Evidence map›Paper›PMID 31990295›Full record

ArticleBioscience reports2020

Early prediction of extubation failure in patients with severe pneumonia: a retrospective cohort study.

He Yu, Jian Luo, Yuenan Ni, Yuehong Hu, Dan Liu, Maoyun Wang, Binmiao Liang, Zongan Liang

Registry-linked trialAbstract read
In one paragraph

Article in Bioscience reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06662201 (Association Between P0.1 and Extubation Failure in Adult Patients With Acute Hypoxemic Respiratory Failure. A Multicenter Prospective Cohort Study), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06662201 active not recruitingnot on this mapstarted 2024, after this paper: background citation

Association Between P0.1 and Extubation Failure in Adult Patients With Acute Hypoxemic Respiratory Failure. A Multicenter Prospective Cohort Study

Typeobservational_patient_registrySponsorArgentinian Intensive Care SocietyRan2024 to 2025Enrolled256ConditionsVentilator Weaning
3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Article
  5. A new index, Respiratory Insufficiency index and Modified Early Warning Scores predict extubation failure.Canadian journal of respiratory therapy : CJRT = Revue canadienne de la therapie respiratoire : RCTR · 2023
    Article
  6. Article
  7. Article
  8. Novel mechanical ventilator weaning predictive model.The Kaohsiung journal of medical sciences · 2020
    Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

He YuDepartment of Critical Care Medicine, West China School of Medicine and West China Hospital, Sichuan University, Chengdu, China.
Jian LuoDepartment of Respiratory and Critical Care Medicine, West China School of Medicine and West China Hospital, Sichuan University, Chengdu, China.
Yuenan NiDepartment of Respiratory and Critical Care Medicine, West China School of Medicine and West China Hospital, Sichuan University, Chengdu, China.
Yuehong HuDepartment of Respiratory and Critical Care Medicine, West China School of Medicine and West China Hospital, Sichuan University, Chengdu, China.
Dan LiuDepartment of Critical Care Medicine, West China School of Medicine and West China Hospital, Sichuan University, Chengdu, China.
Maoyun WangDepartment of Respiratory and Critical Care Medicine, West China School of Medicine and West China Hospital, Sichuan University, Chengdu, China.
Binmiao LiangDepartment of Respiratory and Critical Care Medicine, West China School of Medicine and West China Hospital, Sichuan University, Chengdu, China.
Zongan LiangDepartment of Respiratory and Critical Care Medicine, West China School of Medicine and West China Hospital, Sichuan University, Chengdu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Backgroud: Severe pneumonia is one of the most common causes for mechanical ventilation. We aimed to early identify severe pneumonia patients with high risk of extubation failure in order to improve prognosis.

methodsFrom April 2014 to December 2015, medical records of intubated patients with severe pneumonia in intensive care unit were retrieved from database. Patients were divided into extubation success and failure groups, and multivariate logistic regressions were performed to identify independent predictors for extubation failure.

resultsA total of 125 eligible patients were included, of which 82 and 43 patients had extubation success and failure, respectively. APACHE II score (odds ratio (OR) 1.141, 95% confident interval (CI) 1.022-1.273, P = 0.019, cutoff at 17.5), blood glucose (OR 1.122, 95%CI 1.008-1.249, P = 0.035, cutoff at 9.87 mmol/l), dose of fentanyl (OR 3.010, 95%CI 1.100-8.237, P = 0.032, cutoff at 1.135 mg/d), and the need for red blood cell (RBC) transfusion (OR 2.774, 95%CI 1.062-7.252, P = 0.037) were independent risk factors for extubation failure.

conclusionIn patients with severe pneumonia, APACHE II score > 17.5, blood glucose > 9.87 mmol/l, fentanyl usage > 1.135 mg/d, and the need for RBC transfusion might be associated with higher risk of extubation failure.

Indexed as

Intubation, IntratrachealRespiration, ArtificialAgedAirway ExtubationAnalgesics, OpioidAPACHEBiomarkersBlood GlucoseDatabases, FactualErythrocyte TransfusionFemaleFentanylHumansMaleMiddle AgedPneumoniaAnalgesics, OpioidBiomarkersBlood GlucoseFentanylAPACHE II scoreblood glucoseextubation failurefentanylRBC transfusionsevere pneumonia

Identifiers

PMID31990295
PMCPMC7007404

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.