Evidence map›Paper›PMID 39267451›Full record

Observational studyPediatric pulmonology2024

Ventilator variables predicting extubation readiness in extremely premature infants with prolonged mechanical ventilation: A retrospective observational study.

Truong An Nguyen, Josef Matoušek, Aleš Kuběna, Kilián Resl, Petr Kudrna, Klára Dunajová, Richard Plavka

Abstract readObservational Study
In one paragraph

Observational study in Pediatric pulmonology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

7 authors.

Truong An NguyenDepartment of Gynaecology, Obstetrics and Neonatology, First Faculty of Medicine Charles University and General University Hospital in Prague, Prague, Czech Republic.ORCID 0000-0001-6840-283X
Josef MatoušekDepartment of Gynaecology, Obstetrics and Neonatology, First Faculty of Medicine Charles University and General University Hospital in Prague, Prague, Czech Republic.
Aleš KuběnaInstitute of Medical Biochemistry and Laboratory Diagnostics, First Faculty of Medicine Charles University and General University Hospital in Prague, Prague, Czech Republic.
Kilián ReslDepartment of Gynaecology, Obstetrics and Neonatology, First Faculty of Medicine Charles University and General University Hospital in Prague, Prague, Czech Republic.
Petr KudrnaDepartment of Gynaecology, Obstetrics and Neonatology, First Faculty of Medicine Charles University and General University Hospital in Prague, Prague, Czech Republic.ORCID 0000-0003-4872-9362
Klára DunajováDepartment of Gynaecology, Obstetrics and Neonatology, First Faculty of Medicine Charles University and General University Hospital in Prague, Prague, Czech Republic.ORCID 0009-0008-4073-4224
Richard PlavkaDepartment of Gynaecology, Obstetrics and Neonatology, First Faculty of Medicine Charles University and General University Hospital in Prague, Prague, Czech Republic.

Funding

Ministerstvo Zdravotnictví České Republiky MHCZ-DRO-VFN64165
6 · The paper itself

Abstract

backgroundThe current generation of neonatal ventilators enables periodic storage of set, measured, and calculated ventilatory parameters.

designRetrospective observational study.

objectivesTo evaluate and identify the ventilatory, demographic, and clinical pre-extubation variables that are significant for estimating extubation readiness.

methodsEligible subjects included premature infants <33 weeks of gestation weaned from mechanical ventilation (MV) lasting >24 h. A total of 16 relevant ventilator variables, each calculated from 288 data points over 24 h, together with eight demographic and three clinical pre-extubation variables, were used to create the generalized linear model (GLM) for a binary outcome and the Cox proportional hazards model for time-to-event analysis. The achievement of a 120-h period without reintubation was defined as a successful extubation attempt (EA) within the binary outcome.

resultsWe evaluated 149 EAs in 81 infants with a median (interquartile range) gestational age of 25

conclusionsVentilator variables reflecting lung mechanical properties and the ability to spontaneously breathe during MV contribute to better prediction of extubation readiness in extremely premature infants with chronic lung disease.

Indexed as

Airway ExtubationInfant, Extremely PrematureRespiration, ArtificialVentilator WeaningFemaleGestational AgeHumansInfant, NewbornMaleRetrospective StudiesVentilators, Mechanicalairway extubationartificialchronic lung diseaseextremely prematureinfantnewbornrespiration

Identifiers

PMID39267451
PMCPMC11600990

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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.