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Enough patients has been enrolled.
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The investigators use a protocol to wean from noninvasive mechanical ventilation.
Design: Prospective, randomized, controlled trial, with 2 groups: study (protocol weaning group) and control (clinicians' order weaning group). Setting: Respiratory Intensive Care Unit (RICU). Subjects: Patients >18 yr, noninvasive mechanical ventilation >24 hours. Interventions and measurements: Study group (weaning as the protocol) and control group (weaning as the clinicians' order); recording of clinical variables at admission and during RICU stay, and end-point variables (noninvasive mechanical ventilation day, RICU and hospital stay, RICU mortality. Expected results: the protocol group's noninvasive mechanical ventilation days is less than clinicians' order group.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| protocol group | Active Comparator | This group patients are weaned as the protocol which the investigators described. |
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| clinicians' order group | Other | This group patients are weaned as the clinicians' order. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| protocol | Device | In this group, the patients were weaned as the protocol. |
|
| Measure | Description | Time Frame |
|---|---|---|
| The duration of noninvasive mechanical ventilation | The duration of noninvasive mechanical ventilation was measured from the patients admitted to ICU to discharged from it,an expected average of 4 weeks. | from admission to ICU to discharge from it (average of 4 weeks) |
| Measure | Description | Time Frame |
|---|---|---|
| The successful weaning rate | The successful weaning rate was measured from the patients admitted to ICU to discharged from it, an expected average of 4 weeks. | from admission to ICU to discharge from it (average of 4 weeks) |
| The length of ICU days |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jun Duan | The first affiliated hospital, Chongqing medical hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The first affiated hospital, chongqing medical university | Chongqing | Chongqing Municipality | 400016 | China |
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| ID | Term |
|---|---|
| D002985 | Clinical Protocols |
| ID | Term |
|---|---|
| D013812 | Therapeutics |
| D016020 | Epidemiologic Study Characteristics |
| D017531 | Health Care Evaluation Mechanisms |
| D011787 | Quality of Health Care |
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| physician's orders | Other | In this group, the patients were weaned as the clinicians' order. |
|
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The length of ICU days was measured from the patients admitted to ICU to discharged from it, an expected average of 4 weeks.
| from admission to ICU to discharge from it (average of 4 weeks) |
| The intubation rate during the study | The intubation rate during the study was measured from the patients admitted to ICU to discharged from it, an expected average of 4 weeks. | from admission to ICU to discharge from it (average of 4 weeks) |
| The mortality during the study | The mortality during the study was measured from the patients admitted to ICU to discharged from it, an expected average of 4 weeks. | from admission to ICU to discharge from it (average of 4 weeks) |
| D017530 | Health Care Quality, Access, and Evaluation |