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. 2025 Jan 7;51(1):106–114. doi: 10.1007/s00134-024-07758-0

Table 2.

Comparison of crude diagnostic accuracy for reintubation at 7 days of the three models including 2341 patients recruited in five randomized trials [11, 12, 14, 15, 19]

Se Sp PPV NPV Youden Kappa
3 Factors model 62.96% 44.75% 19.26% 85.24% 0.08 0.04
4 Factors model 75.31% 36.31% 19.83% 87.55% 0.12 0.06
11 Factors model 84.20% 31.46% 20.44% 90.49% 0.16 0.07

Se sensitivity; Sp specificity; PPV positive predictive value; NPV negative predictive value

The 3-factors model included the following risk factors: age > 65y, chronic heart or pulmonary disease. The 4-factors model included the following risk factors: age > 65y, chronic heart or pulmonary disease, and prolonged mechanical ventilation. The 11-factors model included the following risk factors: age > 65 years, ≥ 2 comorbidities, prolonged mechanical ventilation, acute heart failure as the primary indication for mechanical ventilation, moderate-to-severe chronic obstructive pulmonary disease, APACHE II score > 12 on extubation day, airway patency problems, inability to deal with respiratory secretions, not simple weaning, obesity, or hypercapnia at the end of the spontaneous breathing trial