Evidence map›Paper›PMID 38560197›Full record

ArticleHeliyon2024

Development and validation of a clinical prediction model for early ventilator weaning in post-cardiac surgery.

Rong-Cheng Xie, Yu-Ting Wang, Xue-Feng Lin, Xiao-Ming Lin, Xiang-Yu Hong, Hong-Jun Zheng, Lian-Fang Zhang, Ting Huang, Jie-Fei Ma

RetractedOpen access · goldAbstract readRetracted Publication
In one paragraph

Article in Heliyon, 2024. 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 It has been retracted, and should not be counted.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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.7field-weighted citation impact, top 17% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Rong-Cheng XieDepartment of Critical Care Medicine, Zhongshan Hospital (Xiamen), Fudan University, Xiamen 361015, Fujian province, PR China.
Yu-Ting WangDepartment of Critical Care Medicine, Zhongshan Hospital (Xiamen), Fudan University, Xiamen 361015, Fujian province, PR China.
Xue-Feng LinDepartment of Critical Care Medicine, Zhongshan Hospital (Xiamen), Fudan University, Xiamen 361015, Fujian province, PR China.
Xiao-Ming LinDepartment of Critical Care Medicine, Zhongshan Hospital (Xiamen), Fudan University, Xiamen 361015, Fujian province, PR China.
Xiang-Yu HongDepartment of Critical Care Medicine, Zhongshan Hospital (Xiamen), Fudan University, Xiamen 361015, Fujian province, PR China.
Hong-Jun ZhengDepartment of Critical Care Medicine, Zhongshan Hospital (Xiamen), Fudan University, Xiamen 361015, Fujian province, PR China.
Lian-Fang ZhangDepartment of Critical Care Medicine, Zhongshan Hospital (Xiamen), Fudan University, Xiamen 361015, Fujian province, PR China.
Ting HuangDepartment of Critical Care Medicine, Zhongshan Hospital (Xiamen), Fudan University, Xiamen 361015, Fujian province, PR China.
Jie-Fei MaDepartment of Critical Care Medicine, Zhongshan Hospital (Xiamen), Fudan University, Xiamen 361015, Fujian province, PR China.
Fudan University · CNSun Yat-sen University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Weaning patients from mechanical ventilation is a critical clinical challenge post cardiac surgery. The effective liberation of patients from the ventilator significantly improves their recovery and survival rates. This study aimed to develop and validate a clinical prediction model to evaluate the likelihood of successful extubation in post-cardiac surgery patients. Method: A predictive nomogram was constructed for extubation success in individual patients, and receiver operating characteristic (ROC) and calibration curves were generated to assess its predictive capability. The superior performance of the model was confirmed using Delong's test in the ROC analysis. A decision curve analysis (DCA) was conducted to evaluate the clinical utility of the nomogram. Results: Among 270 adults included in our study, 107 (28.84%) experienced delayed extubation. A predictive nomogram system was derived based on five identified risk factors, including the proportion of male patients, EuroSCORE II, operation time, pump time, bleeding during operation, and brain natriuretic peptide (BNP) level. Based on the predictive system, five independent predictors were used to construct a full nomogram. The area under the curve values of the nomogram were 0.880 and 0.753 for the training and validation cohorts, respectively. The DCA and clinical impact curves showed good clinical utility of this model. Conclusion: Delayed extubation and weaning failure, common and potentially hazardous complications following cardiac surgery, vary in timing based on factors such as sex, EuroSCORE II, pump duration, bleeding, and postoperative BNP reduction. The nomogram developed and validated in this study can accurately predict when extubation should occur in these patients. This tool is vital for assessing risks on an individual basis and making well-informed clinical decisions.

Indexed as

Weaning post-cardiac surgery nomogram prediction validation

Identifiers

PMID38560197
PMCPMC10979061
OpenAlexW4393175741

What OpenQuestion holds

Textmetadata
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.