Evidence map›Paper›PMID 35935785›Full record

ArticleFrontiers in medicine2022

New integrated weaning indices from mechanical ventilation: A derivation-validation observational multicenter study.

Amir Vahedian-Azimi, Keivan Gohari-Moghadam, Farshid Rahimi-Bashar, Abbas Samim, Masoum Khoshfetrat, Seyyede Momeneh Mohammadi, Leonardo Cordeiro de Souza, Ata Mahmoodpoor

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Frontiers in medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 42% of its field
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.

NCT01779297 completednot on this map

New Integrated Weaning Indexes From Mechanical Ventilation: A Prospective Clinical Trial

TypeobservationalSponsorBaqiyatallah Medical Sciences UniversityRan2007 to 2012Enrolled1,175ConditionsMechanical Ventilation Weaning
NCT07109206 not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Cardio-circulatory and Respiratory Monitoring for Prediction of Outcome in Mechanically Ventilated Chronic Obstructive Pulmonary Disease Patients

TypeobservationalSponsorAssiut UniversityRan2025 to 2028Enrolled104ConditionsCOPD (Chronic Obstructive Pulmonary Disease), Cardiometry, Weaning Invasive Mechanical Ventilation
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Position Statement of ISCCM Committee on Weaning from Mechanical Ventilator.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2024
    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 at 7 institutions in 2 countries.

Amir Vahedian-AzimiTrauma Research Center, Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Keivan Gohari-MoghadamMedical ICU and Pulmonary Unit, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Farshid Rahimi-BasharAnesthesia and Critical Care Department, Hamadan University of Medical Sciences, Hamadan, Iran.
Abbas SamimChemical Injuries Research Center, Systems Biology and Poisonings Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Masoum KhoshfetratDepartment of Anesthesiology and Critical Care, Khatamolanbia Hospital, Zahedan University of Medical Sciences, Zahedan, Iran.
Seyyede Momeneh MohammadiDepartment of Anatomical Sciences, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran.
Leonardo Cordeiro de SouzaPhysical Therapy College, Universidade Estáciode Sá, Rio de Janeiro, Brazil.
Ata MahmoodpoorEvidence Based Medicine Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Baqiyatallah University of Medical Sciences · IREstácio (Brazil) · BRHamedan University of Medical Sciences · IRShariati Hospital · IRTabriz University of Medical Sciences · IRZahedan University of Medical Sciences · IRZanjan University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: To develop ten new integrated weaning indices that can predict the weaning outcome better than the traditional indices. Methods: This retrospective-prospective derivation-validation observational multicenter clinical trial (Clinical Trial.Gov, NCT01779297), was conducted on 1,175 adult patients admitted at 9 academic affiliated intensive care units (ICUs; 4 surgical and 5 medical), from Jan 2013 to Dec 2018. All patients, intubated and mechanically ventilated for at least 24 h and ready for weaning were enrolled. The study had two phases: at first, the threshold values of each index that best discriminate between a successful and an unsuccessful weaning outcome was determined among 208 patients in the derivation group. In the second phase, the predictive performance of these values was prospectively tested in 967 patients in the validation group. In the prospective-validation set we used Bayes' theorem to assess the probability of each test in predicting weaning. Results: In the prospective validation group, sensitivity, specificity, diagnostic accuracy, positive and negative predictive values, and finally area under the receiver operator characteristic curves and standard errors for each index (ten formulae) were calculated. Statistical values of ten formulae for aforesaid variables were higher than 87% (0.87-0.99). Conclusion: The new indices can be used for hospitalized patients in intensive care settings for accurate prediction of the weaning outcome.

Indexed as

cut-off valueslikelihood ratiomechanical ventilationreceiver-operating characteristic curveweaning indices

Identifiers

PMID35935785
PMCPMC9354807
OpenAlexW4286716579

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.