Table 4.
Predictive value of the cuff leak test and laryngeal ultrasonography for postextubation stridor, laryngeal edema, and reintubation
| Author | Year | Predefined cutoff value | Outcome | Sensitivity | Specificity | PPV | NPV | |
|---|---|---|---|---|---|---|---|---|
| Cuff leak test | Volume, ml | Percentage of tidal volume | ||||||
| Miller and Cole [22] | 1996 | 110 | Stridor | 0.67 (0.51–0.82) | 0.99 | 0.80 | 0.98 | |
| Jaber et al. [25] | 2003 | 130 | 12 | Stridor | 0.85 (0.65–0.99) | 0.95 (0.91–0.99) | 0.69 | 0.98 |
| De Bast et al. [2] | 2002 | 15.5 | Reintubation | 0.75 | 0.72 | 0.25 | 0.96 | |
| Sandhu et al. [21] | 2000 | 10.0 | Stridor or reintubation | 0.54 | 0.96 | 0.64 | 0.94 | |
| Wang et al. [19] | 2007 | 88 | Stridor | 0.60 | 0.89 | 0.55 | 0.91 | |
| Maury et al. [20] | 2004 | 0 | Stridor | 1.00 | 0.80 | 0.15 | 1.00 | |
| Chung et al. [13] | 2006 | 140 | Laryngeal edema | 0.89 | 0.90 | 0.84 | 0.93 | |
| Engoren [34] | 1999 | 110 | Stridor | 0.00 | 0.96 | 0.00 | 0.99 | |
| Kriner et al. [18] | 2005 | 110 | Stridor | 0.50 | 0.84 | 0.12 | 0.97 | |
| Cheng et al. [16] | 2006 | 18.0 | Stridor | 0.85 | 0.72 | 0.21 | 0.98 | |
| Mikaeili et al. [28] | 2014 | 110 | Stridor | 0.25 | 0.84 | 0.14 | 0.91 | |
| 130 | 0.25 | 0.81 | 0.13 | 0.91 | ||||
| 249 | 0.75 | 0.59 | 0.17 | 0.96 | ||||
| Gros et al. [27] | 2012 | 130 | Stridor | 0.86 (0.42–1.00) | 0.76 (0.67–0.84) | 0.21 (0.08–0.40) | 0.99 (0.93–1.00) | |
| Sutherasan et al. [15] | 2013 | 110 | Laryngeal edema | 0.80 | 0.82 | 0.46 | 0.96 | |
| Ultrasonography | ACWD, mm | |||||||
| Sutherasan et al. [15] | 2013 | 1.6 | Laryngeal edema | 0.71 | 0.70 | 0.32 | 0.92 | |
| Mikaeili et al. [28] | 2014 | 0.85 | Stridor | 0.50 | 0.57 | 0.11 | 0.91 | |
95 % confidence intervals are provided if available
Adapted from Wittekamp et al. [4]
PPV positive predictive value, NPV negative predictive value, ACWD air column width difference