Evidence map›Paper›PMID 41735369›Full record

Observational studyScientific reports2026

High-flow nasal-cannula oxygen therapy in intensive-care-unit patients: a prospective multicenter observational cohort study (OHE-REA).

Paul Compagne, Stephan Ehrmann, Maud Jonas, Jean Morin, Julien Cadiet, Christophe Guitton, Damien Du Cheyron, Jerome Devaquet, Bertrand Sauneuf, Hadrien Winiszewski and 6 more

Registry-linked trialAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04141956 (Incidence of Use of High-Flow Nasal Cannula Oxygen Therapy in Intensive Care Units), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04141956 completednot on this map

Incidence of Use of High-Flow Nasal Cannula Oxygen Therapy in Intensive Care Units : Prospective, Multi-center, Epidemiological, Uncontrolled Study

TypeobservationalSponsorNantes University HospitalRan2019 to 2020Enrolled257ConditionsOxygen DeficiencyArmsHigh-Flow Nasal Cannula
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Paul CompagneMedical Intensive Care, Nantes University Hospital, Nantes, France.
Stephan EhrmannMedical Intensive Care, CIC INSERM 1415, CRICS-TriggerSEP F-CRIN Research Network, Regional University Hospital, Tours, France.
Maud JonasMedical Intensive Care, Saint Nazaire Hospital, Saint Nazaire, France.
Jean MorinPulmonary Intensive Care Unit, Nantes University Hospital, Nantes, France.
Julien CadietThoracic and Cardiovascular Surgery Intensive Care, Nantes University Hospital, Nantes, France.
Christophe GuittonMedical Intensive Care, Le Mans Hospital, Le Mans, France.
Damien Du CheyronMedical Intensive Care, Caen University Hospital, Caen, France.
Jerome DevaquetMedical-Surgical Intensive Care, Foch Hospital, Suresnes, France.
Bertrand SauneufMedical Intensive Care, Cherbourg Hospital, Cherbourg, France.
Hadrien WiniszewskiMedical Intensive Care, Besançon University Hospital, Besançon, France.
Toufik KamelMedical Intensive Care, Orléans University Hospital, Orléans, France.
Agathe DelboveMedico-Surgical Intensive Care, Bretagne-Atlantique Hospital Center, Vannes, France.
Karim LakhalMedical-Surgical Intensive Care, Nantes University Hospital, Nantes, France.
Jean ReignierIntensive Care Unit, Motion-Interactions-Performance Laboratory (MIP), UR 4334, Nantes University Hospital, Nantes, France.
Aurélie Le ThuautResearch and Innovation Department, Methodology and Biostatistics Platform, Nantes University Hospital, Nantes, France.
Jean-Baptiste LascarrouIntensive Care Unit, Motion-Interactions-Performance Laboratory (MIP), UR 4334, Nantes University Hospital, Nantes, France. jeanbaptiste.lascarrou@chu-nantes.fr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

High-flow oxygen therapy (HFOT) has become the most common oxygen-supplementation modality in patients with acute respiratory failure, based chiefly on data from tightly selected patients included in randomized trials. Our objective was to obtain real-life data on HFOT failure. This prospective observational multicenter French study done in 13 intensive care units in 2019–2020 was designed to determine the proportion of patients with failed HFOT, defined as intubation, noninvasive ventilation, standard oxygen therapy with an estimated FiO2>50%. We included 257 patients before prematurely ending the study due to the COVID-19 pandemic. HFOT failed in 79 patients (32%), including 42 (17%) who required intubation. Mean HFOT duration was 2.4 ± 2.2 days. By multivariate analysis, a low ROX index (ratio of pulse-oximeter saturation (SpO2) over FiO2, over the respiratory rate (RR) was associated with HFOT failure (adjusted hazard ratio [aHR], 0.83; 95%CI, 0.77–0.90, P < 0.0001), as were elevated mean arterial pressure (aHR, 1.03; 95%CI, 1.02–1.05), vasopressor therapy (aHR, 3.35; 95%CI, 1.44–7.79), and worse Glasgow Coma Scale score (aHR, 0.69; 95%CI, 0.57–0.80, P < 0.001). The identification of factors independently associated with HFOT failure should help to determine which patients are most likely to benefit from HFOT, thereby preventing delayed intubation. Additional studies are needed to further assess these risk factors and to determine the optimal HFOT weaning modalities.Trial registration: The study was registered on the ClinicalTrials.gov registry on February 11, 2019 (NCT04141956).

Indexed as

Oxygen Inhalation TherapyRespiratory InsufficiencyCannulaFemaleFranceHumansIntensive Care UnitsMaleMiddle AgedOxygenProspective StudiesOxygenHigh-flow nasal cannulaHigh-flow oxygen therapy failurePredictors

Identifiers

PMID41735369
PMCPMC13031711

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.