Clinical Application of Modified Burns Wean Assessment Program Scores at First Spontaneous Breathing Trial in Weaning Patients from Mechanical Ventilation
Background: The purpose of this study was to evaluate the clinical application of modified Burns Wean Assessment Program (m-BWAP) scoring at first spontaneous breathing trial (SBT) as a predictor of successful liberation from mechanical ventilation (MV) in patients with endotracheal intubation. Meth...
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| Format: | Article |
| Language: | English |
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Korean Society of Critical Care Medicine
2018-11-01
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| Series: | Acute and Critical Care |
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| Online Access: | http://www.accjournal.org/upload/pdf/acc-2018-00276.pdf |
| _version_ | 1819100476068593664 |
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| author | Eun Suk Jeong Kwangha Lee |
| author_facet | Eun Suk Jeong Kwangha Lee |
| author_sort | Eun Suk Jeong |
| collection | DOAJ |
| description | Background: The purpose of this study was to evaluate the clinical application of modified Burns Wean Assessment Program (m-BWAP) scoring at first spontaneous breathing trial (SBT) as a predictor of successful liberation from mechanical ventilation (MV) in patients with endotracheal intubation. Methods: Patients requiring MV for more than 72 hours and undergoing more than one SBT in a medical intensive care unit (ICU) were prospectively enrolled over a 3-year period. The m-BWAP score at first SBT was obtained by a critical care nursing practitioner. Results: A total of 103 subjects were included in this study. Their median age was 69 years (range, 22 to 87 years) and 72 subjects (69.9%) were male. The median duration from admission to first SBT was 5 days (range, 3 to 26 days), and the rate of final successful liberation from MV was 84.5% (n=87). In the total group of patients, the successful liberation from MV group at first SBT (n=65) had significantly higher m-BWAP scores than did the unsuccessful group (median, 60; range, 43 to 80 vs. median, 53; range, 33 to 70; P<0.001). Also, the area under the m-BWAP curve for predicting successful liberation of MV was 0.748 (95% confidence interval, 0.650 to 0.847), while the cutoff value based on Youden’s index was 53 (sensitivity, 76%; specificity, 64%). Conclusions: The present data show that the m-BWAP score represents a good predictor of weaning success in patients with an endotracheal tube in place at first SBT. |
| first_indexed | 2024-12-22T01:03:22Z |
| format | Article |
| id | doaj.art-a9a5f91012a04682b23c0e20afc65c95 |
| institution | Directory Open Access Journal |
| issn | 2586-6052 2586-6060 |
| language | English |
| last_indexed | 2024-12-22T01:03:22Z |
| publishDate | 2018-11-01 |
| publisher | Korean Society of Critical Care Medicine |
| record_format | Article |
| series | Acute and Critical Care |
| spelling | doaj.art-a9a5f91012a04682b23c0e20afc65c952022-12-21T18:44:08ZengKorean Society of Critical Care MedicineAcute and Critical Care2586-60522586-60602018-11-0133426026810.4266/acc.2018.002761170Clinical Application of Modified Burns Wean Assessment Program Scores at First Spontaneous Breathing Trial in Weaning Patients from Mechanical VentilationEun Suk Jeong0Kwangha Lee1 Department of Nursing, Pusan National University Hospital, Busan, Korea Division of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, Pusan National University School of Medicine, Busan, KoreaBackground: The purpose of this study was to evaluate the clinical application of modified Burns Wean Assessment Program (m-BWAP) scoring at first spontaneous breathing trial (SBT) as a predictor of successful liberation from mechanical ventilation (MV) in patients with endotracheal intubation. Methods: Patients requiring MV for more than 72 hours and undergoing more than one SBT in a medical intensive care unit (ICU) were prospectively enrolled over a 3-year period. The m-BWAP score at first SBT was obtained by a critical care nursing practitioner. Results: A total of 103 subjects were included in this study. Their median age was 69 years (range, 22 to 87 years) and 72 subjects (69.9%) were male. The median duration from admission to first SBT was 5 days (range, 3 to 26 days), and the rate of final successful liberation from MV was 84.5% (n=87). In the total group of patients, the successful liberation from MV group at first SBT (n=65) had significantly higher m-BWAP scores than did the unsuccessful group (median, 60; range, 43 to 80 vs. median, 53; range, 33 to 70; P<0.001). Also, the area under the m-BWAP curve for predicting successful liberation of MV was 0.748 (95% confidence interval, 0.650 to 0.847), while the cutoff value based on Youden’s index was 53 (sensitivity, 76%; specificity, 64%). Conclusions: The present data show that the m-BWAP score represents a good predictor of weaning success in patients with an endotracheal tube in place at first SBT.http://www.accjournal.org/upload/pdf/acc-2018-00276.pdfendotracheal intubationintensive care unitmechanical ventilatorventilator weaning |
| spellingShingle | Eun Suk Jeong Kwangha Lee Clinical Application of Modified Burns Wean Assessment Program Scores at First Spontaneous Breathing Trial in Weaning Patients from Mechanical Ventilation Acute and Critical Care endotracheal intubation intensive care unit mechanical ventilator ventilator weaning |
| title | Clinical Application of Modified Burns Wean
Assessment Program Scores at First Spontaneous Breathing Trial in Weaning Patients from Mechanical Ventilation |
| title_full | Clinical Application of Modified Burns Wean
Assessment Program Scores at First Spontaneous Breathing Trial in Weaning Patients from Mechanical Ventilation |
| title_fullStr | Clinical Application of Modified Burns Wean
Assessment Program Scores at First Spontaneous Breathing Trial in Weaning Patients from Mechanical Ventilation |
| title_full_unstemmed | Clinical Application of Modified Burns Wean
Assessment Program Scores at First Spontaneous Breathing Trial in Weaning Patients from Mechanical Ventilation |
| title_short | Clinical Application of Modified Burns Wean
Assessment Program Scores at First Spontaneous Breathing Trial in Weaning Patients from Mechanical Ventilation |
| title_sort | clinical application of modified burns wean assessment program scores at first spontaneous breathing trial in weaning patients from mechanical ventilation |
| topic | endotracheal intubation intensive care unit mechanical ventilator ventilator weaning |
| url | http://www.accjournal.org/upload/pdf/acc-2018-00276.pdf |
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