Acute and Critical Care

  • 제33권4호
  • /
  • Pages.260-268
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  • 2018
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  • 2586-6052(pISSN)
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  • 2586-6060(eISSN)
대한중환자의학회 (Korean Society of Critical Care Medicine)
권호 표지
DOI QR코드

DOI QR Code

Clinical Application of Modified Burns Wean Assessment Program Scores at First Spontaneous Breathing Trial in Weaning Patients from Mechanical Ventilation

  • Jeong, Eun Suk (Department of Nursing, Pusan National University Hospital) ;
  • Lee, Kwangha (Division of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, Pusan National University School of Medicine)
  • 투고 : 2018.08.20
  • 심사 : 2018.11.05
  • 발행 : 2018.11.30
⟨ 이전 논문 다음 논문 ⟩

초록

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.

키워드

과제정보

연구 과제 주관 기관 : Pusan National University Hospital

참고문헌

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피인용 문헌

  1. Protecting Postextubation Respiratory Failure and Reintubation by High-Flow Nasal Cannula Compared to Low-Flow Oxygen System: Single Center Retrospective Study and Literature Review vol.34, pp.1, 2018, https://doi.org/10.4266/acc.2018.00311