Evidence map›Paper›PMID 37908421›Full record

ArticleIndian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine2023

Prediction of Weaning Outcome from Mechanical Ventilation Using Ultrasound Assessment of Parasternal Intercostal Muscle Thickness.

Arjun Ramaswamy, Rohit Kumar, Mahendran Arul, Pranav Ish, Manu Madan, Neeraj Kumar Gupta, Nitesh Gupta

RetractedOpen access · diamondAbstract readRetracted Publication
In one paragraph

Article in Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It has been retracted, and should not be counted. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 18% 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.

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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Letter to the Editor: In Response to the Retraction Notice of an Article.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2024
    Article
  4. Review
  5. Parasternal Intercostal Muscle Thickness Fraction (PICTF%): Ultrasound a New Tool for Weaning Prediction?Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2024
    Article
  6. Wean to Win.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2023
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Arjun RamaswamyDepartment of Pulmonary, Critical Care, and Sleep Medicine, Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi, India.ORCID https://orcid.org/0009-0007-6904-2638
Rohit KumarDepartment of Pulmonary, Critical Care, and Sleep Medicine, Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi, India.ORCID https://orcid.org/0000-0001-6398-7840
Mahendran ArulDepartment of Pulmonary, Critical Care, and Sleep Medicine, Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi, India.ORCID https://orcid.org/0000-0003-4907-1312
Pranav IshDepartment of Pulmonary, Critical Care, and Sleep Medicine, Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi, India.ORCID https://orcid.org/0000-0003-1701-4970
Manu MadanDepartment of Pulmonary, Critical Care, and Sleep Medicine, Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi, India.ORCID https://orcid.org/0000-0001-9245-4568
Neeraj Kumar GuptaDepartment of Pulmonary, Critical Care, and Sleep Medicine, Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi, India.ORCID https://orcid.org/0000-0003-2776-0125
Nitesh GuptaDepartment of Pulmonary, Critical Care, and Sleep Medicine, Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi, India.ORCID https://orcid.org/0000-0002-5842-5584
Vardhman Mahavir Medical College & Safdarjung Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Monitoring the function of parasternal intercostal muscles provides information on respiratory load and capacity and thus can be a weaning monitoring tool. Objective: The goal was to study the diagnostic accuracy of parasternal intercostal muscle thickness fraction (PICTF%) as a predictor of weaning. Materials and methods: A prospective observational study on consecutively admitted patients who were intubated and mechanically ventilated for a duration of at least 48 hours was carried out. When an SBT was planned by the treating physician, the study examiner performed the ultrasound measurements of parasternal intercostal muscle thickness (inspiration and expiration) and thickening fraction using M-mode ultrasonography (USG). The PICTF% was calculated as "(peak inspiratory thickness - end-expiratory thickness)/end-expiratory thickness) × 100." Weaning failure was defined if the patient had a failed spontaneous breathing trial (SBT) or the need for a reintubation within 48 hours following extubation. The SBT failure was defined as the need to connect the patient back to the ventilator prior to its completion due to any reason as decided by the clinician. Results: Of 81 screened patients, 60 patients met the inclusion criteria, of whom 49 patients had successful SBT, and 48 patients could be successfully extubated. The PMTF% cut-off value more than or equal to 15.38% was associated with the best sensitivity (75%) and specificity (87.8%) in predicting extubation failure. Conclusion: The PICTF% has a good diagnostic accuracy in predicting weaning failure. How to cite this article: Ramaswamy A, Kumar R, Arul M, Ish P, Madan M, Gupta NK,

Indexed as

Critical illnessUltrasonographyVentilator weaning

Identifiers

PMID37908421
PMCPMC10613859
OpenAlexW4387217940

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.