Evidence map›Paper›PMID 42583549›Full record

ArticleAnnals of medicine and surgery (2012)2026

Efficacy of nasal high-flow therapy versus standard oxygen therapy in hypoxemic respiratory failure: a systematic review and meta-analysis of RCTS.

Naveed Ahmed Khan, Furqan Ahmad Sethi, Khizar Yasin, Mustafa Zuhair Arshad, Ahmad Khan, Zarar Ahmad Khan Afridi, Umama Alam, Humam Shah, Rudaina Hanif, Aaima Zain and 7 more

Abstract read
In one paragraph

Article in Annals of medicine and surgery (2012), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

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

17 authors.

Naveed Ahmed KhanDepartment of Medicine, Khyber Medical College, Peshawar, Pakistan.
Furqan Ahmad SethiDepartment of Medicine, Khyber Medical College, Peshawar, Pakistan.
Khizar YasinDepartment of Medicine, Khyber Medical College, Peshawar, Pakistan.
Mustafa Zuhair ArshadDepartment of Medicine, Khyber Medical College, Peshawar, Pakistan.
Ahmad KhanDepartment of Medicine, Khyber Medical College, Peshawar, Pakistan.
Zarar Ahmad Khan AfridiDepartment of Medicine, Khyber Medical College, Peshawar, Pakistan.
Umama AlamDepartment of Medicine, Khyber Medical College, Peshawar, Pakistan.
Humam ShahDepartment of Medicine, Khyber Medical College, Peshawar, Pakistan.
Rudaina HanifDepartment of Medicine, Khyber Medical College, Peshawar, Pakistan.
Aaima ZainDepartment of Medicine, Khyber Medical College, Peshawar, Pakistan.
Warda BaberDepartment of Medicine, Khyber Medical College, Peshawar, Pakistan.
Muhammad Abdullah AliDepartment of Medicine, Khyber Medical College, Peshawar, Pakistan.
Zaryab BachaDepartment of Medicine, Khyber Medical College, Peshawar, Pakistan.
Muhammad Paris TamoorDepartment of Medicine, Ayub Medical College Abbottabad.
Hassaan AbidDepartment of Medicine, Indiana University School of Medicine.
Saad Ali ShahDepartment of Medicine, Bacha Khan Medical College, Mardan, Peshawar.
Kamil Ahmad KamilInternal Medicine Department, Nasrat Bashir Curative Hospital, Kandahar, Afghanistan.ORCID https://orcid.org/0009-0000-8208-0689

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Respiratory failure is a serious condition caused by impaired gas exchange, leading to hypoxemia or hypercapnia. Nasal high-flow therapy (NHFT) has emerged as an alternative to standard oxygen therapy (SOT). This meta-analysis evaluates the efficacy and safety of NHFT versus SOT by incorporating newly published trials to guide current clinical practice. Methods: This systematic review and meta-analysis followed PRISMA and Cochrane guidelines. Randomized controlled trials (RCTs) comparing NHFT with SOT in acute respiratory failure were included. Primary outcomes were mortality and hospital stay. Data were pooled using a random-effects model in RevMan 5.4, and the certainty of evidence was assessed using GRADE. Results: Sixteen RCTs ( Conclusion: NHFT shows comparable safety and efficacy to SOT in acute hypoxemic respiratory failure, with no significant differences in mortality, length of hospital stay, or intubation rates. Oxygen saturation improved with NHFT, reflecting its physiological advantages. Variability in study design limits generalizability. These findings support the individualized use of NHFT. Future research should explore patient-specific benefits, standardize protocols, and assess long-term outcomes.

Identifiers

PMID42583549
PMCPMC13460916

What Socratic holds

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LicenceCC BY
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Registered trials

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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.