Table 3.
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 |
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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) |
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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 |
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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 |
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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) |
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Goligher et al. [25] | ICU pts., MV ≥36 h | 61 (31.9) | Decrease as well as increase of diaphragm thickness, measured daily by ultrasound | |
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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) | |
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Hermans et al. [22] | Medical and surgical study pts. in the ICU for at least 7 days | MICU | 171 (40.7) | Intensive insulin therapy |
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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 |
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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 |
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Papuzinski et al. [16] | Pts. required invasive MV | General ICU | 142 (40.7) | Age, PaO2/FiO2 >200, Hypernatremia (at intubation), COPD |
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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) |
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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) |
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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.