduce healthcare workload.
Trial Registration: PROSPERO: CRD42022306033.
Competing Interests: MJS was the team leader of Research and New Technologies at Hamilton Medical AG, Bonaduz, Switzerland, from January 2022 until January 2023. The other authors declare no conflicts of interest. This does not alter our adherence to PLOS ONE policies on sharing data and materials. This does not alter our adherence to PLOS ONE policies on sharing data and materials.
(Copyright: © 2024 Mól et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
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المشرفين على المادة: S88TT14065 (Oxygen)
تواريخ الأحداث: Date Created: 20240612 Date Completed: 20240612 Latest Revision: 20240614
رمز التحديث: 20240615
مُعرف محوري في PubMed: PMC11168613
DOI: 10.1371/journal.pone.0304745
PMID: 38865428
قاعدة البيانات: MEDLINE
الوصف
تدمد:1932-6203
DOI:10.1371/journal.pone.0304745