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