7 research outputs found
FRECUENCIA DE LA INFECCIÓN POR VIRUS DE LA HEPATITIS C EN PACIENTES CON CIRROSIS HEPÁTICA EN YUCATÁN.
- Author
- Publication venue
- 'Universidad de Costa Rica'
- Publication date
- 22/06/2015
- Field of study
Introducción. La hepatitis C es causada por el virus de la hepatitis C (VHC), la Organización Mundial de la Salud estima 170 millones de personas se encuentran infectadas por el virus. El 80% de los infectados no elimina el virus de manera natural volviéndose crónico y llevando al desarrollo de cirrosis hepática en el 20% de los casos y carcinoma hepatocelular en el 10%. México se estima una seroprevalencia de 1.5% en la población general, y en Yucatán de 1.6%. En pacientes con cirrosis hepática se estima 32% en el Estado. Objetivo. Detectar la presencia de la infección activa de los VHC en los pacientes con cirrosis hepática que son atendidos en el Hospital General “Dr. Agustín O’Horán” de Mérida Yucatán. Metodología. Se tomaron 62 muestras séricas, se realizó la extracción de ARN total seguido de la síntesis de ADNc, la amplificación de la región 5' no codificante de los VHC con la técnica de reacción en cadena de la polimerasa, obteniendo un amplicon de 144 pares de bases. Resultado y Conclusión. 46.16% de las muestras séricas de los pacientes presentaron genoma viral circulante; hubo un aumento de la cirrosis causada por el VHC en un periodo de 10 años
Clonal chromosomal mosaicism and loss of chromosome Y in elderly men increase vulnerability for SARS-CoV-2
- Author
- Abellán Javier
- Acosta-isaac René
- Aguado Jose María
- Aguilar Carlos
- Aguilera-albesa Sergio
- Ahmadi Sabbagh Abdolah
- Alba Jorge
- Albu Sergiu
- Alcalá-gallardo Karla A. M.
- Alcoba-florez Julia
- Alcolea Batres Sergio
- Algarin-lara Holmes Rafael
- Almadana Virginia
- Almeida Julia
- Almoguera Berta
- Alonso María R.
- Andreu-bernabeu Álvaro
- Antonijoan Maria Rosa
- Arana-arri Eunate
- Aranda Carlos
- Arango Celso
- Araque Carolina
- Araujo Izabel M. T.
- Araujo Nathalia K.
- Arcanjo Ana C.
- Arnaiz Ana
- Arnalich Fernández Francisco
- Arranz María J.
- Arribas López José Ramón
- Artiga Maria-jesús
- Avello-malaver Yubelly
- Ayuso Carmen
- Balagué-dobón Laura
- Baldion Ana María
- Ballina Martín Belén
- Baptista-rosas Raúl C.
- Barranco-díaz Andrea
- Barreda-sánchez María
- Barrera-penagos Viviana
- Belhassen-garcia Moncef
- Bernal Enrique
- Bernal-bello David
- Bezerra Joao F.
- Bezerra Marcos A. C.
- Blanca-lópez Natalia
- Blancas Rafael
- Boix-palop Lucía
- Borobia Alberto
- Bravo Elsa
- Brion María
- Brochado-kith Óscar
- Brugada Ramón
- Bustos Matilde
- Cabello Alfonso
- Calbo Esther
- Calderón Enrique J.
- Camacho Shirley
- Campos Marcela C.
- Carbonell Cristina
- Cardona-huerta Servando
- Carioca Antonio Augusto F.
- Carpio Segura Carlos
- Carracedo Ángel
- Carratto Thássia M. T.
- Carrillo-avila José Antonio
- Carvalho Maria C. C.
- Casasnovas Carlos
- Castaño Carlos F.
- Castaño Luis
- Castelao Jose E.
- Castellano Candalija Aranzazu
- Castillo María A.
- Cañadas Yolanda
- Ceballos Francisco C.
- Chaux Jessica G.
- Chaves-santiago Walter G.
- Chiquillo-gómez Sylena
- Cid-lópez Marco A.
- Cienfuegos-jiménez Óscar
- Conde-vicente Rosa
- Cordero-lorenzana M. Lourdes
- Corella Dolores
- Corrales Almudena
- Corton Marta
- Cortés-sánchez Jose L.
- Costa Tatiana X.
- Cruz Marina S.
- Cruz Raquel
- Cuesta Luisa
- Cunha Gabriela C. R.
- Cáceres Alejandro
- Cáceres-agra Juan J.
- Dalmau David
- Dantas-komatsu Raquel C. S.
- Darnaude M. Teresa
- De Andrés Raimundo
- De Araújo Jéssica N. G.
- De Juan Carmen
- De La Cruz Troca Juan J.
- De La Horra Carmen
- De La Hoz Ana B.
- De Martino-rodríguez Alba
- De Sousa Alves Neri Julianna Lys
- Del Campo-pérez Victor
- Delgado-cuesta Juan
- Diaz De Bustamante Aranzazu
- Dietl Beatriz
- Diz-de Almeida Silvia
- Do Monte Alves Manoella
- Domínguez-garrido Elena
- Dos Santos Katiusse A.
- Duarte Alice L.
- Díaz-caneja Covadonga M.
- Díaz-pérez Anderson
- Echave-sustaeta Jose
- Eiros Rocío
- Enciso-olivera César O.
- Escudero Gabriela
- Esko Tonu
- España Pedro Pablo
- Estigarribia Sanabria Gladys
- Fariñas María Carmen
- Fernandes Marianne R.
- Fernandez-nestosa María J.
- Fernández Martínez Yolanda
- Fernández Ramón
- Fernández Ruth
- Fernández-caballero Lidia
- Fernández-capitán Carmen
- Fernández-cruz Ana
- Fernández-ferrero Silvia
- Fernández-robelo Uxía
- Fernández-rodríguez Amanda
- Fernández-sampedro Marta
- Fernández-villa Tania
- Flores Carlos
- Flores-pérez Patricia
- Friaza Vicente
- Fuenmayor-hernández Lácides
- Fuertes-núñez Marta
- Fumadó Victoria
- Gadea Ignacio
- Gagliardi Lidia
- Gago-domínguez Manuela
- Gallego Natalia
- Galoppo Cristina
- Garcia-garcía Josefina
- García Torrejón María Carmen
- García Inés
- García Leticia
- García Mercedes
- García-cerrada Carlos
- García-de-vicuña Aitor
- García-garcía Irene
- García-ibarbia Carmen
- García-montero Andrés C.
- García-soidán Ana
- García-vázquez Elisa
- Garza-frias Emiliano
- Gentile Angela
- Gil-fournier Belén
- Gonzalez-sagrado Manuel
- Gonzalo-benito Hugo
- González Bernaldo De Quirós Fernán
- González Álvarez Beatriz
- González Juan R.
- González Juan R.
- González-montelongo Rafaela
- González-neira Anna
- González-peñas Javier
- Gorgojo-galindo Oscar
- Guaragna Florencia
- Guegel Genilson P.
- Guillén-guío Beatriz
- Guillén-navarro Encarna
- Guisado-vasco Pablo
- Gutiérrez-bautista Juan F.
- Gutiérrez-castañeda Luz D.
- Gómez Carrera Luis
- Gómez García María
- Gómez Sacristán Ángela
- Gómez-arrue Javier
- Gómez-duque Mario
- Górgolas Miguel
- Heili-frades Sara
- Hernández Estefania
- Hernández-moro Cristina
- Hernández-ortega Luis D.
- Hernández-pérez Guillermo
- Hernández-vaquero Rebeca
- Herranz M. Teresa
- Herrera María
- Herrero María José
- Herrero-gonzález Antonio
- Herráez Belén
- Horcajada Juan P.
- Imaz-ayo Natale
- Intxausti-urrutibeaskoa Maider
- Jacomo Rafael H.
- Jara Rubén
- Jiménez Pilar
- Jiménez Ángel
- Jiménez-alfaro Ignacio
- Jiménez-sousa María A.
- Jordan Iolanda
- Laguna-goya Rocío
- Laorden Daniel
- Lapunzina Pablo
- Lasa-lázaro María
- Lattig María Claudia
- Lauriente Ailen
- Liger Borja Anabel
- Llanos Lucía
- Lopez-garcia Esther
- Lopez-rodriguez Rosario
- Lorente Leonardo
- Lorenzo-salazar José M.
- Lozano José E.
- Lozano-espinosa María
- Luchessi Andre D.
- López De Heredia Miguel
- López De Heredia Miguel
- López-bernús Amparo
- López-granados Eduardo
- López-ruz Miguel A.
- Mahillo Ignacio
- Mancebo Esther
- Mar Carmen
- Marcelo Calvo Cristina
- Marcos Miguel
- Marcos-delgado Alba
- Mariscal-aguilar Pablo
- Martin-fernandez Marta
- Martin-pedraza Laura
- Martinez Amalia
- Martinez-paz Pedro
- Martín María Dolores
- Martín María M.
- Martín Vicente
- Martín-lópez Caridad
- Martín-oterino José-Ángel
- Martín-vicente María
- Martínez Juan José
- Martínez Ricardo
- Martínez Silvia
- Martínez-aquino Eleno
- Martínez-gonzález Óscar
- Martínez-lópez Iciar
- Martínez-nieto Óscar
- Martínez-pérez Ángel
- Martínez-ramas Andrea
- Martínez-reséndez Michel F.
- Martínez-robles Violeta
- Marzal Laura
- Marín-candón Alicia
- Maya Belén Rodríguez
- Mazzeu Juliana F.
- Medeiros Jeane F. P.
- Medeiros Kelliane A.
- Medrano Francisco J.
- Meijome Xose M.
- Mejuto-montero Natalia
- Mendes Ingrid
- Mendoza Charris Humberto
- Merayo Macías Eleuterio
- Mercadillo Fátima
- Mercado-sesma Arieh R.
- Molina Antonio J. J.
- Molina-roldán Elena
- Montoya Juan José
- Moraes Vitor M. S.
- Moreira-escriche Patricia
- Morelos-arnedo Xenia
- Moreno Cuerda Víctor
- Moreno Fernández Alberto
- Moreno Rocío
- Moreno-docón Antonio
- Moreno-escalante Junior
- Morilla Rubén
- Muñoz García Patricia
- Méndez-echevarría Ana
- Mínguez Pablo
- Neira Pablo
- Nevado Julián
- Nieto-gañán Israel
- Nunes Joana F. R.
- Nuñez-torres Rocío
- Obrador-hevia Antònia
- Ocejo-vinyals J. Gonzalo
- Olivar Virginia
- Oliveira Silviene F.
- Olivera María Rubio
- Ondo Lorena
- Orfao Alberto
- Ortega Luis
- Ortega-paino Eva
- Ortiz-flores Fernando
- Ortiz-lópez Rocío
- Oteo José A.
- Pacheco Manuel
- Pacheco-miranda Fredy Javier
- Padilla-conejo Irene
- Panadero-fajardo Sonia
- Parellada Mara
- Pariente-rodríguez Roberto
- Paz-artal Estela
- Peces-barba Germán
- Pedromingo Kus Miguel S.
- Perales Celia
- Perucho Teresa
- Pichardo Lisbeth A.
- Pinho Susana M. T.
- Pinsach-abuin Mel·lina
- Pinzón Luz Adriana
- Pita Guillermo
- Pla-juncà Francesc
- Planas-serra Laura
- Pompa-mera Ericka N.
- Porras-hurtado Gloria L.
- Pujol Aurora
- Pérez Alexandra
- Pérez César
- Pérez María Jazmín
- Pérez Patricia
- Pérez-de-nanclares Gustavo
- Pérez-garcía Felipe
- Pérez-jurado Luis A.
- Pérez-matute Patricia
- Pérez-tomás M. Elena
- Quevedo-chávez María Eugenia
- Quijada Maria Angeles
- Quintela Inés
- Quintela Inés
- Ramiro-león Soraya
- Rascado Sedes Pedro
- Recalde Delia
- Recio-fernández Emma
- Resino Salvador
- Riancho José A.
- Ribeiro Adriana P.
- Rivadeneira-chamorro Carlos S.
- Roa-agudelo Diana
- Robelo Pardo Montserrat
- Rodriguez Marilyn Johanna
- Rodriguez-nicolas Antonio
- Rodriguez-palmero Agustí
- Rodriguez-urrego Paula A.
- Rodríguez-artalejo Fernando
- Rodríguez-ferrer Marena
- Rodríguez-gallego Carlos
- Rodríguez-garcía José A.
- Rodríguez-hernández María A.
- Rodríguez-novoa German Ezequiel
- Rodríguez-ruiz Emilio
- Rojas-martinez Augusto
- Rojo Federico
- Romero-coronado Andrea
- Rondón-garcía Filomeno
- Rosa Lidia S.
- Rosales-castillo Antonio
- Rubio Cladelis
- Ruiz Montserrat
- Ruiz-cabello Francisco
- Ruiz-casares Eva
- Ruiz-cubillan Juan J.
- Ruiz-hornillos Javier
- Ryan Pablo
- Salamanca Hector D.
- Salazar-garcía Lorena
- Salgueiro-origlia Giorgina Gabriela
- Sancho-sainz Cristina
- Sande Esther
- Sangil Anna
- Santos Arnoldo
- Santos Ney P. C.
- Schlüter Agatha
- Scourge Cohort Group
- Segovia Sonia
- Serra-llovich Alex
- Sevil-puras Fernando
- Sevilla-porras Marta
- Sicolo Miguel A.
- Silbiger Vivian N.
- Silva Fabiola T. C.
- Silva Gabriela V.
- Silva Nayara S.
- Silván-fuentes Cristina
- Solé-violán Jordi
- Soria José Manuel
- Sorlí Jose V.
- Sousa Renata R.
- Souto Juan Carlos
- Souza Karla S. C.
- Souza Vanessa S.
- Sprockel John J.
- Suárez-rama José Javier
- Suárez-zamora David A.
- Sánchez López Antonio J.
- Sánchez Pedro-luis
- Sánchez-carpintero Abad María
- Sánchez-pablo Clara
- Sánchez-pernaute Olga
- Sánchez-prados María Concepción
- Sánchez-real Javier
- Sánchez-redondo Jorge
- Taboada-fraga Xiana
- Tamayo Eduardo
- Tamayo-velasco Alvaro
- Taracido-fernández Juan Carlos
- Tavares Nathali A. C.
- Tellería Carlos
- Tenorio-castaño Jair Antonio
- Teper Alejandro
- Torres-gutiérrez Ronald P.
- Torres-macho Juan
- Torres-tobar Lilian
- Troya Jesús
- Urioste Miguel
- Valencia-ramos Juan
- Valido Agustín
- Vargas-gallo Juan Pablo
- Varón Belén
- Vasconcelos Romero H. T.
- Vega Tomas
- Velasco-quirce Santiago
- Vidán-estévez Julia
- Vieitez-santiago Miriam
- Vilches Carlos
- Villalobos Lavinia
- Villar Felipe
- Villar-garcia Judit
- Villaverde Cristina
- Villoslada-blanco Pablo
- Virseda-berdices Ana
- Vélez-santamaría Valentina
- Víctor Virginia
- Yáñez Zuleima
- Zapatero-gaviria Antonio
- Zarate Ruth
- Zazo Sandra
- Álvarez Nuria
- Álvarez-benítez Yady
- Álvarez-navia Felipe
- Álvarez-sala Walther Rodolfo
- Íñigo-campos Antonio
- Íñiguez María
- Publication venue
- Springer Science and Business Media LLC
- Publication date
- 08/05/2024
- Field of study
The pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2, COVID-19) had an estimated overall case fatality ratio of 1.38% (pre-vaccination), being 53% higher in males and increasing exponentially with age. Among 9578 individuals diagnosed with COVID-19 in the SCOURGE study, we found 133 cases (1.42%) with detectable clonal mosaicism for chromosome alterations (mCA) and 226 males (5.08%) with acquired loss of chromosome Y (LOY). Individuals with clonal mosaic events (mCA and/or LOY) showed a 54% increase in the risk of COVID-19 lethality. LOY is associated with transcriptomic biomarkers of immune dysfunction, pro-coagulation activity and cardiovascular risk. Interferon-induced genes involved in the initial immune response to SARS-CoV-2 are also down-regulated in LOY. Thus, mCA and LOY underlie at least part of the sex-biased severity and mortality of COVID-19 in aging patients. Given its potential therapeutic and prognostic relevance, evaluation of clonal mosaicism should be implemented as biomarker of COVID-19 severity in elderly people. Among 9578 individuals diagnosed with COVID-19 in the SCOURGE study, individuals with clonal mosaic events (clonal mosaicism for chromosome alterations and/or loss of chromosome Y) showed an increased risk of COVID-19 lethality
Association of ERAP2 polymorphisms in Colombian HLA-B27+ or HLA-B15+ patients with SpA and its relationship with clinical presentation: axial or peripheral predominance
- Author
- Arias-Correal S. (Sofía)
- Avila-Portillo L.M. (Luz M.)
- Bernal-Macías S. (Santiago)
- Burgos-Vargas R. (Ruben)
- Calvo-Paramo E. (Enrique)
- Cuervo F. (Francy)
- Londono J. (John)
- Martinez-Rodriguez N. (Nancy)
- Medina J.F. (Juan Francisco)
- Muñoz G-N. (Guisselle-Nathalia)
- Padilla D. (Diana)
- Reyes-Martinez V. (Viviana)
- Romero C. (Consuelo)
- Rueda J.C. (Juan C.)
- Santos A.M. (Ana M.)
- Vargas-Alarcon G. (Giliberto)
- Villota-Eraso C. (Catalina)
- Publication venue
- BMJ Journals
- Publication date
- 01/01/2020
- Field of study
Objective: To determine the association between endoplasmic reticulum aminopeptidase (ERAP)1 and ERAP2 single-nucleotide polymorphisms (SNPs) and human leukocyte antigens (HLA)-B27+ or HLA-B15+ patients with spondyloarthritis (SpA).
Methods: 104 patients with SpA according to Assessment of Spondyloarthritis International Society criteria were included in the study. HLA typing was performed by PCR. The polymorphisms were determined by real-time PCR on genomic DNA using customised probes for SNPs rs27044, rs17482078, rs10050860 and rs30187 in ERAP1, and rs2910686, rs2248374 and rs2549782 in ERAP2.
Results: 70 of the104 patients with SpA were HLA-B27+ and 34 were HLA-B15+. The distribution of ERAP1 and ERAP2 SNPs between the HLA-B15+ and HLA-B27+ patients with SpA did not reveal differences. Likewise, no differences in the frequencies of ERAP1 SNP haplotypes and alleles HLA-B15 or HLA-B27 were found. Interestingly, however, the frequencies of three particular haplotypes formed by ERAP2 SNPs rs2549782/rs2248374/rs2910686 varied between HLA-B15+ and HLA-B27+ patients: the ERAP2 SNPs haplotype TGT was more common in HLA-B15+ patients with SpA (OR 2.943, 95/100 CI 1.264 to 6.585; P=0.009), whereas the ERAP2 SNP haplotypes TGC and CAT were more associated with HLA-B27+ patients with SpA: (OR 4.483, 95/100 CI 1.524 to 13.187; p=0.003) and (OR 9.014, 95/100 CI 1.181 to 68.807; p=0.009), respectively.
Conclusion: An association was found between HLA-B15+ patients with SpA and haplotype TGT of ERAP2 SNPs. On the other hand, HLA-B27+ patients with SpA were associated with ERAP2 haplotypes TGC and CAT. These associations could be related to the clinical presentation of the disease, specifically with a peripheral or axial predominance, respectively
Weaning from mechanical ventilation in intensive care units across 50 countries (WEAN SAFE): a multicentre, prospective, observational cohort study
- Author
- Abe T.
- Aboshady Abdelrhman
- Abrough Fekri
- Acampo-de Jong Melanie J.
- Acharya S.
- Acharya Subhash P.
- Adderley Jane
- Adiguzel N.
- Agrawal V.K.
- Aguilar G.
- Aguirre Gaston
- Aguirre-Bermeo Hernán
- Ahlström B.
- Akbas Türkay
- Akker M.
- Al Sadeh G.
- Alamri S.
- Algaba Ángela
- Ali M.
- Aliberti A.
- Allegue J.M.
- Alvarez Diana
- Amador J.
- Amin P.
- Andersen F.H.
- Ansari S.
- Apichatbutr Yutthana
- Apostolopoulou Olympia
- Arabi Y.
- Aragao Irene César
- Arellano D.
- Arica Mestanza
- Arikan Huseyin
- Arinaga K.
- Arnal J.-M.
- Asano Kengo
- Asín-Corrochano M.
- Avalos Cabrera J.M.
- Avila Fuentes S.
- Aydemir Semih
- Aygencel Gulbin
- Azevedo L.
- Bacakoglu Feza
- Badie Julio C.
- Baedorf Kassis E.
- Bai Gabriela
- Balaraj Govindan
- Ballico B.
- Banner-Goodspeed Valerie M.
- Banwarie Preveen
- Barbieri R.
- Baronia Arvind Kumar
- Barrett Jonathan A.
- Barrot L.
- Barrueco-Francioni Jesus Emilio
- Barry Jeffrey
- Bauer Philippe R.
- Bawangade H.
- Beavis Sarah
- Beck E.
- Beduneau G.
- Beehre N.
- Beitler J.
- Belenguer Muncharaz Alberto
- Bellani Giacomo
- Belliato M.
- Bellissima A.
- Beltramelli Rodrigo
- Ben Souissi Asma
- Benitez-Cano A.
- Benlamin Mohamed
- Benslama Abdellatif
- Bento Luís Í.
- Benvenuti Daniela
- Berkius J.
- Bernabe Laura
- Bersten Andrew D.
- Berta G.
- Bertini P.
- Bertram-Ralph Elliott
- Besbes M.
- Bettini L.R.
- Beuret P.
- Bewley Jeremy S.
- Bezzi M.
- Bhakhtiani L.
- Bhandary R.
- Bhowmick Kaushik
- Bihari S.
- Bissett B.
- Blythe D.
- Bocher Simon
- Boedjawan N.
- Bojanowski C.M.
- Boni E.
- Boraso Sabrina
- Borelli M.
- Borello S.
- Borislavova M.
- Bosma Karen J.
- Bottiroli M. A.
- Boyd Owen F.
- Bozbay S.
- Briva A.
- Brochard L.
- Bruel C.
- Bruni Andrea
- Buehner Ulrike
- Bugedo G.
- Bulpa P.
- Burt Karen
- Buscot Matthieu
- Buttera S.
- Cabrera Jorge
- Caccese Roberta
- Caironi P.
- Camporota Luigi
- Canchos Gutierrez Ivan
- Canedo N.
- Cani A.
- Cappellini I.
- Carazo Jesus
- Cardonnet Luis Pablo
- Carpio D.
- Carriedo Demetrio
- Carrillo Ramón
- Carvalho J.
- Caser Eliana Bernardete
- Castelli A.
- Castillo Quintero M.
- Castro H.
- Catorze Nuno T.
- Cengiz Melike
- Cereijo E.
- Cerny V.
- Ceunen H.
- Chaintoutis Christos
- Chang Youjin
- Chaparro G.
- Chapman Carmel
- Chau Simon K.
- Chavez C.E.
- Chelazzi Cosimo
- Chelly J.
- Chemouni F.
- Chen Kai
- Chena Ariel
- Chiarandini P.
- Chilton Phil
- Chiumello D.
- Cho Y.-J.
- Chou-Lie Y.
- Chudeau N.
- Cinel İsmail Hakkı
- Cinnella G.
- Clark Michele
- Clark Thomas
- Clarkson Kevin P.
- Clementi S.
- Coaguila Luis
- Codecido Alexis Jaspe
- Collins A.
- Colombo R.
- Conde Juan
- Consales G.
- Cook T.
- Coppadoro A.
- Cornejo Rodrigo A.
- Cortegiani Andrea
- Coxo Cristina M.
- Cracchiolo Andrea Neville
- Crespo Ramirez M.
- Crova P.
- Cruz José David
- Cubattoli L.
- Curto F.
- Czempik Piotr Filip
- d'Andrea R.
- da Silva Ramos F.
- Dangers L.
- Danguy Des Déserts Marc
- Danin P.-E.
- Dantas F.
- Daubin Cédric
- Dawei Wu
- de Haro C.
- de Jesus Montelongo Felipe
- de Mendoza Diego
- de Pablo Raúl
- de Pascale Gennaro D.
- de Rosa Silvia
- Decavèle Maxens
- Declercq P.-L.
- Deicas Alberto
- del Carmen Campos Moreno M.
- Dellamonica J.
- Delmas B.
- Demirkiran Hilmi
- Demirkiran Oktay
- Dendane T.
- Di Mussi Rosa
- Diakaki C.
- Diaz A.
- Diaz W.
- Dikmen Yalim
- Dimoula Aikaterini
- Doble P.
- Doha Nagwa M.
- Domingos G.
- Dres M.
- Dries D.
- Duggal Abhijit
- Duke Graeme J.
- Dunts Pavel V.
- Dybwik Knut
- Dykyy M.
- Eckert Philippe
- Efe Serdar
- Elatrous S.
- Elay Gülseren
- Elmaryul Abubaker S.
- Elsaadany M.
- Elsayed Hany
- Elsayed Samar
- Emery M.
- Ena S.
- Eng Kevin
- Englert Joshua A.
- Erdogan E.
- Ergin Ozcan P.
- Eroglu Ege
- Escobar M.
- Esen Tekeli Arzu
- Esen F.
- Esquivel Gallegos H.
- Esquivel Alejandro
- Estenssoro Elisa
- Ezzouine H.
- Facchini Alberto
- Faheem Mohammad
- Fanelli V.
- Farina Maria Fernanda
- Fartoukh Muriel Sarah
- Fehrle Lutz
- Feng Feng
- Feng Yufeng
- Fernandez B.
- Fernandez Irene
- Fernandez-Rodriguez M.L.
- Ferrando Carlos
- Ferreira da Silva Maria João
- Ferreruela Mireia
- Ferrier Janet
- Flamm Zamorano Matias Jesús
- Flood Laura
- Floris L.
- Fluckiger M.
- Forteza Catalina
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- Yan Jie
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- Yildirim F.
- Yoshida Norifumi
- Yoshido Hector Higo Leon
- Young Lee B.
- Yu Gong
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- Yuangtrakul N.
- Yumoto Tetsuya
- Yun Xie
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- Zakalik G.
- Zaki Ahmed
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- Zambon Massimo
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- Zerman A.
- Zetterquist H.
- Zhang Guoxiu
- Zhang Hongwen
- Zhang Jiuzhi
- Zhang W.
- Zhang Weixin
- Zhao H.
- Zheng Jia
- Zhu Bin
- Zumaran R.
- Çukurova Z.
- Öveges Nándo
- Publication venue
- Elsevier
- Publication date
- 01/01/2023
- Field of study
International audienceBackground: 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
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
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- Kenichi Nitta
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- Kevin Clarkson
- Kevin Eng
- Kim Seok Chan
- Kiyoyasu Kurahashi
- Kiyoyasu Kurahashi
- Knut Dybwik
- Koen Simons
- Koichi Arinaga
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- 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
- Laura Bernabe
- Laura Flood
- Laura Ortiz-Ruiz De Gordoa
- Laura Pasin
- Laurence Dangers
- Laurent Brochard
- Laurie Lagache
- Leandro Taniguchi
- Leda Floris
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- Su Hwan Lee
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- Taiga Itagaki
- Takuya Shiga
- Tamaas Leiner
- Tamasato Tamasato
- Tananchai Petnak
- Tao Yu
- Tapia Muñoz
- Tarek Dendane
- Tayyba Naz Aslam
- Teobaldo Quintana
- Terje Legernaes
- Tetsuya Yumoto
- Theonymfi Papavasilopoulou
- Thomas Clark
- Thomas Piraino
- Thuy Nga Phan
- Tiago Leonor
- Tiago Pereira
- Tiehe Qin
- Tim Cook
- Tim Frenzel
- Tim Smith
- Todd Rice
- Tommaso Tonetti
- Tomohito Sadahiro
- Toshikazu Abe
- Türkay Akbas
- Ulrike Buehner
- Valeria Lascari
- Valerie Banner-Goodspeed
- van Haren Frank
- Vanesa Alejandra Pavlotsky
- Venkat Sundaram
- Vera Pereira
- Victor Hugo Madrigal Robles
- Victoria McCredie
- Vijay Kumar Agrawal
- Vijayanand Palaniswamy
- Viratch Tangsujaritvijit
- Virginia Porta
- Virginie Lemiale
- Vito Fanelli
- Vitor Mendes
- Vladimir Cerny
- Volkan Inal
- Wang Ruilan
- Wei Zhang
- Weixin Zhang
- Wensen Pan
- 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
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
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- Elsayed Hany
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- Eng Kevin
- Englert Joshua A
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- Khan Akram
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- Laake Jon Henrik
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- Rios Fernando
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- Rittayamai Nuttapol
- Rittayamai Nuttapol
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- Ruiz-Aguilar Antonio Luis
- Rørtveit Linda
- Sadahiro Tomohito
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- Salgado Patricia
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- Samuelsson Line
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- Schneider Francis
- Schortgen Frédérique
- Schultz Marcus J
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- Seiler Frederik
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- Szuldrzynski Konstanty
- Tainter Christopher
- Takaba Akihiro
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- Taniguchi Leandro
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- 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
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- Tonnelier Alexandre
- Trinder John
- Trongtrakul Konlawij
- Truwit Jonathon
- Tsuei Betty
- Tulaimat Aiman
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- 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
Strategies and performance of the CMS silicon tracker alignment during LHC Run 2
- Author
- Aarrestad Thea Klaeboe
- Aarup Petersen Henriette
- Abbaneo Duccio
- Abbas Syed Mohsin
- Abbiendi Giovanni
- Abbrescia Marcello
- Abdalla Hassan
- Abdullin Salavat
- Abercrombie Daniel
- Abreu Andrés
- Acharya Himal
- Acosta Darin
- Acosta John Gabriel
- Adam Wolfgang
- Adamidis Kosmas
- Adams Eric
- Adams Mark Raymond
- Adams Todd
- Addesa Francesca Maria
- Adloff Catherine
- Adzic Petar
- Afanasiev Serguei
- Agapitos Antonis
- Agarwal Garvita
- Aggleton Robin
- Agram Jean-Laurent
- Aguilar-Benitez Manuel
- Ahmad Ashfaq
- Ahmad Muhammad
- Ahmed Asar
- Ahmed Imtiaz
- Ahuja Sudha
- Aimè Chiara
- Akchurin Nural
- Akgun Bora
- Akpinar Alp
- Albergo Sebastiano
- Albert Andreas
- Albert Eric
- Albrecht Steffen
- Albrow Michael
- Alcaraz Maestre Juan
- Aldaya Martin Maria
- Aldá Júnior Walter Luiz
- Aleksandrov Aleksandar
- Alexander James
- Alhusseini Mohammad
- Alimena Juliette
- Alison John
- Allard Yannick
- Almond John
- Alpana Alpana
- Alvarez Gonzalez Barbara
- Alverson George
- Alves Gallo Pereira Miguel
- Alves Gilvan
- Aly Reham
- Alyari Maral
- Amapane Nicola
- Ambrozas Marijus
- Amendola Chiara
- Amin Nick
- Amram Oz
- Amsler Claude
- An Sitong
- An Ying
- Anagnostou Georgios
- Andrea Jeremy
- Andreassi Guido
- Andreev Vladimir
- Andreev Yuri
- Andrejkovic Janik Walter
- Andrews Michael Benjamin
- Androsov Konstantin
- Anguiano Justin
- Antchev Georgy
- Anthony David
- Antunovic Zeljko
- Apollinari Giorgio
- Apparu Dylan
- Appelt Eric
- Apresyan Artur
- Apyan Aram
- Araujo Mariana
- Arcaro Daniel
- Arcidiacono Roberta
- Ardila Luis
- Arenton Michael Wayne
- Argiro Stefano
- Arneodo Michele
- Aruta Caterina
- Asavapibhop Burin
- Asawatangtrakuldee Chayanit
- Asenov Patrick
- Asghar Muhammad Irfan
- Asilar Ece
- Askew Andrew
- Asmuss Paul
- Assiouras Panagiotis
- Assran Yasser
- Atakisi Ismail Okan
- Attikis Alexandros
- Auffray Etiennette
- Aushev Tagir
- Autermann Christian
- Auzinger Georg
- Avati Valentina
- Avdeeva Ekaterina
- Avery Paul
- Avila Carlos
- Awais Ali
- Awan Muhammad Imran Malik
- Ayala Edy
- Ayala Gabriel
- Azarkin Maksim
- Azhgirey Igor
- Aziz Tariq
- Azzi Patrizia
- Azzurri Paolo
- Baarmand Marc M.
- Babaev Anton
- Bacchetta Nicola
- Bachiller Irene
- Bachtis Michail
- Backhaus Malte
- Baden Drew
- Baechler Joachim
- Bagliesi Giuseppe
- Bahinipati Seema
- Baillon Paul
- Bainbridge Robert
- Bakas Georgios
- Bakhshiansohi Hamed
- Bakshi Abhishek
- Bakshi Amandeep Singh
- Balazs Tamas
- Baldenegro Barrera Cristian
- Baldinelli Giorgio
- Balzer Matthias
- Ban Yong
- Band Reyer
- Bandyopadhyay Hirak
- Banerjee Sudeshna
- Banerjee Sunanda
- Bansal Sunil
- Barbagli Giuseppe
- Barberis Emanuela
- Bargassa Pedrame
- Baringer Philip
- Barinoff Mikko
- Barnes Virgil E.
- Barney David
- Baron Owen
- Barria Patrizia
- Barrio Luna Mar
- Barroso Ferreira Filho Mapse
- Bartek Rachel
- Bartosik Nazar
- Bartz
- Bartók Márton
- Barvich Tobias
- Basti Andrea
- Bastos Diogo
- Batista Lopes J.
- Battilana Carlo
- Baty Austin
- Bauer Gerry
- Bauerdick Lothar A. T.
- Baulieu Guillaume
- Baxter Samuel
- Bayatmakou Maryam
- Bayshev Igor
- Bean Alice
- Beauceron Stephanie
- Beaudette Florian
- Beaumont Willem
- Beccherle Roberto
- Becerril Gonzalez Hugo
- Bechtel Janek
- Becker Robert
- Beghin Diego
- Behera Prafulla Kumar
- Behera Subash Chandra
- Behnke Olaf
- Bein Samuel
- Belforte Stefano
- Bell Ken W.
- Bellan Riccardo
- Belloni Alberto
- Bellora Andrea
- Belyaev Alexander
- Belyaev Andrey
- Benaglia Andrea
- Benato Lisa
- Bencze Gyorgy
- Bendavid Joshua
- Benecke Anna
- Benelli Gabriele
- Benitez Jose F.
- Benussi Luigi
- Berenguer Antequera Jorge
- Bergamin Gianmario
- Bergauer Thomas
- Berger Pirmin
- Beri Suman Bala
- Bermúdez Martínez Armando
- Bernardes Cesar Augusto
- Bernet Colin
- Berry Douglas
- Berryhill Jeffrey
- Bertacchi Valerio
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- Teklishyn Maksym
- Tekten Sevgi
- Templ Sebastian
- Tenchini Roberto
- Teodorescu Liliana
- Terkulov Adel
- Teroerde Marius
- Terrill Wesley
- Teryaev Oleg
- Tews Alexandra
- Teyssier Daniel
- Thakur Shalini
- Thayil Steffie Ann
- Theofilatos Konstantinos
- Thiel Mauricio
- Thieman Jason
- Thom Julia
- Thomas Laurent
- Thomas Scott
- Thomas-Wilsker Joshuha
- Thomson John
- Tiras Emrah
- Tishelman-Charny Abraham
- Titov Maksym
- Tiwari Praveen Chandra
- Tkaczyk Slawek
- Tok Ufuk Guney
- Toldaiev Oleksii
- Tomalin Ian R.
- Tomei Thiago
- Toms Maria
- Tonelli Guido
- Tonjes Marguerite
- Tonon Nicolas
- Toriashvili Tengizi
- Tornago Marta
- Toropin Alexander
- Torres Da Silva De Araujo Felipe
- Torterotot Lucas
- Tosi Mia
- Tosi Silvano
- Touquet Gaël
- Townsend Austin
- Tramontano Raffaella
- Tran Nhan Viet
- Tran Tu Thong
- Trapote Andrea
- Traversi Gianluca
- Treille Daniel
- Trembath-Reichert Stephen
- Trevisani Nicolò
- Tricomi Alessia
- Trocino Daniele
- Trocsanyi Zoltan Laszlo
- Tropea Paola
- Troshin Sergey
- Troska Jan
- Tsamalaidze Zviad
- Tsatsos Anna
- Tsipolitis Georgios
- Tsirou Andromachi
- Tully Christopher
- Tumasyan Armen
- Tuo Shengquan
- Tuominen Eija
- Tuominiemi Jorma
- Turini Nicola
- Turkcapar Semra
- Turrioni Cristiano
- Tuuva Tuure
- Tuve Cristina
- Tytgat Michael
- Tyurin Nikolay
- Tziaferi Eirini
- Uchida Kirika
- Ujvari Balazs
- Ulmer Keith
- Ulrich Ralf
- Uniyal Rishabh
- Uplegger Lorenzo
- Urda Gómez Lourdes
- Uribe Estrada Cecilia
- Usai Emanuele
- Uvarov Lev
- Uzunian Andrey
- Vaandering Eric Wayne
- Vagnerini Antonio
- Vai Ilaria
- Valencia Palomo Lizardo
- Valsecchi Davide
- Valuev Vyacheslav
- Van De Klundert Merijn
- Van Der Linden Jan
- Van Doninck Walter
- Van Hove Pierre
- Van Mechelen Pierre
- Van Mulders Petra
- Van Onsem Gerrit Patrick
- Van Putte Senne
- Van Remortel Nick
- Vanden Bemden Max
- Vander Donckt Muriel
- Vander Velde Catherine
- Vanlaer Pascal
- Vannerom David
- Varela Joao
- Varelas Nikos
- Vargas Hernandez Andres Mateus
- Vartak Adish
- Vasey François
- Vats Diwakar
- Vazquez Valencia Fabiola
- Vazzoler Federico
- Veckalns Viesturs
- Veelken Christian
- Velasco Mayda
- Velkovska Julia
- Vellidis Konstantinos
- Velyka Anastasiia
- Venditti Rosamaria
- Venturi Andrea
- Verdini Piero Giorgio
- Veres Gabor Istvan
- Vermassen Basile
- Verwilligen Piet
- Veszpremi Viktor
- Vetens Wren
- Viazlo Oleksandr
- Vichoudis Paschalis
- Vico Villalba Carlos
- Vigilante Lorenzo
- Viinikainen Jussi
- Vila Ivan
- Vilela Pereira Antonio
- Viliani Lorenzo
- Virdee Tejinder
- Viret Sébastien
- Virto A. L.
- Vischia Pietro
- Vit Martina
- Vitulo Paolo
- Vizan Garcia Jesus Manuel
- Vlasov Evgueni
- Vlimant Jean-Roch
- Voirin Erik
- Vojinovic Milos
- Volkov Alexey
- Volkov Serguei
- Volobouev Igor
- Von Cube Ralf Florian
- Vormwald Benedikt
- Vorobyev Alexey
- Vourliotis Emmanouil
- Voutilainen Mikko
- Voytishin Nikolay
- Vámi Tamás Álmos
- Wadud Mohammad Abrar
- Wagner Stephen Robert
- Walkingshaw Pass Katie
- Wallny Rainer
- Walsh Roberval
- Waltenberger Wolfgang
- Walter David
- Wamorkar Tanvi
- Wan Abdullah Wan Ahmad Tajuddin
- Wanczyk Joanna
- Wang Bingran
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- Wang Dayong
- Wang Fuqiang
- Wang Hanwen
- Wang Hui
- Wang Jian
- Wang Jin
- Wang Jing
- Wang Long
- Wang Quan
- Wang Qun
- Wang Sicheng
- Wang Xiao
- Wang Yi
- Wang Zhangqier
- Wang Zhixing
- Waqas Muhammad
- Wardle Nicholas
- Warner Zachary
- Wassmer Michael
- Watson Ian
- Wayne Mitchell
- Webb Samuel Nathan
- Weber Hannsjoerg Artur
- Weber Marc
- Weddigen Anita
- Wei Kai
- Wei Wei
- Wellhausen Joerg
- Welton Troy
- Wen Yiwen
- Wertz Sébastien
- West Christopher
- Wezenbeek Liam
- Whitbeck Andrew
- White Robert
- White Sebastian
- Wichmann Katarzyna
- Wickramage Nadeesha
- Wiedenbeck Sebastian
- Wieland Sebastian
- Wiens Lucas
- Wightman Andrew
- Williams Ac
- Williams Justin
- Williams Thomas
- Willmott Carlos
- Wilson Graham
- Wilson Jonathan
- Wimpenny Stephen
- Winer Brian L.
- Winterbottom Daniel
- Wisecarver Andrew
- Wissing Christoph
- Wittich Peter
- Wittig Florian
- Wlochal Michael
- Wolf David
- Wolf Roger
- Wolfe Evan
- Wong Kak
- Wong Wing Yan
- Wood Darien
- Wozniak Kinga Anna
- Wozniewski Sebastian
- Wright Douglas
- Wu Hsin-yeh
- Wu Zhenbin
- Wuchterl Sebastian
- Wulz Claudia-Elisabeth
- Wunsch Stefan
- Wyslouch Bolek
- Würthwein Frank
- Xiang Yifan
- Xiao Jie
- Xiao Meng
- Xiao Rui
- Xie Si
- Xie Wei
- Yagil Avraham
- Yalvac Metin
- Yan Furong
- Yan Xuli
- Yang Seungjin
- Yang Shuai
- Yang Unki
- Yang Yifan
- Yang Yu Chul
- Yao Yao
- Yarar Hevjin
- Yates Brent
- Yazgan Efe
- Ye Zhenyu
- Yetkin Elif Asli
- Yi Kai
- Yigitbasi Efe
- Yohay Rachel
- Yoo Hwi Dong
- Yoo Jaehyeok
- Yoo Jieun
- Yoon Inseok
- You Can
- You Zhengyun
- Yu David
- Yu Geum Bong
- Yu Intae
- Yu Pei-rong
- Yu Shin-Shan
- Yuan Li
- Yuan Siqi
- Yuldashev Bekhzod S.
- Yumiceva Francisco
- Yusli Mohd Nizam
- Zabi Alexandre
- Zacharopoulou Anna
- Zahid Sema
- Zaleski Shawn
- Zalewski Piotr
- Zanetti Marco
- Zarubin Anatoli
- Zarucki Mateusz
- Zecchinelli Angelo Giacomo
- Zeinali Maryam
- Zeuner Wolfram Dietrich
- Zghiche Amina
- Zhang Fengwangdong
- Zhang Huaqiao
- Zhang Jingyu
- Zhang Liuyao
- Zhang Wenyu
- Zhang Yi
- Zhang Yousen
- Zhang Zhicai
- Zhao Jingzhou
- Zhizhin Ilia
- Zhokin Alexander
- Zhu De Hua
- Zhu Ren-Yuan
- Ziemons Tim
- Zografos Angelos
- Zoi Irene
- Zolkapli Zukhaimira
- Zorbakir Ibrahim Soner
- Zorbilmez Caglar
- Zotto Pierluigi
- Zotz Alexander
- Zou David
- Zou Rui
- Zuber Adam
- Zucchetta Alberto
- Zumerle Gianni
- Zuo Xunwu
- Zuolo Davide
- Zygala Lara
- Álvarez Fernández Adrian
- Özçelik Özlem
- Publication venue
- 'Elsevier BV'
- Publication date
- 01/01/2021
- Field of study
The strategies for and the performance of the CMS silicon tracking system alignment during the 2015–2018 data-taking period of the LHC are described. The alignment procedures during and after data taking are explained. Alignment scenarios are also derived for use in the simulation of the detector response. Systematic effects, related to intrinsic symmetries of the alignment task or to external constraints, are discussed and illustrated for different scenarios