ArticleTherapeutic advances in chronic disease2022
Incidence, causes, and predictors of unsuccessful decannulation following prolonged weaning.
Article in Therapeutic advances in chronic disease, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Clinical feasibility of intratracheal tracheostomy sealing using a novel sealing disc prototype.Scientific reports · 2026Trial
- Tracheostomy Decannulation Practices in Indian Intensive Care Units: A National Cross-sectional Survey of Intensive Care Unit Consultants.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2026Article
- Tracheostomy timing and weaning outcomes following prolonged mechanical ventilation.BMC pulmonary medicine · 2026Observational
- Expert consensus-based clinical practice guidelines for Care and weaning procedures in tracheostomized ICU patients after invasive mechanical ventilation: a joint statement by the Intensive Care Physiotherapy Society (SKR) and the French Intensive Care Society (SRLF).Annals of intensive care · 2026Article
- Determinants of time to decannulation and predictors of early weaning from tracheostomy: a multicenter, retrospective Italian cohort study.Annals of intensive care · 2026Article
- [Impact of severe laryngotracheal injuries on decannulation failure in adult patients. Retrospective cohort]Revista de la Facultad de Ciencias Medicas (Cordoba, Argentina) · 2025Article
- Feasibility of intratracheal tracheostomy sealing: anatomical adaptation and biocompatibility of a second-generation prototype in cadaveric and porcine models.Scientific reports · 2025Article
- Long-Term Follow-up of Percutaneous Dilatational Tracheostomy in the Intensive Care Unit.The Laryngoscope · 2025Article
- Predictive Factors of Successful Decannulation in Tracheostomy Patients: A Scoping Review.Journal of clinical medicine · 2025Review
- Using ML techniques to predict extubation outcomes for patients with central nervous system injuries in the Yun-Gui Plateau.Scientific reports · 2025Article
- RETROSPECTIVE ANALYSIS OF PATIENTS WITH IMMEDIATE DECANNULATION IN SEVERE ACQUIRED BRAIN INJURY (RAPID-SABI).Journal of rehabilitation medicine. Clinical communications · 2025Article
- Prolonged weaning from mechanical ventilation: who, what, when and how?Breathe (Sheffield, England) · 2024Review
- Mechanical power density, spontaneous breathing indexes, and prolonged weaning failure: a prospective cohort study.Scientific reports · 2024Observational
- Ventilator Weaning in Prolonged Mechanical Ventilation-A Narrative Review.Journal of clinical medicine · 2024Review
- [Multiple factors contributing to dysphagia : Extended tasks for the interprofessional team in the intensive care unit].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2024Review
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Liberation from prolonged tracheostomy ventilation involves ventilator weaning and removal of the tracheal cannula (referred to as decannulation). This study evaluated the incidence, causes, and predictors of unsuccessful decannulation following prolonged weaning. Methods: Observational retrospective cohort study of 532 prolonged mechanically ventilated, tracheotomized patients treated at a specialized weaning center between June 2013 and January 2021. We summarized the causes for unsuccessful decannulations and used a binary logistic regression analysis to derive and validate associated predictors. Results: Failure to decannulate occurred in 216 patients (41%). The main causes were severe intensive care unit (ICU)-acquired dysphagia (64%), long-term ventilator dependence following weaning failure (41%), excessive respiratory secretions (12%), unconsciousness (4%), and airway obstruction (3%). Predictors of unsuccessful decannulation from any cause were age [odds ratio (OR) = 1.04 year Conclusion: Failure to decannulate after prolonged weaning occurred in 41%, mainly resulting from persistent ICU-acquired dysphagia and long-term ventilator dependence following weaning failure, each associated with its own set of predictors.
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