Table 3.
Changes in nighttime sedation dose and odds ratios of liberation from mechanical ventilation #
| Percentiles | Successful SBT | Successful extubation | ||||
|---|---|---|---|---|---|---|
| Variables | 10th | 90th | OR (95% CI) | P value | OR (95% CI) | P value |
| Change in sedative dosing at night | ||||||
| Benzodiazepine dose, mg/hr | −0.19 | 0.25 | 0.4 (0.2 – 0.8) | <0.01 | 0.7 (0.3 – 1.7) | 0.38 |
| Propofol dose, mcg/kg/min | −7.7 | 5.7 | 0.8 (0.5 – 1.4) | 0.43 | 1.0 (0.6 – 1.6) | 0.94 |
| Daytime sedative dosing | ||||||
| Benzodiazepine dose, mg/hr | 0 | 2.4 | nonlinear* | <0.01 | nonlinear* | 0.02 |
| Propofol dose, mcg/kg/min | 0 | 40.1 | 0.4 (0.2 – 1.1) | 0.09 | 1.2 (0.5 – 2.6) | 0.67 |
N=192 observations for extubation model, N=173 observations for SBT model
Because these associations are nonlinear, the magnitude of the associations cannot be summarized using a single odds ratio but are displayed in Figures 2 and 3.
Interpretive example: The odds ratios (ORs) reflect the change in odds of the outcome that was independently associated with a change in the exposure from the 10th percentile value to the 90th percentile value. For example, a nighttime increase in benzodiazepine dose of 0.25 mg/hr, compared to a decrease of 0.19 mg/hr, was independently associated with a 60% reduction in odds of successful spontaneous breathing trial on the day following sedative exposure.