Extubation outcome after a successful spontaneous breathing trial: A multicenter validation of a 3-factor prediction model

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Extubation outcome after a successful spontaneous breathing trial: A multicenter validation of a 3-factor prediction model.

The aim of the present study was to validate, and if necessary update, a predictive model previously developed using a classification and regression tree (CART) algorithm for predicting successful extubation (ES) using a new cohort. This prospective cohort study enrolled adults admitted to 10 intensive care units, who had successfully passed a spontaneous breathing trial (SBT) and were consider...

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The timing of extubation is crucial during critical illness, since either delayed or premature discontinuation from mechanical ventilation is associated with an increased risk of morbidity and mortality,1 and the literature suggests that an early identification of patients who are able to breathe spontaneously reduces the duration of mechanical ventilation and complication rate.1 However, even ...

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Predicting extubation failure after successful completion of a spontaneous breathing trial.

OBJECTIVE To derive a clinical prediction rule that uses bedside clinical variables to predict extubation failure (reintubation within 48 h) after a successful spontaneous breathing trial. METHODS This prospective observational cohort study was performed at the Northwestern Memorial Hospital in Chicago, Illinois, which is a large tertiary-care university hospital. Among 673 consecutive patien...

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Spontaneous breathing trial predicts successful extubation in infants and children.

OBJECTIVE To assess the value of a spontaneous breathing trial (SBT) using a flow-inflating bag in predicting extubation success. Secondary goals were to evaluate the positive and negative predictive accuracy of a 15-min SBT. DESIGN Prospective, blinded, clinical study. SETTING Pediatric intensive care unit (ICU) of a university hospital PATIENTS Infants and children intubated for >or=24 ...

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ژورنال

عنوان ژورنال: Experimental and Therapeutic Medicine

سال: 2015

ISSN: 1792-0981,1792-1015

DOI: 10.3892/etm.2015.2678