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. 2022 Aug 17;101(10):959–969. doi: 10.1159/000525604

Table 3.

Studies identifying risk factors for PMV

First author, ID Patients ICU setting PMV pts. (%) Risk factors
Béduneau et al. [1] Pts. receiving MV 36, 10–17-bed. ICUs 399 (22) Age (year), SOFA at admission, duration of MV before the first separation attempt, medical admissions

Chang et al. [19] Pts. who survive sepsis/septic shock with respiratory failure MICU 72 (29) Previous stroke; platelets ≤150,000/μL, pH ≤ 7.35, FiO2 ≥ 0.39 (on admission day 7)

Clark et al. [18] MICU pts. 16-bed MICU 31 (31.3) I-TRACH score: intubated in MICU, HR >110/min, BUN >25 mg/dL, pH >7.25, Creatinine >2.0 mg/dL, HCO3 >20 mEq/L

Clark et al. [20] MICU pts. 12-bed MICU 34 (19.7) I-TRACH score; intubated in MICU, HR >110/min, BUN >25 mg/dL, pH >7.25, creatinine >2.0 mg/dL or a >50% increase from baseline values, HCO3 >20 mEq/L

Figueroa-Casas et al. [24] Medical, surgical, and trauma pts. MV ≥2 consecutive mornings General ICU 110 (39) Level of PEEP (from the first 2 days on MV)

Goligher et al. [25] ICU pts., MV ≥36 h 61 (31.9) Decrease as well as increase of diaphragm thickness, measured daily by ultrasound

Greenberg et al. [23] Tracheotomized pts. undergoing
MV
103 (44.7) VIS (ventilator independence score) (on day after, tracheostomy placement), CCI, serum albumin (on hospital admission), g/dL, SOFA score (on ICU admission)

Hermans et al. [22] Medical and surgical study pts. in the ICU for at least 7 days MICU 171 (40.7) Intensive insulin therapy

Hsieh et al. [29] ICU patients planned for extubation 96 ICU beds;
48 medical, 9 cardiac 39 surgical
311 (8.6) Artificial neural network model with 47 different 47 clinical risk factors

Pan et al. [17] Pts. on MV admitted to respiratory
ICU
35-bed respiratory ICU 41 (26.6) Acute kidney injury, MV days before the day of readiness for weaning, RSBI on day of readiness for weaning

Papuzinski et al. [16] Pts. required invasive MV General ICU 142 (40.7) Age, PaO2/FiO2 >200, Hypernatremia (at intubation),
COPD

Pu et al. [26] Patients intubated, MV ≥24 h, undergoing SBT Medical and surgical ICUs of 13 hospitals 44 (13) Glasgow Score
PaCO2 (at the beginning of the first SBT)

Sellares et al. [28] Patients intubated, MV ≥48 h, ready to wean 6-bed respiratory ICU 33 (18) Increased heart rate ≥105 min−1, PaCO2 ≥54 mm Hg (during the spontaneous breathing trial)

Wang et al. [21] Pts. who were admitted to the ICU after cardiac surgery 26 (46.4) Poor cardiac function (ventricular-vascular coupling ratio), lactate at admission

The table shows the studies that examine the risk factors for PMV including prolonged weaning. ICC, International Consensus Conference; ICU, intensive care unit; MICU, medical intensive care unit; MV, mechanical ventilation; FiO2, fraction of inspired oxygen; HR, heart rate; BUN, blood urea nitrogen; HCO3, bicarbonate; PEEP, positive end-expiratory pressure; VIS, ventilator independence score; CCI, Charlson Comorbidity Index; SAPS II, Simplified Acute Physiology Score; SOFA, Sequential Organ Failure Assessment; SBT, spontaneous breathing trial; PaCO2, partial pressure of carbon dioxide; SICU, surgical intensive care Unit; RSBI, rapid shallow breathing index; eGFR, estimated glomerular filtration rate; PaO2/FiO2, ratio of arterial oxygen partial pressure to fractional inspired oxygen; DPC, Diagnosis Procedure Combination database; RCC, respiratory care center; Acute Physiology and Chronic Health Evaluation.