10 research outputs found
Disseny d'una interfície d'usuari basada en psicologia cognitiva
- Publication venue
- Publication date
- 27/06/2017
- Field of study
Aquest treball de fi de grau titulat, "Disseny d'una interfície d'usuari basada en psicologia cognitiva", l'objectiu ha sigut realitzar dues propostes de disseny d'interfície d'usuari del web de Renfe, una per la pàgina principal i una per la pàgina de resultats de cerca. S'ha escollit el web de Renfe perquè és molt poc funcional, té molts problemes i és utilitzat per un nombre molt elevat d'usuaris de perfils molt diferents, sigui per edat, coneixement o discapacitats. Per dur a terme els dissenys s'ha tingut en compte la psicologia cognitiva i s'han realitzat diversos tests amb els dissenys acabats, per demostrar la funcionalitat d'aquests en els diferents perfils d'usuari, és a dir, complir amb l'objectiu inicial.The project "Design of a user interface based on cognitive psychology" which objective has been facilitating two proposals of interface user designs for Renfe's website, one for the main website and one for the page where all search results appear. I have decided on Renfe's website because it has a low coverage and a lot of problems although it's used bya a lot of users with very different profiles, as age, knowledge, disabilities, etc. To make the website designs I considered the cognitive psychology and I had to conduct several tests with the finished designs to demonstrate the functionality of those with different user profiles and in fact, accomplish the initial objective.Este trabajo de fin de grado titulado, "Diseño de una interfaz de usuario basada en psicología cognitiva", el objetivo ha sido realizar dos propuestas de diseño de interfaz de usuario de la web de Renfe, una para la página principal y una para la página de resultados de búsqueda. Se ha escogido la web de Renfe porqué es muy poco funcional, tiene muchos problemas y es usada por un número muy elevado de usuarios con perfiles muy diferentes, sea por edad, conocimiento o discapacidades. Para llevar a cabo los diseños se ha tenido en cuenta la psicología cognitiva y se han realizado diversos tests con los diseños acabados, para demostrar la funcionalidad de éstos en los diferentes perfiles de usuario, es decir, cumplir con el objetivo inicial
Impact of non-invasive mechanical ventilation (niv) in critical patients with influenza (H1N1) PDM09
- Author
- Publication venue
- 'Springer Science and Business Media LLC'
- Publication date
- 31/10/2019
- Field of study
The use of non-invasive mechanical ventilation (NIV) in patients with influenza A (H1N1)pdm09 admitted to intensive care units (ICU) has been controversial
The evolution of the ventilatory ratio is a prognostic factor in mechanically ventilated COVID-19 ARDS patients
- Author
- Adell Serrano Berta
- Agrifoglio Alexander
- Aguilar Cabello María
- Aguilera Luciano
- Albaiceta Guillermo M.
- Alcaraz Serrano Victoria
- Aldecoa César
- Alegre Cynthia
- Almansa Mora Raquel
- Amaya Villar Rosario
- Andrea Rut
- Arrieta Marta
- Ayestarán J. Ignacio
- Añón José M.
- Badia Joan Ramon
- Badía Mariona
- Balsera Begoña
- Barbena Laura
- Barberà Carme
- Barberán José
- Barbeta Enric
- Barbé Ferran
- Bardi Tommaso
- Barral Segade Patricia
- Barroso Marta
- Berezo García José Ángel
- Bermejo Martín Jesús F.
- Bigas Judit
- Blancas Rafael
- Blandino Ortiz Aaron
- Blasco Cortés María Luisa
- Boado María
- Bodi Saera María
- Bofill Neus
- Bouza Vieiro María Teresa
- Bueno Leticia
- Bustamante Munguira Elena
- Bustamante-munguira Juan
- Busto Martínez Cecilia del
- Báez Pravia Orville
- Caballero Jesús
- Cachafeiro Lucia
- Campi Hermoso David
- Campos Fernández Sandra
- Cano Iosune
- Cantón-bulnes Maria Luisa
- Carbajales Cristina
- Carbonell Nieves
- Cardina Fernández Pablo
- Carrión García Laura
- Carvalho Sula
- Casacuberta Barberà Núria
- Castellví Andrea
- Castellà Manuel
- Castro Pedro
- Catalán González Mercedes
- Ceccato Adrián
- CIBERESUCICOVID Project (COV20/00110 ISCIII)
- Cicuendez Ávila Ramon
- Cillóniz Catia
- Clar Luisa
- Climent Cristina
- Codina Jordi
- Conde Pamela
- Contreras Sofía
- Dot Irene
- Díaz Santos Emili
- Díaz Yolanda
- Dólera Moreno Cristina
- Enríquez Giraudo Pedro
- Esmorís Arijón Inés
- Estella Ángel
- Farre Monjo Teresa
- Fernández Barat Laia
- Fernández Javier
- Ferrando Carlos
- Ferrer Roca Ricard
- Figueras Albert
- Forcadell Ferreres Eva
- Forcelledo Espina Lorena
- Franco Nieves
- Furro Àngels
- Gabarrús Albert
- Galbán Cristóbal
- Gallego Elena
- García Garmendia José Luis
- García Gasulla Dario
- García Prieto Emilio
- García Redruello Carlos
- García Sagastume Amaia
- García Beatriz
- García Felipe
- Garnacho Montero José
- Gascón Castillo Maria Luisa
- Gomà Gemma
- Gonzalo Calvo David de
- González Jessica
- Gordo Federico
- Gracia Maria Pilar
- Gumucio Sanguino Víctor D.
- Gómez Casal Vanesa
- Gómez Gonzalez Carmen
- Gómez José M.
- Gómez Silvia
- Herraiz Alba
- Herrán Monge Rubén
- Huerta Arturo
- Ibarz Mercedes
- Iglesias Silvia
- Janer Maria Teresa
- Jiménez Gabriel
- Jorge García Ruth Noemí
- Juan Díaz Mar
- Kiarostami Karsa
- Lazo Álvarez Juan I.
- León Miguel
- Lorente José Angel
- Loza Vázquez Ana
- López Gavín Alexandre
- López Lago Ana
- López Messa Juan
- Macias Guerrero Desire
- Mamolar Herrera Nuria
- Mantellini Cecilia L.
- Marco Naya Gregorio
- Marcos Pilar
- Marin Corral Judith
- Mariño Ana Balan
- Marmol Peis Enrique
- Martin María Cruz
- Martín Vicente Paula
- Martínez de la Gándara Amalia
- Martínez Fernández Carmen Eulalia
- Martínez Juan Maria Dolores
- Martínez Varela Ignacio
- Martínez María
- Masa Jimenez Juan Fernando
- Masclans Joan Ramon
- Maseda Emilio
- Mañez Mendiluce Rafael
- Mendoza Diego de
- Menor Fernández Eva María
- Menéndez Rosario
- Miralbés Mar
- Monclou Josman
- Montejo González Juan Carlos
- Montserrat Neus
- Mora Aznar María
- Moral Parras Pedro
- Morales Dulce
- Moreno Cano Sara Guadalupe
- Mosquera Rodríguez David
- Motos Anna
- Muñoz Bermúdez Rosana
- Nicolás José María
- Nogue Bou Ramon
- Nogueras Salinas Rafaela
- Novo Mariana Andrea
- Ocón Marta
- Ortega Ana
- Ossa Sergio
- Pablo Sánchez Raul de
- Pagliarani Pablo
- Parera Pous Anna
- Parrilla Francisco
- Pestaña Laguna David
- Peñasco Yhivian
- Peñuelas Oscar
- Piñol-tena Àngels
- Pozo Laderas Juan Carlos
- Prados Javier
- Pujol Andrés
- Pérez Arnal Raquel
- Pérez Bastida Leire
- Pérez Planelles Gloria
- Pérez Rubio Eva
- Pérez Purificación
- Ramon Coll Núria
- Renedo Sanchez-Giron Gloria
- Ricart Pilar
- Riera Jordi
- Rivas Vilas María Digna
- Roche Campo Ferran
- Rodriguez Oviedo Alejandro
- Rodriguez Laura
- Rodríguez de Castro Felipe
- Rodríguez Ruiz Covadonga
- Rodríguez Silvia
- Rubio López Alberto
- Rubio Jorge
- Ruiz Miralles Miriam
- Ryan Murúa Pablo
- Saborido Paz Eva
- Salazar Degracia Ana
- Salvador Adell Inmaculada
- Sanchez Miguel
- Sancho Chinesta Susana
- Santacoloma Bitor
- Sariñena Maria Teresa
- Segura Pensado Marta
- Serra Fortuny Mireia
- Serra Lidia
- Serrano Lázaro Ainhoa
- Servià Lluís
- Socias Lorenzo
- Soliva Laura
- Solé Violan Jordi
- Speziale Carla
- Suares Sipmann Fernando
- Sánchez Miralles Angel
- Sánchez Ana
- Tamayo Lomas Luis
- Tognetti Daniel
- Tormos Adrián
- Torre Maria del Carmen de la
- Torres Martí Antoni
- Torres Mateu
- Trefler Sandra
- Trenado José
- Trujillano Javier
- Urrelo Cerrón Luis
- Val Estela
- Valdivia Ruiz Luis
- Vallverdú Montserrat
- Van Der Hofstadt Martin-Montalvo Maria
- Vara Adrio Sabela
- Vengoechea Javier
- Vidal Cortes Pablo
- Vilanova Judit
- Villada Warrington Tatiana
- Vilà Vilardel Clara
- Vázquez Nil
- Yang Hua
- Yang Minlan
- Zapatero Ana
- Álvarez Ruiz Antonjo
- Álvarez Sergio
- Ángel José
- Úbeda Alejandro
- Publication venue
- 'Springer Science and Business Media LLC'
- Publication date
- 07/10/2021
- Field of study
Background: Mortality due to COVID-19 is high, especially in patients requiring mechanical ventilation. The purpose of the study is to investigate associations between mortality and variables measured during the first three days of mechanical ventilation in patients with COVID-19 intubated at ICU admission. Methods: Multicenter, observational, cohort study includes consecutive patients with COVID-19 admitted to 44 Spanish ICUs between February 25 and July 31, 2020, who required intubation at ICU admission and mechanical ventilation for more than three days. We collected demographic and clinical data prior to admission; information about clinical evolution at days 1 and 3 of mechanical ventilation; and outcomes. Results: Of the 2,095 patients with COVID-19 admitted to the ICU, 1,118 (53.3%) were intubated at day 1 and remained under mechanical ventilation at day three. From days 1 to 3, PaO2/FiO2 increased from 115.6 [80.0-171.2] to 180.0 [135.4-227.9] mmHg and the ventilatory ratio from 1.73 [1.33-2.25] to 1.96 [1.61-2.40]. In-hospital mortality was 38.7%. A higher increase between ICU admission and day 3 in the ventilatory ratio (OR 1.04 [CI 1.01-1.07], p = 0.030) and creatinine levels (OR 1.05 [CI 1.01-1.09], p = 0.005) and a lower increase in platelet counts (OR 0.96 [CI 0.93-1.00], p = 0.037) were independently associated with a higher risk of death. No association between mortality and the PaO2/FiO2 variation was observed (OR 0.99 [CI 0.95 to 1.02], p = 0.47). Conclusions: Higher ventilatory ratio and its increase at day 3 is associated with mortality in patients with COVID-19 receiving mechanical ventilation at ICU admission. No association was found in the PaO2/FiO2 variation
A922 Sequential measurement of 1 hour creatinine clearance (1-CRCL) in critically ill patients at risk of acute kidney injury (AKI)
- Author
- Abbott TE
- Abdallah RI
- Abdel-Aal IR
- Abdelmonem SA
- Abdo WF
- Abellan AN
- Abellán AN
- Abellán AN
- Abellán AN
- Abrams ST
- Ackerley C
- Acuña M
- Adda M
- Adhikari NK
- Adriano G
- Adrie C
- Affatato R
- Affatato R
- Afonso-Rivero D
- Agarossi A
- Agarwal LK
- Ageeva T
- Agrawal R
- Aguayo-DeHoyos E
- Aguilar AL
- Aguilar-Alonso E
- Aguilar-Alonso E
- Aguilar-Alonso E
- Aguirregabyria M
- Ahmadnia E
- Ahn C
- Ahn JY
- Ahn JY
- Ahn MY
- Ahn MY
- Aitken LM
- Akalaev R
- Akbarzadeh A
- Akcan-Arikan A
- Akhlagh SH
- Akhtar N
- AKI Research Group
- Akiduki N
- Akin S
- Akizuki N
- Akkoc T
- Ala-Kokko T
- Alanio A
- Albaiceta GM
- Albaladejo P
- Alberto F
- Albuisson E
- Alcala MA
- Alcázar L
- Aldabo-Pallas T
- Aldana NN
- Aldecoa C
- Alegría L
- Alejandro R
- Alejo GC
- Alejos RM
- Alexandrova E
- Algarte R
- Algarte R
- Algieri I
- Algora-Weber A
- Alhamdi Y
- Aliaga FA
- Aliberti S
- Alkan A
- Almudena PM
- Almudevar PM
- Almudevar PM
- Almudévar PM
- Altıntas ND
- Alvarez J
- Alves SC
- Alzola LM
- Amargianitakis V
- Amaro R
- Amato MB
- Ambler M
- Amerongen MP
- Amininejad T
- Amor LL
- Amorim V
- Anand RK
- Andersen LW
- Andersson S
- Andoh K
- Andrade AH
- Andrade AH
- Andrade AH
- Andrade G
- Andreis DT
- Andreis DT
- Annane D
- Antonelli M
- Antoniadou A
- Antonio C
- Antonucci E
- Antón DG
- Anzueto A
- Appiani F
- Aquevedo A
- Aragon C
- Araujo NJ
- Araujo VF
- ARIAM registry of adult cardiac surgery
- ARIAM-ANDALUCIA
- Arias CC
- Arias N
- Arias-Verdu MD
- Arias-Verdu MD
- Arias-Verdu MD
- Armaganidis A
- Arora MK
- Arora N
- Arrigo M
- Arslantas MK
- Artiguenave M
- Aslanian P
- Aspide R
- Asyralyyeva G
- Ataman S
- Ataman S
- Atchade E
- Atchade E
- Atchasiri S
- Athapattu P
- Atkins G
- Aublanc M
- Aublanc M
- Augustin P
- Augustin P
- Auquier P
- Avilés-Jurado FX
- Avramidis V
- Ayala LY
- Aydin M
- Azevedo JC
- Azevedo JR
- Aznar GP
- Babalis D
- Babini G
- Bachli EB
- Bader A
- Bader A
- Baena J
- Baidya DK
- Baikova VN
- Bakker J
- Balcázar LC
- Balcázar LC
- Baldassarri R
- Baldwin CE
- Balik M
- Ball I
- Ballin A
- Balsera B
- Banderas-Bravo ME
- Banderas-Bravo ME
- Bandert A
- Bangstad IL
- Baptista N
- Baquero JD
- Barbadillo S
- Barberet G
- Barberet G
- Barberet G
- Barbier J
- Barcenilla F
- Barea-Mendoza JA
- Barinas OD
- Baron AV
- Barrachina LG
- Barral M
- Basile-Filho A
- Bassi GL
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- Bucknall T
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- Buranavanich P
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- Campelo FA
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- Cannesson M
- CAPCRI Study
- Capellier G
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- Cardenas CL
- Cariou A
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- Carvalho JP
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- Casals XN
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- Castañeda DP
- Castellana D
- Castellanos A
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- Castillo-Lorente E
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- Catena E
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- Cauwenberghs H
- Cavalcanti D
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- Cavalier E
- Cavicchi FZ
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- Champigneulle B
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- Charitidou E
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- Chaudhari HK
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- Chemam S
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- Chernyshuk S
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- Chondropoulos S
- Chou W
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- Chouvarda I
- Christopher KB
- Chrétien JM
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- Chrétien JM
- Chumaev A
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- Chytas A
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- Cinnella G
- Citerio G
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- Constan A
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- Conti G
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- Contreras KM
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- Cordeiro CP
- Cordero M
- Cordolcini V
- Cordovilla-Guardia S
- Cordón J
- Corona A
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- Corte FD
- Cortes ML
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- Coss-Bu JA
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- Cuthbertson BH
- Cutuli SL
- Câmara M
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- da Silva VZ
- Daga-Ruiz D
- Dalhuisen A
- Dalorzo M
- Damas P
- Dambrosio M
- Damås JK
- Das Neves A
- David H
- Davis C
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- Day A
- de Abreu MG
- De Backer A
- De Brito-Ashurst I
- De Cassai A
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- De Gasperi A
- de Hoyos EA
- De la Calle-Pedrosa N
- de la Fuente MV
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- De La Rica AS
- De la Torre MA
- De Maglie M
- De Maglie M
- de Molina FJ
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- de Oca Sandoval MA
- De Pascale G
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- De Sousa I
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- Dimopoulou IK
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- Divatia JV
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- Dolset RA
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- Dos Santos HP
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- Durand M
- Durovray JD
- Durrant J
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- Díaz JJ
- Díaz M
- Díaz PV
- Dünser MW
- E Silva ZC
- E YY
- Ebeling G
- Echeverri JE
- Echeverría JG
- Ediboglu O
- Ediboglu O
- Egea-Guerero JJ
- Egginton JS
- Egi M
- El Adawy AS
- El Hamid MA
- El Hossainy R
- El Sayed E
- El Sayed F
- El Sayed I
- El-Hamamsy M
- El-Keraie A
- Eladawy S
- Elbers PW
- Elgendy M
- Eliet J
- Emmanuel J
- Emmerich M
- Encina B
- Endacott R
- Endacott R
- Engelberts D
- ENVIN-HELICS Study Group
- Erb J
- Erdogan M
- Eroles AA
- Escalada SH
- Escalada SH
- Escoval A
- Escribá A
- Escórcio S
- Eslami S
- Espinasse F
- Espinel E
- Estagnasie P
- Esteban A
- Estella A
- Estenssoro E
- Evelein-Brugman S
- Facchin F
- Faivre V
- Fang M
- Fanzaghi P
- Farias P
- Faulds MC
- Fave G
- Feehan A
- Feijoo AM
- Feliot E
- Ferez MA
- Fernandes MJ
- Fernandes N
- Fernandez NG
- Fernandez R
- Fernandez-Zamora MD
- Fernández IF
- Fernández L
- Fernández MV
- Fernández PA
- Fernández-Barat L
- Fernández-Mondéjar E
- Fernández-Ortega JF
- Ferraz AB
- Ferrero-Calleja J
- Ferri F
- Ferry A
- Ferré A
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- Fiks T
- Fiks T
- Fileković S
- Filho CA
- Filho CA
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- Filipe E
- FINNRESUSCI Study Group
- Fischer G
- Fleischmann E
- Fless K
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- Fontenot T
- Forel JM
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- Freile MT
- Frenzel T
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- Frithiof R
- Fritz C
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- Fromentin M
- Frontera PR
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- Fumagalli F
- Fumagalli F
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- Fushimi K
- Gabán-Díez Á
- Gadgil S
- Gaide-Chevronnay L
- Gainnier M
- Gaite FB
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- Gajic O
- Galache JA
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- Gando S
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- Garcia-Delgado M
- Garcia-Gigorro R
- García MF
- García-Martínez MV
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- Garnacho-Montero J
- Garrido BB
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- Garrouste M
- Gaspard N
- Gasparovic V
- Gattinoni L
- Gaudard P
- Gavranovic Z
- Gavrychenko D
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- Geri G
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- Hatakeyama J
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- Hayakawa M
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- Hom H
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- Jardim JJ
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- JSEPTIC (Japanese Society of Education for Physicians and Trainees in Intensive Care) Clinical Trial Group
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- Wijayatilake DS
- Wildenberg L
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- WIND study group
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- WIND study group
- Winder-Rhodes S
- Witter T
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- Yılmaz G
- Yilmazer F
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- Yokoyama M
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- Yoon SZ
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- Yoshihiro S
- Yoshitake E
- You KM
- Youn AM
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- Yumoto T
- Yuzawa J
- Yuzawa J
- Zabaletta WJ
- Zabini D
- Zahorec M
- Zaien I
- Zakynthinos S
- Zanello M
- Zani D
- Zarantonello F
- Zayas B
- Zepeda EM
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- Zýková I
- Álvarez JT
- Álvarez-Lerma F
- Publication venue
- 'Springer Science and Business Media LLC'
- Publication date
- 01/01/2016
- Field of study
Meeting abstrac
Timing of intubation and ICU mortality in COVID-19 patients: a retrospective analysis of 4198 critically ill patients during the first and second waves
- Author
- Alejandro Rodriguez
- Antonio Albaya Moreno
- Elena Bisbal-Andrés
- Emili Díaz
- Federico Gordo Vidal
- Ignacio Martin-Loeches
- Joan Ramón Masclans
- Jordi Sole-Violan
- Juan Carlos Ballesteros
- Laura Canadell
- Laura Claverias
- Lorenzo Socias
- María Bodi
- Montserrat Vallverdu
- Mónica Magret
- Ruth González Natera
- Sandra Trefler
- Sara Manrique
- Susana Sancho
- Publication venue
- 'Springer Science and Business Media LLC'
- Publication date
- 01/01/2023
- Field of study
Abstract Background The optimal time to intubate patients with SARS-CoV-2 pneumonia has not been adequately determined. While the use of non-invasive respiratory support before invasive mechanical ventilation might cause patient-self-induced lung injury and worsen the prognosis, non-invasive ventilation (NIV) is frequently used to avoid intubation of patients with acute respiratory failure (ARF). We hypothesized that delayed intubation is associated with a high risk of mortality in COVID-19 patients. Methods This is a secondary analysis of prospectively collected data from adult patients with ARF due to COVID-19 admitted to 73 intensive care units (ICUs) between February 2020 and March 2021. Intubation was classified according to the timing of intubation. To assess the relationship between early versus late intubation and mortality, we excluded patients with ICU length of stay (LOS) < 7 days to avoid the immortal time bias and we did a propensity score and a cox regression analysis. Results We included 4,198 patients [median age, 63 (54‒71) years; 71% male; median SOFA (Sequential Organ Failure Assessment) score, 4 (3‒7); median APACHE (Acute Physiology and Chronic Health Evaluation) score, 13 (10‒18)], and median PaO2/FiO2 (arterial oxygen pressure/ inspired oxygen fraction), 131 (100‒190)]; intubation was considered very early in 2024 (48%) patients, early in 928 (22%), and late in 441 (10%). ICU mortality was 30% and median ICU stay was 14 (7‒28) days. Mortality was higher in the “late group” than in the “early group” (37 vs. 32%, p < 0.05). The implementation of an early intubation approach was found to be an independent protective risk factor for mortality (HR 0.6; 95%CI 0.5‒0.7). Conclusions Early intubation within the first 24 h of ICU admission in patients with COVID-19 pneumonia was found to be an independent protective risk factor of mortality. Trial registration The study was registered at Clinical-Trials.gov (NCT04948242) (01/07/2021)
Standardization and Chemical Characterization of Intravenous Therapy in Adult Patients: A Step Further in Medication Safety.
- Author
- Achau-Muñoz Rubén
- Aquerreta-González Irene
- Ariño Ignacio Pellín
- Bermejo-López Esther
- Cortés-Rey Noemí
- Cubero-Pérez M Antonia
- Del Río Pisabarro M Camino
- Domingo-Chiva Esther
- Díez-Sáenz Cristina
- Fernández-Sánchez Lucas J
- Fox-Carpentieri Sara
- García-Prieto Emilio
- Gaspar-Carreño M Luisa
- Gordo-Vidal Federico
- Guerra-Sánchez Luis
- Heras-Hidalgo Irene
- Herranz-Alonso Ana
- Herrera-Gutiérrez Manuel
- Jiménez-Aguado Miguel
- Lafuente-Cabrero Elizabeth
- Lamela-Piteira Carlos
- López-Sánchez Piedad
- Manrique-Rodríguez Silvia
- Martín-Delgado M Cruz
- Martínez-Ortega M Carmen
- Márquez-Peiró Juan F
- Pernia-López M Sagrario
- Rascado-Sedes Pedro
- Sanjurjo-Sáez María
- Suárez-Mier M Belén
- Valera-Rubio Marta
- Viera-Rodríguez Verónica
- Publication venue
- 'Springer Science and Business Media LLC'
- Publication date
- 21/12/2020
- Field of study
Intravenous drug administration is associated with potential complications, such as phlebitis. The physiochemical characteristics of the infusate play a very important role in some of these problems. The aim of this study was to standardize the dilutions of intravenous drugs most commonly used in hospitalized adult patients and to characterize their pH, osmolarity and cytotoxic nature to better guide the selection of the most appropriate vascular access. The project was conducted in three phases: (i) standardization of intravenous therapy, which was conducted using a modified double-round Delphi method; (ii) characterization of the dilutions agreed on in the previous phase by means of determining the osmolarity and pH of each of the agreed concentrations, and recording the vesicant nature based on the information in literature; and (iii) algorithm proposal for selecting the most appropriate vascular access, taking into account the information gathered in the previous phases. In total, 112 drugs were standardized and 307 different admixtures were assessed for pH, osmolarity and vesicant nature. Of these, 123 admixtures (40%), had osmolarity values >600 mOsm/L, pH 600 mOsm/L, pH 9, or were classified as vesicants. In these cases, selection of the most suitable route of infusion and vascular access device is crucial to minimize the risk of phlebitis-type complications. Increasing safety of intravenous therapy should be a priority in the healthcare settings. Knowing the characteristics of drugs to assess the risk involved in their administration related to their physicochemical nature may be useful to guide decision making regarding the most appropriate vascular access and devices
Correction to : The evolution of the ventilatory ratio is a prognostic factor in mechanically ventilated COVID-19 ARDS patients (Critical Care, (2021), 25, 1, (331), 10.1186/s13054-021-03727-x)
- Author
- Adell-Serrano Berta
- Agrifoglio Alexander
- Aguilar Cabello María
- Aguilera Luciano.
- Alcaraz-Serrano Victoria
- Aldecoa Cesar
- Alegre Cynthia
- Almansa Raquel
- Amaya-Villar Rosario
- Andrea Rut
- Arrieta Marta
- Ayestarán J.Ignacio
- Añón José Manuel
- Badia Joan Ramon
- Badía Mariona
- Balsera Begoña
- Barbena Laura
- Barberà Carme
- Barberán José
- Barbeta Enric
- Barbé Ferran
- Bardi Tommaso
- Barral Segade Patricia
- Barroso Marta
- Berezo García José Ángel
- Bermejo-Martin Jesus F.
- Bigas Judit
- Blancas Rafael
- Blandino Ortiz Aaron
- Blasco Cortés María Luisa
- Boado María
- Bodi Saera María
- Bofill Neus
- Bouza Vieiro María Teresa
- Bueno Leticia
- Bustamante-Munguira Elena
- Bustamante-Munguira Juan
- Báez Pravia Orville
- Caballero Jesús
- Cachafeiro Lucía
- Campi Hermoso David
- Campos Fernández Sandra
- Cano Iosune
- Cantón-Bulnes María Luisa
- Carbajales Cristina
- Carbonell Nieves
- Cardina Fernández Pablo
- Carrión García Laura
- Carvalho Sula
- Casacuberta-Barberà Núria
- Castellví Andrea
- Castellà Manuel
- Castro Pedro
- Catalán-González Mercedes
- Ceccato Adrian
- Cicuendez Ávila Ramon
- Cillóniz Catia
- Clar Luisa
- Climent Cristina
- Codina Jordi
- Conde Pamela
- Contreras Sofía
- De Gonzalo Calvo David
- de la Torre Maria del Carmen
- De Mendoza Diego
- de Pablo Sánchez Raul
- del Busto Martínez Cecilia
- Dot Irene
- Díaz Santos Emilio
- Díaz Yolanda
- Dólera Moreno Cristina
- Enríquez Giraudo Pedro
- Esmorís Arijón Inés
- Estella Ángel
- Farre Monjo Teresa
- Fernández Javier
- Fernández-Barat Laia
- Ferrando Carlos
- Ferrer Ricard
- Figueras Albert
- Forcadell-Ferreres Eva
- Forcelledo Espina Lorena
- Franco Nieves
- Furro Àngels
- Gabarrús Albert
- Galbán Cristóbal
- Gallego Elena
- Garcia-Gasulla Darío
- García Garmendia José Luis
- García Prieto Emilio
- García Redruello Carlos
- García Sagastume Amaia
- García Beatriz
- García Felipe
- Garnacho-Montero José
- Gascón Castillo Maria Luisa
- Gomà Gemma
- González Jessica
- Gordo Federico
- Gracia Maria Pilar
- Gumucio-Sanguino Víctor D.
- Gómez Casal Vanesa
- Gómez Gonzalez Carmen
- Gómez José M.
- Gómez Silvia
- Herraiz Alba
- Herrán-Monge Rubén
- Huerta Arturo
- Ibarz Mercedes
- Iglesias Silvia
- Janer Maria Teresa
- Jiménez Gabriel
- Jorge García Ruth Noemí
- Juan Díaz Mar
- Kiarostami Karsa
- Lazo Álvarez Juan I.
- León Miguel
- Lorente José Angel
- Loza-Vázquez Ana
- López Lago Ana
- López Messa Juan
- López-Gavín Alexandre
- M. Albaiceta Guillermo
- Macias Guerrero Desire
- Mamolar Herrera Nuria
- Mantellini Cecilia L.
- Marco Naya Gregorio
- Marcos Pilar
- Marin-Corral Judith
- Mariño Ana Balan
- Marmol Peis Enrique
- Martin María Cruz
- Martín Vicente Paula
- Martínez de la Gándara Amalia
- Martínez Fernández Carmen Eulalia
- Martínez Juan Maria Dolores
- Martínez Varela Ignacio
- Martínez María
- Masa Jimenez Juan Fernando
- Masclans Joan Ramon
- Maseda Emilio
- Mañez Mendiluce Rafael
- Menor Fernández Eva María
- Menéndez Rosario
- Miralbés Mar
- Monclou Josman
- Montejo-González Juan Carlos
- Montserrat Neus
- Mora Aznar María
- Moral-Parras Pedro
- Morales Dulce
- Moreno Cano Sara Guadalupe
- Mosquera Rodríguez David
- Motos Ana
- Muñoz-Bermúdez Rosana
- Nicolás José María
- Nogue Bou Ramon
- Nogueras Salinas Rafaela
- Novo Mariana Andrea
- Ocón Marta
- Ortega Ana
- Ossa Sergio
- Pagliarani Pablo
- Parera Pous Anna
- Parrilla Francisco
- Pestaña Laguna David
- Peñasco Yhivian
- Peñuelas Oscar
- Piñol-Tena Àngels
- Pozo-Laderas Juan Carlos
- Prados Javier
- Pujol Andrés
- Pérez Bastida Leire
- Pérez Planelles Gloria
- Pérez Purificación
- Pérez-Arnal Raquel
- Ramon Coll Núria
- Renedo Sanchez-Giron Gloria
- Ricart Pilar
- Riera del Brio Jordi
- Rivas Vilas María Digna
- Roche-Campo Ferran
- Rodriguez Laura
- Rodríguez de Castro Felipe
- Rodríguez Ruiz Covadonga
- Rodríguez Alejandro
- Rodríguez Silvia
- Rubio López Alberto
- Rubio Eva Pérez
- Rubio Jorge
- Ruiz Miralles Miriam
- Ryan Murúa Pablo
- Saborido Paz Eva
- Salazar Degracia Ana
- Salvador-Adell Inmaculada
- Sanchez Miguel
- Sancho Chinesta Susana
- Santacoloma Bitor
- Sariñena Maria Teresa
- Segura Pensado Marta
- Serra Lidia
- Serra-Fortuny Mireia
- Serrano Lázaro Ainhoa
- Servià Lluís
- Socias Lorenzo
- Soliva Laura
- Solé-Violan Jordi
- Speziale Carla
- Suares Sipmann Fernando
- Sánchez Ana
- Sánchez-Miralles Angel
- Tamayo Lomas Luis
- Tognetti Daniel
- Tormos Adrián
- Torres Antoni
- Torres Mateu
- Trefler Sandra
- Trenado José
- Trujillano Javier
- Universitat Autònoma de Barcelona
- Urrelo-Cerrón Luis
- Val Estela
- Valdivia Ruiz Luis
- Vallverdú Montserrat
- Van der Hofstadt Martin-Montalvo Maria
- Vara Adrio Sabela
- Vengoechea Javier
- Vidal Cortes Pablo
- Vilanova Judit
- Villada Warrington Tatiana
- Vilà-Vilardel Clara
- Vázquez Nil
- Yang Hua
- Yang Minlan
- Zapatero Ferrándiz Ana
- Álvarez Ruiz Antonjo
- Álvarez Sergio
- Ángel José
- Úbeda Alejandro
- Publication venue
- Publication date
- 01/01/2021
- Field of study
Weaning from mechanical ventilation in intensive care units across 50 countries (WEAN SAFE): a multicentre, prospective, observational cohort study
- Author
- Abe Toshikazu
- Aboshady Abdelrhman
- Abrough Fekri
- Acampo-de Jong Melanie
- Acharya Subhash
- Acharya Subhash P
- Adderley Jane
- Adiguzel Nalan
- Agrawal Vijay Kumar
- Aguilar Gerardo
- Aguirre Gaston
- Aguirre-Bermeo Hernan
- Ahlström Björn
- Akbas Türkay
- Akker Mustafa
- Al Sadeh Ghamdan
- Alamri Sultan
- Algaba Angela
- Ali Muneeb
- Aliberti Anna
- Allegue Jose Manuel
- Alvarez Diana
- Amador Joaquin
- Amin Pravin
- Andersen Finn H
- Ansari Sharique
- Apichatbutr Yutthana
- Apostolopoulou Olympia
- Arabi Yaseen
- Arabi Yaseen
- Aragao Irene
- Aragao Irene
- Arellano Daniel
- Arica Mestanza
- Arikan Huseyin
- Arinaga Koichi
- Arnal Jean-Michel
- Asano Kengo
- Asín-Corrochano Marta
- Avalos Cabrera Jesus Milagrito
- Avila Fuentes Silvia
- Aydemir Semih
- Aygencel Gulbin
- Azevedo Luciano
- Bacakoglu Feza
- Badie Julio
- Baedorf Kassis Elias
- Bai Gabriela
- Balaraj Govindan
- Ballico Bruno
- Banner-Goodspeed Valerie
- Banwarie Preveen
- Barbieri Rosella
- Baronia Arvind
- Barrett Jonathan
- Barrot Loïc
- Barrueco-Francioni Jesus Emilio
- Barry Jeffrey
- Bauer Philippe
- Bauer Philippe
- Bawangade Harshal
- Beavis Sarah
- Beck Eduardo
- Beduneau Gaëtan
- Beduneau Gaëtan
- Beehre Nina
- Beitler Jeremy
- Belenguer Muncharaz Alberto
- Bellani Giacomo
- Bellani Giacomo
- Belliato Mirko
- Bellissima Agrippino
- Beltramelli Rodrigo
- Ben Souissi Asma
- Benitez-Cano Adela
- Benlamin Mohamed
- Benslama Abdellatif
- Bento Luis
- Benvenuti Daniela
- Berkius Johan
- Berkius Johan
- Bernabe Laura
- Bersten Andrew
- Berta Giacomo
- Bertini Pietro
- Bertram-Ralph Elliot
- Besbes Mohamed
- Bettini Lisandro Roberto
- Beuret Pascal
- Bewley Jeremy
- Bezzi Marco
- Bhakhtiani Lakshay
- Bhandary Rakesh
- Bhowmick Kaushik
- Bihari Shailesh
- Bissett Bernie
- Blythe David
- Bocher Simon
- Boedjawan Narain
- Bojanowski Christine M
- Boni Elisa
- Boraso Sabrina
- Borelli Massimo
- Borello Silvina
- Borislavova Margarita
- Bosma Karen J
- Bottiroli Maurizio
- Boyd Owen
- Bozbay Suha
- Briva Arturo
- Brochard Laurent
- Brochard Laurent
- Bruel Cédric
- Bruni Andrea
- Buehner Ulrike
- Bugedo Guillermo
- Bugedo Guillermo
- Bulpa Pierre
- Burt Karen
- Buscot Mathieu
- Buttera Stefania
- Cabrera Jorge
- Caccese Roberta
- Caironi Pietro
- Camporota Luigi
- Canchos Gutierrez Ivan
- Canedo Nancy
- Cani Alma
- Cappellini Iacopo
- Carazo Jesus
- Cardonnet Luis Pablo
- Carpio David
- Carriedo Demetrio
- Carrillo Ramón
- Carvalho João
- Caser Eliana
- Castelli Antonio
- Castillo Quintero Manuel
- Castro Heloisa
- Catorze Nuno
- Cengiz Melike
- Cereijo Enrique
- Cerny Vladimir
- Ceunen Helga
- Chaintoutis Christos
- Chang Youjin
- Chaparro Gustavogcha
- Chapman Carmel
- Chau Simon
- Chavez Cecilia Eugenia
- Chelazzi Cosimo
- Chelly Jonathan
- Chemouni Frank
- Chen Kai
- Chena Ariel
- Chiarandini Paolo
- Chilton Phil
- Chiumello Davide
- Cho Young-Jae
- Cho Young-Jae
- Chou-Lie Yvette
- Chudeau Nicolas
- Cinel Ismail
- Cinnella Gilda
- Clark Michele
- Clark Thomas
- Clarkson Kevin
- Clarkson Kevin
- Clementi Stefano
- Coaguila Luis
- Codecido Alexis Jaspe
- Collins Amy
- Colombo Riccardo
- Conde Juan
- Consales Guglielmo
- Cook Tim
- Coppadoro Andrea
- Cornejo Rodrigo
- Cortegiani Andrea
- Coxo Cristina
- Cracchiolo Andrea Neville
- Crespo Ramirez Mónica
- Crova Philippe
- Cruz José
- Cubattoli Lucia
- Curto Francesco
- Czempik Piotr
- D'Andrea Rocco
- da Silva Ramos Fernando
- Dangers Laurence
- Danguy des Déserts Marc
- Danin Pierre-Eric
- Dantas Fabianne
- Daubin Cédric
- Dawei Wu
- de Haro Candelaria
- de Jesus Montelongo Felipe
- De Mendoza Diego
- de Pablo Raúl
- De Pascale Gennaro
- De Rosa Silvia
- Decavèle Maxens
- Declercq Pierre-Louis
- Deicas Alberto
- del Carmen Campos Moreno María
- Dellamonica Jean
- Delmas Benjamin
- Demirkiran Hilmi
- Demirkiran Oktay
- Dendane Tarek
- di Mussi Rossella
- Diakaki Chrysi
- Diaz Anatilde
- Diaz Willy
- Dikmen Yalim
- Dimoula Aikaterini
- Doble Patricia
- Doha Nagwa
- Domingos Guilherme
- Dres Martin
- Dries David
- Duggal Abhijit
- Duke Graeme
- Dunts Pavel
- Dybwik Knut
- Dykyy Maksym
- Eckert Philippe
- Efe Serdar
- Elatrous Souheil
- Elay Gülseren
- Elmaryul Abubaker S
- Elsaadany Mohamed
- Elsayed Hany
- Elsayed Samar
- Emery Malo
- Ena Sébastien
- Eng Kevin
- Englert Joshua A
- Erdogan Elif
- Ergin Ozcan Perihan
- Eroglu Ege
- Escobar Miguel
- Esen Tekeli Arzu
- Esen Figen
- Esquivel Gallegos Helbert
- Esquivel Alejandro
- Estenssoro Elisa
- Ezzouine Hanane
- Facchini Alberto
- Faheem Mohammad
- Fanelli Vito
- Farina Maria Fernanda
- Fartoukh Muriel
- Fehrle Lutz
- Feng Feng
- Feng Yufeng
- Fernandez Borja
- Fernandez Irene
- Fernandez-Rodriguez Maria Lorena
- Ferrando Carlos
- Ferreira da Silva Maria João
- Ferreruela Mireia
- Ferrier Janet
- Flamm Zamorano Matias Jesús
- Flood Laura
- Floris Leda
- Fluckiger Martin
- Forteza Catalina
- Fortunato Antonella
- Frans Eric
- Frattari Antonella
- Fredes Sebastian
- Frenzel Tim
- Fumagalli Roberto
- Furche Mariano Andres
- Fusari Maurizio
- Fysh Edward
- Galeas-Lopez Juan Luis
- Galerneau Louis-Marie
- Garcia Olivares Pablo
- Garcia Analía
- Garcia Elisabet
- Garcia María Fernanda
- Garlicki Jaroslaw
- Garnero Aude
- Garofalo Eugenio
- Gautam Prabha
- Gazenkampf Andrey
- Gelinotte Stéphanie
- Gelormini Domenico
- Ghrenassia Etienne
- Giacomucci Angelo
- Giannoni Robert
- Gigante Andrea
- Glober Nancy
- Gnesin Paolo
- Goligher Ewan
- Goligher Ewan C
- Gollo Yari
- Gomaa Dina
- Gomero Paredes Rosita
- Gomes Rui
- Gomez Aroa
- Gomez Oscar
- Gomez Raúl Alejandro
- Gondim Louise
- Gonzalez Isabel
- Gonzalez Manuel
- Gonzalez-Castro Alejandro
- Gordillo Romero Orlando
- Gordo Federico
- Gouin Philippe
- Graf Santos Jerónimo
- Grainne Rooney
- Grando Matilde
- Granov Grabovica Sanja
- Grasselli Giacomo
- Grasselli Giacomo
- Grasselli Giacomo
- Grasso Rinaldo
- Grasso Salvatore
- Grimmer Lisa
- Grissom Colin
- Gritsan Alexey
- Gritsan Alexey
- Gu Qing
- Guan Xiang-Dong
- Guarracino Fabio
- Guasch Neus
- Guatteri Luca
- Gueret Renaud
- Guerot Emmanuel
- Guitard Pierre-Gildas
- Gumus Ayca
- Gurjar Mohan
- Gutierrez Patricia
- Guérin Claude
- Gül Fethi
- Hachimi Abdelhamid
- Hadzibegovic Adi
- Hagan Samantha
- Hammel Clare
- Han Song Joo
- Hanlon Gabrielle
- Hashemian Seyed Mohammadreza
- Hashemian Seyed Mohammadreza
- Heines Serge
- Henriksson Johanna
- Herbrecht Jean-Etienne
- Heredia Orbegoso Gabriel Omar
- Hermans Greet
- Hermans Greet
- Hermon Andrew
- Hernandez Carmen
- Hernandez Rosana
- Herrera Luis
- Herrera-Gutierrez Manuel
- Heunks Leo
- Heunks Leo
- Heunks Leo M
- Hidalgo Juan
- Hill Dianne
- Holmquist Dagmar
- Homez Marcela
- Hongtao Xia
- Hormis Anil
- Horner Daniel
- Hornos M Carmen
- Hou Meihong
- House Stacy
- Housni Brahim
- Hugill Keith
- Humbert Louis
- Humphreys Sally
- Hunter Stephanie
- Hwa Young Lee
- Iezzi Nicolas
- Ilutovich Santiago
- Inal Volkan
- Innes Richard
- Ioannides Panagiotis
- Iotti Giorgio Antonio
- Ippolito Mariachiara
- Irie Hiromasa
- Iriyama Hiroki
- Itagaki Taiga
- Izura Javier
- Izza Santiago
- Jabeen Rakhshanda
- Jamaati Hamidreza
- Jamadarkhana Sunil
- Jamoussi Amira
- Jankowski Milosz
- Jaramillo Luis Alberto
- Jeon Kyeongman
- Jeong Lee Seok
- Jeswani Deepak
- Jha Simant
- Jiang Liangyan
- Jing Chen
- Jochmans Sébastien
- Johnstad Bror Anders
- Jongmin Lee
- Joret Aurélie
- Jovanovic Bojan
- Jovanovic Bojan
- Junhasavasdikul Detajin
- Jurado Maria Teresa
- Kam Elisa
- Kamohara Hidenobu
- Kane Caroline
- Kara Iskender
- Karakurt Sait
- Karnjanarachata Cherdkiat
- Kataoka Jun
- Katayama Shinshu
- Kaushik Shuchi
- Kelebek Girgin Nermin
- Kerr Kathryn
- Kerslake Ian
- Khairnar Prakash
- Khalid Abidi
- Khan Akram
- Khanna Ashish K
- Khorasanee Reza
- Kienhorst Dieneke
- Kirakli Cenk
- Knafelj Rihard
- Kol Mark Kol
- Kongpolprom Napplika
- Kopitko Csaba
- Korkmaz Ekren Pervin
- Kubisz-Pudelko Agnieszka
- Kulcsar Zoltan
- Kumasawa Junji
- Kurahashi Kiyoyasu
- Kurahashi Kiyoyasu
- Kuriyama Akira
- Kutchak Fernanda
- Laake Jon Henrik
- Laake Jon Henrik
- Laake Jon Henrik
- Labarca Eduardo
- Labat Françoise
- Laborda César
- Laca Barrera Manuel Alberto
- Laffey John G
- Lagache Laurie
- Landaverde Lopez Antonio
- Lanspa Michael
- Lascari Valeria
- Le Meur Matthieu
- Lee Jarone
- Lee Jinwoo
- Lee Su Hwan
- Lee Won-Yeon
- Lee Young Ju
- Legernaes Terje
- Leiner Tamaas
- Lemiale Virginie
- Leonor Tiago
- Lepper Philipp M
- Li Dahuan
- Li Hongbin
- Li Oleg
- Lima Ana Raquel
- Lind Dan
- Litton Edward
- Liu Jialin
- Liu Ling
- Liu Ning
- Llitjos Jean-François
- Llorente Beatriz
- Lopez Nava Claudia
- Lopez Claudia Elizabeth
- Lopez Rodolfo
- Lovazzano Pablo
- Lu Min
- Lucchese Francesca
- Lugano Manuela
- Lugo Goytia Gustavo
- Luo Hua
- Lynch Ceri
- Macheda Sebastiano
- Madotto Fabiana
- Madrigal Robles Victor Hugo
- Maggiore Salvatore Maurizio
- Magret Iglesias Mònica
- Malaga Peter
- Mallapura Maheswarappa Harish
- Malpartida Guillermo
- Malyarchikov Andrey
- Mancebo Jordi
- Mansson Helena
- Manzano Anaid
- Marey Ismael
- Marin Maria del Carmen
- Marin Nathalie
- Markman Eliana
- Martin Dal Gesso Cristina
- Martin Alex
- Martin Felix
- Martin-Loeches Ignacio
- Martinez Felipe
- Martínez-Fidalgo Conchita
- Mas Arantxa
- Masaaki Sakuraya
- Maseda Emilio
- Massa Eleni
- Matamis Dimitrios
- Mattsson Anna
- Maugeri Jessica
- McCredie Victoria
- McCullough James
- McGuinness Shay
- McKown Andrew
- Medve László
- Mei Chengqing
- Mellado Artigas Ricard
- Mendes Vitor
- Mervat Mohamed Khalaf Ebraheim
- Michaux Isabelle
- Mikhaeil Michael
- Milagros Olga
- Milet Igor
- Millan Maria Teresa
- Minwei Zhang
- Mirabella Lucia
- Mishra Sanghamitra
- Mistraletti Giovanni
- Mochizuki Katsunori
- Moerer Onnen
- Moerer Onnen
- Moghal Arif
- Mojoli Francesco
- Molin Alexandre
- Molnar Zsolt
- Molnar Zsolt
- Montiel Raquel
- Montini Luca
- Monza Gianmario
- Mora Aznar Maria
- Morakul Sunthiti
- Morales Maria
- Moreno Torres Daniel
- Morocho Tutillo Diego Rolando
- Motherway Catherine
- Mouhssine Doumiri
- Mouloudi Eleni
- Munoz de Cabo Carlos
- Mustafa Mohamed
- Muthuchellappan Radhakrishnan
- Muthukrishnan Muraleekrishnan
- Muttini Stefano
- Muñoz Tapia
- Nagata Isao
- Nahar Dick
- Nakanishi Misuzu
- Nakayama Izumi
- Namendys-Silva Silvio Antonio
- Nanchal Rahul
- Nandakumar Sivakumar
- Nasi Alessandra
- Nasir Kamal
- Navalesi Paolo
- Naz Aslam Tayyba
- Nga Phan Thuy
- Nichol Alistair
- Niiyama Shuhei
- Nikolakopoulou Sofia
- Nikolic Elena
- Nitta Kenichi
- Noc Marko
- Nonas Stephanie
- Nseir Saad
- Nur Soyturk Ayse
- Obata Yukako
- Oeckler Richard
- Oguchi Moe
- Ohshimo Shinichiro
- Oikonomou Marina
- Ojados Agueda
- Oliveira Filho Wilson
- Oliveira Maria Teresa
- Oliveri Carlo
- Olmos Aitor
- Omura Kazuya
- Orlandi Maria Cristina
- Orsenigo Francesca
- Ortiz-Ruiz De Gordoa Laura
- Ota Kei
- Ovalle Olmos Rainier
- Oziemski Peter
- Ozkan Kuscu Ozlem
- Ozyilmaz Ezgi
- Pachas Alvarado Fernando
- Pagella Gonzalo
- Palaniswamy Vijayanand
- Palazon Sanchez Eugenio Luis
- Palmese Salvatore
- Pan Guojun
- Pan Wensen
- Panka Bernardo
- Panka Bernardo
- Papali Alfred
- Papanikolaou Metaxia
- Papavasilopoulou Theonymfi
- Parekh Ameet
- Parke Rachael
- Parrilla Dácil
- Parrilla Francisco J
- Pasha Taha
- Pasin Laura
- Patel Grisma
- Patel Mayur
- Pati Basanta Kumar
- Patil Jayaprakash
- Pattnaik Saroj
- Patão Luis
- Paul Daniel
- Pavesi Maurizio
- Pavlotsky Vanesa Alejandra
- Paz Enrique
- Paz Graciela
- Pecci Elisabetta
- Pellegrini Carlos
- Perbet Sébastien
- Perchiazzi Gaetano
- Pereira Tiago
- Pereira Vera
- Perez Calvo Cesar
- Perez Cheng Meisy
- Perez Maita Ronald
- Perez Manuel
- Perez-Teran Purificación
- Perez-Torres David
- Perkins Gavin
- Persona Paolo
- Pesenti Antonio
- Petnak Tananchai
- Petrova Marina
- Peña Padilla Andrea Gabriela
- Peñuelas Oscar
- Peñuelas Óscar
- Pham Tai
- Pham Tài
- Philippart François
- Picetti Edoardo
- Pierucci Elisabetta
- Piervincenzi Edoardo
- Pinciroli Riccardo
- Pintado Maria-Consuelo
- Piquilloud Lise
- Piquilloud Lise
- Piquilloud Lise
- Piraino Thomas
- Piras Claudio
- Piras Stephanie
- Pirompanich Pattarin
- Pisani Luigi
- Platas Enrique
- Plotnikow Gustavo
- Porras Willy
- Porta Virginia
- Portilla Mariana
- Portugal José
- Povoa Pedro
- Prat Gwenael
- Pratto Romina
- Preda Gabriel
- Prieto Isidro
- Prol-Silva Estefania
- Pugh Richard
- Pérez-Araos Rodrigo
- Qi Yupeng
- Qian Chuanyun
- Qin Tiehe
- Qiu Haibo
- Qiu Haibo
- Qu Hongping
- Quintana Teobaldo
- Quispe Sierra Rosari
- Quispe Soto Rocio
- Rabbani Raihan
- Rabee Mohamed
- Rabie Ahmed
- Rahe Pereira Maria Augusta
- Rai Ashish
- Raj Ashok Sundar
- Rajab Mostafa
- Ramdhani Navin
- Ramey Elizabeth
- Ranieri Marco
- Rathod Darshana
- Ray Banambar
- Razek Assem Abdel
- Redwanul Huq Shihan Mahmud
- Regli Adrian
- Reina Rosa
- Resano Sarmiento Natalia
- Reynaud Faustine
- Rialp Gemma
- Ricart Pilar
- Rice Todd
- Richardson Angus
- Rieder Marcelo
- Rinket Martin
- Rios Fernando
- Rios Fernando
- Risso Vazquez Alejandro
- Rittayamai Nuttapol
- Rittayamai Nuttapol
- Riva Ivano
- Rivette Monaly
- Roca Oriol
- Roche-Campo Ferran
- Rodriguez Gonzalez Daniel
- Rodriguez Tucto Xandra Yanina
- Rodriguez Covadonga
- Rodriguez Gabriel
- Rogers Angela
- Roldan Rollin
- Romano María Elena
- Rose Alastair
- Roux Damien
- Rouze Anahita
- Rubatto Birri Paolo Nahuel
- Ruilan Wang
- Ruiz Robledo Aldana
- Ruiz-Aguilar Antonio Luis
- Rørtveit Linda
- Sadahiro Tomohito
- Saez Ignacio
- Sagardia Judith
- Saha Rajnish
- Saha Rohit
- Saiphoklang Narongkorn
- Saito Shigeki
- Salem Maie
- Sales Gabriele
- Salgado Patricia
- Samavedam Srinivas
- Sami Mebazaa Mhamed
- Samuelsson Line
- San Juan Roman Nandyelly
- Sanchez Patricia
- Sanchez-Ballesteros Jesus
- Sandoval Yazcitk
- Sani Emanuele
- Santos Carla
- Santos Martin
- Sanui Masamitsu
- Saravanabavan Lakshmikanthcharan
- Sari Sema
- Sarkany Agnes
- Sauneuf Bertrand
- Savioli Monica
- Sazak Hilal
- Scano Riccardo
- Schneider Francis
- Schortgen Frédérique
- Schultz Marcus J
- Schwarz Gabriele Leonie
- Seely Andrew
- Seiler Frederik
- Seker Tekdos Yasemin
- Seok Chan Kim
- Serano Luca
- Serednicki Wojciech
- Serpa Neto Ary
- Serpa Neto Ary
- Setten Mariano
- Seçkin Yücesoy Faruk
- Shah Asim
- Shah Bhagyesh
- Shang You
- Shanmugasundaram Pradeep
- Shapovalov Konstantin
- Shebl Eman
- Shiga Takuya
- Shime Nobuaki
- Shin Phil
- Short Jack
- Shuhua Chen
- Siddiqui Sughrat
- Silesky Jimenez Juan Ignacio
- Silva Sales Betania
- Silva Daniel
- Simons Koen
- Sjøbø Brit Ågot
- Slessor David
- Smiechowicz Jakub
- Smischney Nathan
- Smith Mark
- Smith Paul
- Smith Tim
- Snape Sarah
- Snyman Lindi
- Soetens Filiep
- Sook Hong Kyung
- Sosa Medellin Miguel Ángel
- Soto Giovanna
- Souloy Xavier
- Sousa Elsa
- Sovatzis Stefania
- Sozutek Didem
- Spadaro Savino
- Spagnoli Marco
- Spittle Nick
- Spivey Mike
- Spångfors Martin
- Stapleton Andrew
- Stefanovic Branislava
- Stephenson Lorraine
- Stevenson Elizabeth
- Strand Kristian
- Strano Maria Teresa
- Straus Slavenka
- Sun Chenliang
- Sun Rongqing
- Sundaram Venkat
- SunPark Tai
- Surlemont Elisabeth
- Sutherasan Yuda
- Szabo Zsuzsanna
- Szuldrzynski Konstanty
- Szuldrzynski Konstanty
- Tainter Christopher
- Takaba Akihiro
- Tallott Mandy
- Talmor Daniel
- Tamasato Tamasato
- Tang Zhanhong
- Tangsujaritvijit Viratch
- Taniguchi Daisuke
- Taniguchi Leandro
- Tarantino Fabio
- Teerapuncharoen Krittika
- Temprano Susana
- Terragni Pierpaolo
- Terzi Nicolas
- Thakur Anand
- Theerawit Pongdhep
- Thille Arnaud W
- Thomas Matt
- Thungtitigul Poungrat
- Thyrault Martial
- Tilouch Nejla
- Timenetsky Karina
- Tirapu Juna
- Todeschini Manuel
- Tomas Roser
- Tomaszewski Christian
- Tomescu Dana
- Tonetti Tommaso
- Tonnelier Alexandre
- Trinder John
- Trongtrakul Konlawij
- Truwit Jonathon
- Tsuei Betty
- Tulaimat Aiman
- Turan Sema
- Turkoglu Melda
- Tyagi Sanjeev
- Ubeda Alejandro
- Vagginelli Federica
- Valenti María Florencia
- Vallverdu Imma
- Van Axel Alisha
- van den Hul Ingrid
- van der Hoeven Hans
- Van Der Meer Nardo
- van Haren Frank
- Van Haren Frank
- Van Haren Frank
- Vanhoof Marc
- Vargas-Ordoñez Mónica
- Vaschetto Rosanna
- Vascotto Ettore
- Vatsik Maria
- Vaz Ana
- Vazquez-Sanchez Antonia
- Ventura Sara
- Vermeijden Jan Wytze
- Vidal Anxela
- Vieira Jocyelle
- Vilela Costa Pinto Bruno
- Villagomez Asisclo
- Villagomez Asisclo
- Villagra Ana
- Villegas Succar Cristina
- Vinorum Ole Georg
- Vitale Giovanni
- Vj Ramesh
- Vochin Ana
- Voiriot Guillaume
- Volta Carlo Alberto
- von Seth Magnus
- Wajdi Maazouzi
- Walsh Don
- Wang Shouhong
- Wardi Gabriel
- Ween-Velken Nils Christian
- Wei Bi-Lin
- Weller Dolf
- Welsh Deborah
- Welters Ingeborg
- Wert Michael
- Whiteley Simon
- Wilby Elizabeth
- Williams Erin
- Williams Karen
- Wilson Antoinette
- Wojtas Jadwiga
- Won Huh Jin
- Wrathall David
- Wright Christopher
- Wu Jian-Feng
- Wunsch Hannah
- Xi Guo
- Xing Zheng-Jiang
- Xu Hongyang
- Yamamoto Kotaro
- Yan Jie
- Yang Xiaobo
- Yates Elliot
- Yazicioglu Mocin Ozlem
- Ye Zhenglong
- Yildirim Fatma
- Yoshida Norifumi
- Yoshido Hector Higo Leon
- Young Lee Bo
- Yu Gong
- Yu Rongguo
- Yu Tao
- Yuan Boyun
- Yuangtrakul Nadwipa
- Yumoto Tetsuya
- Yun Xie
- Yáñez Julio
- Zakalik Graciela
- Zaki Ahmad
- Zalba-Etayo Begoña
- Zambon Massimo
- Zang Bin
- Zani Gianluca
- Zarka Jonathan
- Zeggwagh Amine Ali
- Zerbi Simone Maria
- Zerman Avsar
- Zetterquist Harald
- Zhang Guoxiu
- Zhang Hongwen
- Zhang Jiuzhi
- Zhang Wei
- Zhang Weixin
- Zhao Hongsheng
- Zheng Jia
- Zhu Bin
- Zumaran Ronald
- Çukurova Zafer
- Öveges Nándo
- Özyilmaz Ezgi
- Publication venue
- 'Elsevier BV'
- Publication date
- 21/01/2023
- Field of study
Background
Current management practices and outcomes in weaning from invasive mechanical ventilation are poorly understood. We aimed to describe the epidemiology, management, timings, risk for failure, and outcomes of weaning in patients requiring at least 2 days of invasive mechanical ventilation.
Methods
WEAN SAFE was an international, multicentre, prospective, observational cohort study done in 481 intensive care units in 50 countries. Eligible participants were older than 16 years, admitted to a participating intensive care unit, and receiving mechanical ventilation for 2 calendar days or longer. We defined weaning initiation as the first attempt to separate a patient from the ventilator, successful weaning as no reintubation or death within 7 days of extubation, and weaning eligibility criteria based on positive end-expiratory pressure, fractional concentration of oxygen in inspired air, and vasopressors. The primary outcome was the proportion of patients successfully weaned at 90 days. Key secondary outcomes included weaning duration, timing of weaning events, factors associated with weaning delay and weaning failure, and hospital outcomes. This study is registered with ClinicalTrials.gov, NCT03255109.
Findings
Between Oct 4, 2017, and June 25, 2018, 10 232 patients were screened for eligibility, of whom 5869 were enrolled. 4523 (77·1%) patients underwent at least one separation attempt and 3817 (65·0%) patients were successfully weaned from ventilation at day 90. 237 (4·0%) patients were transferred before any separation attempt, 153 (2·6%) were transferred after at least one separation attempt and not successfully weaned, and 1662 (28·3%) died while invasively ventilated. The median time from fulfilling weaning eligibility criteria to first separation attempt was 1 day (IQR 0–4), and 1013 (22·4%) patients had a delay in initiating first separation of 5 or more days. Of the 4523 (77·1%) patients with separation attempts, 2927 (64·7%) had a short wean (≤1 day), 457 (10·1%) had intermediate weaning (2–6 days), 433 (9·6%) required prolonged weaning (≥7 days), and 706 (15·6%) had weaning failure. Higher sedation scores were independently associated with delayed initiation of weaning. Delayed initiation of weaning and higher sedation scores were independently associated with weaning failure. 1742 (31·8%) of 5479 patients died in the intensive care unit and 2095 (38·3%) of 5465 patients died in hospital.
Interpretation
In critically ill patients receiving at least 2 days of invasive mechanical ventilation, only 65% were weaned at 90 days. A better understanding of factors that delay the weaning process, such as delays in weaning initiation or excessive sedation levels, might improve weaning success rates
Weaning from mechanical ventilation in intensive care units across 50 countries (WEAN SAFE): a multicentre, prospective, observational cohort study
- Author
- Abdelhamid Hachimi
- Abdellatif Benslama
- Abdelrhman Aboshady
- Abhijit Duggal
- Abidi Khalid
- Abubaker S Elmaryul
- Adela Benitez-Cano
- Adi Hadzibegovic
- Adrian Regli
- Agnes Sarkany
- Agnieszka Kubisz-Pudelko
- Agrippino Bellissima
- Agueda Ojados
- Ahmad Zaki
- Ahmed Rabie
- Aikaterini Dimoula
- Aiman Tulaimat
- Aitor Olmos
- Akihiro Takaba
- Akira Kuriyama
- Akram Khan
- Alastair Rose
- Alberto Belenguer Muncharaz
- Alberto Deicas
- Alberto Facchini
- Aldana Ruiz Robledo
- Alejandro Esquivel
- Alejandro Gonzalez-Castro
- Alejandro Risso Vazquez
- Alejandro Ubeda
- Alessandra Nasi
- Alex Martin
- Alexandre Molin
- Alexandre Tonnelier
- Alexey Gritsan
- Alexey Gritsan
- Alexis Jaspe Codecido
- Alfred Papali
- Alisha Van Axel
- Alistair Nichol
- Alma Cani
- Ameet Parekh
- Amine Ali Zeggwagh
- Amira Jamoussi
- Amy Collins
- Ana Raquel Lima
- Ana Vaz
- Ana Villagra
- Ana Vochin
- Anahita Rouze
- Anaid Manzano
- Analía Garcia
- Anand Thakur
- Anatilde Diaz
- Andrea Bruni
- Andrea Coppadoro
- Andrea Cortegiani
- Andrea Gabriela Peña Padilla
- Andrea Gigante
- Andrea Neville Cracchiolo
- Andrew Bersten
- Andrew Hermon
- Andrew McKown
- Andrew Seely
- Andrew Stapleton
- Andrey Gazenkampf
- Andrey Malyarchikov
- Angela Algaba
- Angela Rogers
- Angelo Giacomucci
- Angus Richardson
- Anil Hormis
- Anna Aliberti
- Anna Mattsson
- Antoinette Wilson
- Antonella Fortunato
- Antonella Frattari
- Antonia Vazquez-Sanchez
- Antonio Castelli
- Antonio Landaverde Lopez
- Antonio Luis Ruiz-Aguilar
- Anxela Vidal
- Aragao Irene
- Arantxa Mas
- Ariel Chena
- Arif Moghal
- Arnaud W Thille
- Aroa Gomez
- Arturo Briva
- Arvind Baronia
- Ary Serpa Neto
- Ary Serpa Neto
- Arzu Esen Tekeli
- Ashish K Khanna
- Ashish Rai
- Asim Shah
- Asisclo Villagomez
- Asisclo Villagomez
- Asma Ben Souissi
- Assem Abdel Razek
- Aude Garnero
- Aurélie Joret
- Avsar Zerman
- Ayca Gumus
- Ayse Nur Soyturk
- Banambar Ray
- Basanta Kumar Pati
- Beatriz Llorente
- Beduneau Gaëtan
- Begoña Zalba-Etayo
- Bellani Giacomo
- Benjamin Delmas
- Bernardo Panka
- Bernardo Panka
- Bernie Bissett
- Bertrand Sauneuf
- Betania Silva Sales
- Betty Tsuei
- Bhagyesh Shah
- Bi-Lin Wei
- Bin Zang
- Bin Zhu
- Björn Ahlström
- Bo Young Lee
- Bojan Jovanovic
- Bojan Jovanovic
- Borja Fernandez
- Boyun Yuan
- Brahim Housni
- Branislava Stefanovic
- Brit Ågot Sjøbø
- Brochard Laurent
- Bror Anders Johnstad
- Bruno Ballico
- Bruno Vilela Costa Pinto
- Candelaria de Haro
- Carla Santos
- Carlo Alberto Volta
- Carlo Oliveri
- Carlos Ferrando
- Carlos Munoz de Cabo
- Carlos Pellegrini
- Carmel Chapman
- Carmen Hernandez
- Caroline Kane
- Catalina Forteza
- Catherine Motherway
- Cecilia Eugenia Chavez
- Cenk Kirakli
- Ceri Lynch
- Cesar Perez Calvo
- Chen Jing
- Chen Shuhua
- Chengqing Mei
- Chenliang Sun
- Cherdkiat Karnjanarachata
- Christian Tomaszewski
- Christine M Bojanowski
- Christopher Tainter
- Christopher Wright
- Christos Chaintoutis
- Chrysi Diakaki
- Chuanyun Qian
- Clare Hammel
- Claude Guérin
- Claudia Elizabeth Lopez
- Claudia Lopez Nava
- Claudio Piras
- Colin Grissom
- Conchita Martínez-Fidalgo
- Cosimo Chelazzi
- Covadonga Rodriguez
- Cristina Coxo
- Cristina Martin Dal Gesso
- Cristina Villegas Succar
- Csaba Kopitko
- Cédric Bruel
- Cédric Daubin
- César Laborda
- Dagmar Holmquist
- Dahuan Li
- Daisuke Taniguchi
- Damien Roux
- Dan Lind
- Dana Tomescu
- Daniel Arellano
- Daniel Horner
- Daniel Moreno Torres
- Daniel Paul
- Daniel Rodriguez Gonzalez
- Daniel Silva
- Daniel Talmor
- Daniela Benvenuti
- Darshana Rathod
- David Blythe
- David Carpio
- David Dries
- David Perez-Torres
- David Slessor
- David Wrathall
- Davide Chiumello
- Deborah Welsh
- Deepak Jeswani
- Demetrio Carriedo
- Detajin Junhasavasdikul
- Diana Alvarez
- Dianne Hill
- Dick Nahar
- Didem Sozutek
- Diego De Mendoza
- Diego Rolando Morocho Tutillo
- Dieneke Kienhorst
- Dimitrios Matamis
- Dina Gomaa
- Dolf Weller
- Domenico Gelormini
- Don Walsh
- Doumiri Mouhssine
- Dácil Parrilla
- Edoardo Picetti
- Edoardo Piervincenzi
- Eduardo Beck
- Eduardo Labarca
- Edward Fysh
- Edward Litton
- Ege Eroglu
- Elena Nikolic
- Eleni Massa
- Eleni Mouloudi
- Eliana Caser
- Eliana Markman
- Elias Baedorf Kassis
- Elif Erdogan
- Elisa Boni
- Elisa Estenssoro
- Elisa Kam
- Elisabet Garcia
- Elisabeth Surlemont
- Elisabetta Pecci
- Elisabetta Pierucci
- Elizabeth Ramey
- Elizabeth Stevenson
- Elizabeth Wilby
- Elliot Bertram-Ralph
- Elliot Yates
- Elsa Sousa
- Eman Shebl
- Emanuele Sani
- Emilio Maseda
- Emmanuel Guerot
- Enrique Cereijo
- Enrique Paz
- Enrique Platas
- Eric Frans
- Erin Williams
- Estefania Prol-Silva
- Etienne Ghrenassia
- Ettore Vascotto
- Eugenio Garofalo
- Eugenio Luis Palazon Sanchez
- Ewan Goligher
- Ezgi Ozyilmaz
- Ezgi Özyilmaz
- Fabianne Dantas
- Fabio Guarracino
- Fabio Tarantino
- Faruk Seçkin Yücesoy
- Fatma Yildirim
- Faustine Reynaud
- Federica Vagginelli
- Federico Gordo
- Fekri Abrough
- Felipe de Jesus Montelongo
- Felipe Martinez
- Felix Martin
- Feng Feng
- Fernanda Kutchak
- Fernando da Silva Ramos
- Fernando Pachas Alvarado
- Fernando Rios
- Fernando Rios
- Ferran Roche-Campo
- Fethi Gül
- Feza Bacakoglu
- Figen Esen
- Filiep Soetens
- Finn H Andersen
- Francesca Lucchese
- Francesca Orsenigo
- Francesco Curto
- Francesco Mojoli
- Francis Schneider
- Francisco J Parrilla
- Frank Chemouni
- Frank Van Haren
- Frank Van Haren
- François Philippart
- Françoise Labat
- Frederik Seiler
- Frédérique Schortgen
- Gabriel Omar Heredia Orbegoso
- Gabriel Preda
- Gabriel Rodriguez
- Gabriel Wardi
- Gabriela Bai
- Gabriele Leonie Schwarz
- Gabriele Sales
- Gabrielle Hanlon
- Gaetano Perchiazzi
- Gaston Aguirre
- Gavin Perkins
- Gaëtan Beduneau
- Gemma Rialp
- Gennaro De Pascale
- Gerardo Aguilar
- Ghamdan Al Sadeh
- Giacomo Bellani
- Giacomo Berta
- Giacomo Grasselli
- Giacomo Grasselli
- Gianluca Zani
- Gianmario Monza
- Gilda Cinnella
- Giorgio Antonio Iotti
- Giovanna Soto
- Giovanni Mistraletti
- Giovanni Vitale
- Goligher Ewan C
- Gong Yu
- Gonzalo Pagella
- Govindan Balaraj
- Graciela Paz
- Graciela Zakalik
- Graeme Duke
- Grasselli Giacomo
- Greet Hermans
- Greet Hermans
- Grisma Patel
- Guglielmo Consales
- Guilherme Domingos
- Guillaume Voiriot
- Guillermo Bugedo
- Guillermo Bugedo
- Guillermo Malpartida
- Gulbin Aygencel
- Guo Xi
- Guojun Pan
- Guoxiu Zhang
- Gustavo Lugo Goytia
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- Gustavogcha Chaparro
- Gwenael Prat
- Gülseren Elay
- Haibo Qiu
- Haibo Qiu
- Hamidreza Jamaati
- Hanane Ezzouine
- Hans van der Hoeven
- Hany Elsayed
- Harald Zetterquist
- Harish Mallapura Maheswarappa
- Harshal Bawangade
- Hector Higo Leon Yoshido
- Helbert Esquivel Gallegos
- Helena Mansson
- Helga Ceunen
- Heloisa Castro
- Hernan Aguirre-Bermeo
- Heunks Leo
- Hidenobu Kamohara
- Hilal Sazak
- Hilmi Demirkiran
- Hiroki Iriyama
- Hiromasa Irie
- Hongbin Li
- Hongping Qu
- Hongsheng Zhao
- Hongwen Zhang
- Hongyang Xu
- Hua Luo
- Huseyin Arikan
- Iacopo Cappellini
- Ian Kerslake
- Ignacio Martin-Loeches
- Ignacio Saez
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- Imma Vallverdu
- Ingeborg Welters
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- Irene Fernandez
- Isabel Gonzalez
- Isabelle Michaux
- Isao Nagata
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- Jane Adderley
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- Jaroslaw Garlicki
- Javier Izura
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- Jeffrey Barry
- Jeremy Beitler
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- Jesus Emilio Barrueco-Francioni
- Jesus Milagrito Avalos Cabrera
- Jesus Sanchez-Ballesteros
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- Jialin Liu
- Jian-Feng Wu
- Jie Yan
- Jin Won Huh
- Jinwoo Lee
- Jiuzhi Zhang
- Joaquin Amador
- Jocyelle Vieira
- Johan Berkius
- Johan Berkius
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- John Trinder
- Jon Henrik Laake
- Jon Henrik Laake
- Jonathan Barrett
- Jonathan Chelly
- Jonathan Zarka
- Jonathon Truwit
- Joo Han Song
- Jorge Cabrera
- Jose Manuel Allegue
- Joshua A Englert
- José Cruz
- José Portugal
- João Carvalho
- Juan Conde
- Juan Hidalgo
- Juan Ignacio Silesky Jimenez
- Juan Luis Galeas-Lopez
- Judith Sagardia
- Julio Badie
- Julio Yáñez
- Jun Kataoka
- Juna Tirapu
- Junji Kumasawa
- Kai Chen
- Kamal Nasir
- Karen Burt
- Karen J Bosma
- Karen Williams
- Karina Timenetsky
- Kathryn Kerr
- Katsunori Mochizuki
- Kaushik Bhowmick
- Kazuya Omura
- Kei Ota
- Keith Hugill
- Kengo Asano
- Kenichi Nitta
- Kevin Clarkson
- Kevin Clarkson
- Kevin Eng
- Kim Seok Chan
- Kiyoyasu Kurahashi
- Kiyoyasu Kurahashi
- Knut Dybwik
- Koen Simons
- Koichi Arinaga
- Konlawij Trongtrakul
- Konstantin Shapovalov
- Konstanty Szuldrzynski
- Konstanty Szuldrzynski
- Kotaro Yamamoto
- Kristian Strand
- Krittika Teerapuncharoen
- Kyeongman Jeon
- Kyung Sook Hong
- Laake Jon Henrik
- Laffey John G
- Lakshay Bhakhtiani
- Lakshmikanthcharan Saravanabavan
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- Laura Pasin
- Laurence Dangers
- Laurent Brochard
- Laurie Lagache
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- Leda Floris
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- Lee Jongmin
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- Leo M Heunks
- Liangyan Jiang
- Linda Rørtveit
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- Lise Piquilloud
- Lorraine Stephenson
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- Louis-Marie Galerneau
- Louise Gondim
- Loïc Barrot
- Luca Guatteri
- Luca Montini (ORCID:0000-0003-4602-5134)
- Luca Serano
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- Willy Diaz
- Willy Porras
- Wilson Oliveira Filho
- Wojciech Serednicki
- Won-Yeon Lee
- Wu Dawei
- Wunsch Hannah
- Xandra Yanina Rodriguez Tucto
- Xavier Souloy
- Xia Hongtao
- Xiang-Dong Guan
- Xiaobo Yang
- Xie Yun
- Yalim Dikmen
- Yari Gollo
- Yaseen Arabi
- Yaseen Arabi
- Yasemin Seker Tekdos
- Yazcitk Sandoval
- You Shang
- Youjin Chang
- Young Ju Lee
- Young-Jae Cho
- Young-Jae Cho
- Yuda Sutherasan
- Yufeng Feng
- Yukako Obata
- Yupeng Qi
- Yutthana Apichatbutr
- Yvette Chou-Lie
- Zafer Çukurova
- Zhang Minwei
- Zhanhong Tang
- Zheng-Jiang Xing
- Zhenglong Ye
- Zoltan Kulcsar
- Zsolt Molnar
- Zsolt Molnar
- Zsuzsanna Szabo
- Óscar Peñuelas
- Publication venue
- 'Elsevier BV'
- Publication date
- 01/01/2023
- Field of study
Background: Current management practices and outcomes in weaning from invasive mechanical ventilation are poorly understood. We aimed to describe the epidemiology, management, timings, risk for failure, and outcomes of weaning in patients requiring at least 2 days of invasive mechanical ventilation. Methods: WEAN SAFE was an international, multicentre, prospective, observational cohort study done in 481 intensive care units in 50 countries. Eligible participants were older than 16 years, admitted to a participating intensive care unit, and receiving mechanical ventilation for 2 calendar days or longer. We defined weaning initiation as the first attempt to separate a patient from the ventilator, successful weaning as no reintubation or death within 7 days of extubation, and weaning eligibility criteria based on positive end-expiratory pressure, fractional concentration of oxygen in inspired air, and vasopressors. The primary outcome was the proportion of patients successfully weaned at 90 days. Key secondary outcomes included weaning duration, timing of weaning events, factors associated with weaning delay and weaning failure, and hospital outcomes. This study is registered with ClinicalTrials.gov, NCT03255109. Findings: Between Oct 4, 2017, and June 25, 2018, 10 232 patients were screened for eligibility, of whom 5869 were enrolled. 4523 (77·1%) patients underwent at least one separation attempt and 3817 (65·0%) patients were successfully weaned from ventilation at day 90. 237 (4·0%) patients were transferred before any separation attempt, 153 (2·6%) were transferred after at least one separation attempt and not successfully weaned, and 1662 (28·3%) died while invasively ventilated. The median time from fulfilling weaning eligibility criteria to first separation attempt was 1 day (IQR 0-4), and 1013 (22·4%) patients had a delay in initiating first separation of 5 or more days. Of the 4523 (77·1%) patients with separation attempts, 2927 (64·7%) had a short wean (≤1 day), 457 (10·1%) had intermediate weaning (2-6 days), 433 (9·6%) required prolonged weaning (≥7 days), and 706 (15·6%) had weaning failure. Higher sedation scores were independently associated with delayed initiation of weaning. Delayed initiation of weaning and higher sedation scores were independently associated with weaning failure. 1742 (31·8%) of 5479 patients died in the intensive care unit and 2095 (38·3%) of 5465 patients died in hospital. Interpretation: In critically ill patients receiving at least 2 days of invasive mechanical ventilation, only 65% were weaned at 90 days. A better understanding of factors that delay the weaning process, such as delays in weaning initiation or excessive sedation levels, might improve weaning success rates. Funding: European Society of Intensive Care Medicine, European Respiratory Society
Recommended from our members
ESICM LIVES 2016: part three: Milan, Italy. 1–5 October 2016
- Author
- Abbott T. E. F.
- Abdallah R. I.
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- Publication venue
- 'Springer Science and Business Media LLC'
- Publication date
- 18/11/2016
- Field of study