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VOLUME 19 , ISSUE 12 ( 2015 ) > List of Articles

RESEARCH ARTICLE

Can integrative weaning index be a routine predictor for weaning success?

Ghada F. El-Baradey, Nagat S. El-Shmaa, Salwa A. Ganna

Keywords : integrative weaning index, ventilator weaning, weaning parameters, weaning protocol,Adult

Citation Information : El-Baradey GF, El-Shmaa NS, Ganna SA. Can integrative weaning index be a routine predictor for weaning success?. Indian J Crit Care Med 2015; 19 (12):703-707.

DOI: 10.4103/0972-5229.171352

License: CC BY-ND 3.0

Published Online: 00-12-2015

Copyright Statement:  Copyright © 2015; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Objective: To assess the effectiveness of integrative weaning index (IWI) as a predictor of weaning success. Materials and Methods: This is a prospective randomized controlled observer-blinded study and carried out on 120 patients of both sexes; patients who received mechanical ventilation for more than 24 h and met defined criteria for a weaning trial, underwent a 2-h spontaneous breathing trial with either IWI plus routine criteria of weaning (Group I n = 60) or routine criteria of weaning alone (control group) (Group C n = 60), in Group C the IWI was measured retrospective as it is not used in weaning decision. Those tolerated the trial would be immediately extubated. The primary outcome measure was the ability to maintain spontaneous, unassisted breathing for more than 48 h after extubation. Secondary outcome measures were the duration of mechanical ventilation, length of Intensive Care Unit (ICU) stay, and length of hospital stay. Results: The mean duration (hours) of mechanical ventilation and length of ICU stay (days) were significantly shorter in the Group I where the IWI was used (83.6 ± 34.3 vs. 97.49 ± 47.2 h, P = 0.002 and 5.5 ± 1.6 vs. 7.12 ± 2.3 days, P = 0.03, respectively). Weaning success rate was significantly higher in the Group I (53 vs. 34, P = 0.0001) while weaning failure rate was significantly lower in the Group I C (7 vs. 26, P = 0.0001). Conclusion: IWI is a strong predictor of both successful and failed weaning.


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