Evidence map›Paper›PMID 34997005›Full record

Observational studyScientific reports2022

Mechanical power normalized to lung-thorax compliance indicates weaning readiness in prolonged ventilated patients.

Alessandro Ghiani, Joanna Paderewska, Swenja Walcher, Konstantinos Tsitouras, Claus Neurohr, Nikolaus Kneidinger

Abstract readObservational Study
In one paragraph

Observational study in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Trial
  2. Review
  3. Observational
  4. Article
  5. Review
  6. Article
  7. Article
  8. Mechanical Power Density Predicts Prolonged Ventilation Following Double Lung Transplantation.Transplant international : official journal of the European Society for Organ Transplantation · 2023
    Article
  9. Article
  10. Observational
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

6 authors.

Alessandro GhianiLung Center Stuttgart - Schillerhoehe Lung Clinic (Affiliated to the Robert-Bosch-Hospital GmbH, Stuttgart), Department of Pulmonology and Respiratory Medicine, Solitudestrasse 18, 70839, Gerlingen, Germany. alessandro.ghiani@rbk.de.ORCID 0000-0002-4137-5373
Joanna PaderewskaLung Center Stuttgart - Schillerhoehe Lung Clinic (Affiliated to the Robert-Bosch-Hospital GmbH, Stuttgart), Department of Pulmonology and Respiratory Medicine, Solitudestrasse 18, 70839, Gerlingen, Germany.
Swenja WalcherLung Center Stuttgart - Schillerhoehe Lung Clinic (Affiliated to the Robert-Bosch-Hospital GmbH, Stuttgart), Department of Pulmonology and Respiratory Medicine, Solitudestrasse 18, 70839, Gerlingen, Germany.
Konstantinos TsitourasLung Center Stuttgart - Schillerhoehe Lung Clinic (Affiliated to the Robert-Bosch-Hospital GmbH, Stuttgart), Department of Pulmonology and Respiratory Medicine, Solitudestrasse 18, 70839, Gerlingen, Germany.
Claus NeurohrLung Center Stuttgart - Schillerhoehe Lung Clinic (Affiliated to the Robert-Bosch-Hospital GmbH, Stuttgart), Department of Pulmonology and Respiratory Medicine, Solitudestrasse 18, 70839, Gerlingen, Germany.
Nikolaus KneidingerDepartment of Internal Medicine V, Ludwig-Maximilians-University (LMU) of Munich, Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Since critical respiratory muscle workload is a significant determinant of weaning failure, applied mechanical power (MP) during artificial ventilation may serve for readiness testing before proceeding on a spontaneous breathing trial (SBT). Secondary analysis of a prospective, observational study in 130 prolonged ventilated, tracheotomized patients. Calculated MP's predictive SBT outcome performance was determined using the area under receiver operating characteristic curve (AUROC), measures derived from k-fold cross-validation (likelihood ratios, Matthew's correlation coefficient [MCC]), and a multivariable binary logistic regression model. Thirty (23.1%) patients failed the SBT, with absolute MP presenting poor discriminatory ability (MCC 0.26; AUROC 0.68, 95%CI [0.59‒0.75], p = 0.002), considerably improved when normalized to lung-thorax compliance (LTC

Indexed as

Ventilator WeaningAgedFemaleHumansLungLung ComplianceMaleMiddle AgedProspective StudiesRespirationROC CurveThoraxTracheostomy

Identifiers

PMID34997005
PMCPMC8741981

What OpenQuestion holds

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Registered trials

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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.