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The investigators intend to collect several variables to predict extubation failure among patients who successfully complete a spontaneous breathing trial, and then develop a scale using simple bedside indicators to predict extubation failure.
Mechanically ventilated patients who successfully completed a spontaneous breathing trial and prepared for extubation are eligible to enroll in this study. The vital signs, arterial blood gas tests, cough strength, cuff leak test, use of noninvasive ventilation et al. are collected. Patients are followed up to postextubation 28-day or discharge. Extubation failure is defined as reintubatin or death within postextubation 7 days. First, we will analyze the data to predict extubation failure. Then, we will combine several easily obtained variables to develop and validate a scale to predict extubation failure. Finally, we explore the predictive power of extubation failure tested by the scale and find the cutoff value to distinguish the low, moderate and high risk of extubation failure.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients with extubation after a weaning trial | Patients who sucessfully complete a spontaneous breathing trial are enrolled in this group. |
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| Measure | Description | Time Frame |
|---|---|---|
| Rate of extubation failure | Extubation failure was defined as the reintubation or death | From extubation to 48 hours |
| Rate of extubation failure | Extubation failure was defined as the reintubation or death | From extubation to 7 days |
| Rate of extubation failure | Extubation failure was defined as the reintubation or death | From extubation to 28 days |
| Measure | Description | Time Frame |
|---|---|---|
| Rate of mortality | Mortality in ICU and hospital | From extubation to 28 days |
| ICU stay | Length of ICU stay | From extubation to 28 days |
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Inclusion Criteria:
Exclusion Criteria:
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The population is that the patients who passed a spontaneous breathing trial and readiness for extubation.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jun Duan, Dr | Contact | 89012017 | duanjun412589@163.com | |
| Linfu Bai, Dr | Contact | 89012680 | 1023762525@qq.com |
| Name | Affiliation | Role |
|---|---|---|
| Jun Duan | First Affiliated Hospital of Chongqing Medical University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The First Affiliated Hospital of Chongqing Medical University | Recruiting | Chongqing | China |
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