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Supplemental digital content

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Table of contents 3

- Supplemental table 1: Biology results during the first 24 hours.

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- Supplemental table 2: International Classification of Diseases, ninth revision 5

(ICD-9) diagnostic codes most represented in the study population.

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- Supplemental Table 3: Baseline differences amongst patients that survived or 7

died in Intensive Care Unit.

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- Supplemental figure 1: Time-weighted average PaO2 distribution between 9

normoxia and hyperoxia groups.

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- Supplemental figure 2: In-Intensive Care Unit mortality in normoxemia and 11

hyperoxemia groups using a multivariable logistic regression model.

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Supplemental table 1: Biology results during the first 24 hours. PaO2 data were 14

collected during the first 24 hours of ICU stay, the other data represent the worst values 15

during the first 24 hours. Results are presented as medians with [interquartile ranges].

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TWA-PaO2, time-weighted average PaO2 during the first 24 hours 17

All (n = 488)

Normoxia (n = 214)

Hyperoxia (n = 274)

p value Arterial blood gases

TWA-PaO2

(mmHg) 125.9 [101.1–154.0] 99.1 [88.9–107.6] 151.5 [133.6–180.2] <0.001 First PaO2

(mmHg) 114.0 [76.0, 215.3] 94.5 [74.0–165.0] 130.0 [86.3–247.5] <0.001 Average PaO2

(mmHg) 130.3 [105.8–158.0] 104.9 [91.8–120.4] 149.8 [130.3–184.4] <0.001 Lowest PaO2

(mmHg) 71.0 [59.0–88.0] 66.0 [55.0–77.0] 77.5 [62.0–102.0] <0.001 Highest PaO2

(mmHg) 235.5 [170.0–330.3] 170.5 [129.3–257.8] 284.0 [218.5–382.0] <0.001 Serum lactate

(mmol/L) 3.9 [2.7–6.0] 3.8 [2.6–6.1] 3.9 [2.7–5.8] 0.980

PaCO2 (mmHg) 46.0 [39.0–55.0] 47.0 [40.0–55.0] 44.0 [37.0–54.0] 0.069

pH 7.22 [7.15–7.29] 7.21 [7.15–7.30] 7.23 [7.15–7.29] 0.488

Chemistry Bicarbonate

(mmol/L) 17.0 [14.0–20.0] 18.0 [14.0–20.0] 17.0 [13.0–20.0] 0.080 Albumin (g/dL) 2.5 [2.1–3.0] 2.6 [2.2–2.9] 2.5 [2.0–3.0] 0.507 Bilirubin (mg/dL) 1.0 [0.6–3.1] 1.1 [0.6–4.3] 1.0 [0.5–2.7] 0.146 Creatinine

(mg/dL) 1.8 [1.1–2.8] 1.8 [1.1–2.9] 1.7 [1.2–2.8] 0.823

Chloride (mmol/L) 110 [106–115] 109 [105–114] 111 [107–115] 0.006 Sodium (mmol/L) 141 [138–145] 140 [138–144] 142 [139–145] 0.021 Potassium

(mmol/L) 4.8 [4.3–5.5] 4.7 [4.2–5.5] 4.8 [4.3–5.4] 0.255

Blood count and hemostasis

Hematocrit (%) 28.1 [24.5–31.9] 29.0 [25.0–33.8] 27.6 [24.0–30.8] 0.001 Hemoglobin

(g/dL) 9.4 [8.1–10.8] 9.6 [8.4–11.2] 9.2 [7.9–10.4] 0.006

Platelets (G/L) 155 [86–238] 152 [89–233] 157 [85–244] 0.811

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Supplemental table 2: International Classification of Diseases, ninth revision 19

(ICD-9) diagnostic codes most represented in the study population (n = 488).

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ICD9 code Code description n (%)

518.81 Acute respiratory failure 382 (78.3)

995.92 Severe sepsis 353 (72.3)

584.9 Acute kidney failure 316 (64.8)

428.0 Congestive heart failure 277 (56.8)

401.9 Hypertension 276 (56.6)

785.52 Septic shock 275 (56.4)

038.9 Septicemia 262 (53.7)

427.31 Atrial fibrillation 229 (46.9)

599.0 Urinary tract infection 165 (33.8)

276.2 Acidosis 158 (32.4)

507.0 Pneumonitis due to inhalation of food or vomitus 157 (32.2) 250.00 Diabetes mellitus without mention of complication 154 (31.6)

285.9 Anemia 128 (26.2)

414.01 Coronary atherosclerosis of native coronary artery 119 (24.4)

244.9 Hypothyroidism 118 (24.2)

486.0 Pneumonia, organism unspecified 114 (23.4)

584.5 Acute kidney failure with lesion of tubular necrosis 108 (22.1)

403.91 Hypertensive chronic kidney disease, unspecified, with chronic

kidney disease stage V or end stage renal disease 94 (19.3)

272.4 Other and unspecified hyperlipidemia 93 (19.1)

287.5 Thrombocytopenia 89 (18.2)

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Supplemental Table 3: Baseline differences amongst patients that survived or 23

died in Intensive Care Unit. Results are presented as medians with [interquartile 24

ranges] or numbers with (percentages). BMI, body mass index; ENT, ear nose and 25

throat; ICU, intensive care unit; IQR, interquartile range; SAPS II, simplified acute 26

physiology score II; SD, standard deviation; SOFA, sequential organ failure 27

assessment; TWA-PaO2, time-weighted average PaO2 during the first 24 hours.

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*PaO2 data were collected during the first 24 hours of ICU stay, the other data 29

represent the worst values during the first 24 hours.

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Survived (n = 322) Deceased (n = 166) p value

Age (years) 65 [53–77] 65 [53–76] 0.860

Male 173 (54) 98 (59) 0.307

BMI (kg/m2) 28.0 [23.7–33.0] 27.1 [22.7–30.6] 0.265

SAPS II 50 [43–60] 62 [52–71] <0.001

SOFA score 9 [7–11] 11 [9–14] <0.001

First ICU 0.004

Surgical ICU 97 (30.1) 29 (17.5)

Medical ICU 225 (69.9) 137 (82.5)

Admission type 0.213

Emergency/Urgent 305 (94.7) 162 (97.6)

Elective 17 (5.3) 4 (2.4)

Biology results*

TWA-PaO2 (mmHg) 128.8 [103.1–162.6] 117.8 [97.4–143.7] 0.007

TWA-PaO2 > 120 mmHg 193 (59.9) 81 (48.8) 0.024

PaCO2 (mmHg) 46.0 [39.0–54.0] 46.0 [38.3–57.8] 0.679

pH 7.24 [7.16–7.30] 7.19 [7.12–7.28] 0.001

Serum lactate (mmol/L) 3.6 [2.6–5.5] 4.4 [3.0–7.7] <0.001

Bicarbonate (mmol/L) 18.0 [14.0–20.0] 16.0 [12.0–19.0] 0.002

Albumin (g/dL) 2.6 [2.1–3.0] 2.4 [2.1–2.9] 0.058

Bilirubin (mg/dL) 0.8 [0.5–2.3] 1.5 [0.8–5.6] <0.001

Creatinine (mg/dL) 1.6 [1.1–2.6] 2.1 [1.3–3.4] 0.001

Hemoglobin (g/dL) 9.4 [8.2–10.9] 9.3 [8.1–10.6] 0.273

Comorbidities

Cardiac 155 (48.1) 79 (47.6) 0.985

Vascular 66 (20.5) 35 (21.1) 0.973

Neurologic 52 (16.1) 16 (9.6) 0.067

Pulmonary 57 (17.7) 29 (17.5) 1

Metabolic 112 (34.8) 62 (37.3) 0.645

Renal 44 (13.7) 34 (20.5) 0.069

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Hepatic 39 (12.1) 33 (19.9) 0.031

Cancer 30 (9.3) 41 (24.7) <0.001

Infection sources

Pulmonary 128 (39.8) 64 (38.6) 0.874

Genito-urinary 24 (7.5) 8 (4.8) 0.357

Neurologic 8 (2.5) 2 (1.2) 0.543

Digestive 93 (28.9) 37 (22.3) 0.146

Osteo-articular 3 (0.9) 1 (0.6) 1

ENT 1 (0.3) 1 (0.6) 1

Cardiologic 2 (0.6) 1 (0.6) 1

Cutaneous 14 (4.3) 5 (3.0) 0.634

Other/Unknown 56 (17.4) 53 (31.9) <0.001

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Supplemental figure 1: Time-weighted average PaO2 distribution between 35

normoxia and hyperoxia groups. TWA-PaO2, time-weighted average PaO2 36

(mmHg).

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Supplemental figure 2: In-Intensive Care Unit mortality in normoxemia and 41

hyperoxemia groups using a multivariable logistic regression model.

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