作者
Vatsal Trivedi, Dipayan Chaudhuri, Rehman Jinah, Joshua Piticaru, Arnav Agarwal, Kuan Liu, Eric McArthur, Michael C Sklar, Jan O Friedrich, Bram Rochwerg, Karen EA Burns
发表日期
2022/1/1
来源
Chest
卷号
161
期号
1
页码范围
97-111
出版商
Elsevier
简介
Background
Clinicians use several measures to ascertain whether individual patients will tolerate liberation from mechanical ventilation, including the rapid shallow breathing index (RSBI).
Research Question
Given varied use of different thresholds, patient populations, and measurement characteristics, how well does RSBI predict successful extubation?
Study Design and Methods
We searched six databases from inception through September 2019 and selected studies reporting the accuracy of RSBI in the prediction of successful extubation. We extracted study data and assessed quality independently and in duplicate.
Results
We included 48 studies involving RSBI measurements of 10,946 patients. Pooled sensitivity for RSBI of < 105 in predicting extubation success was moderate (0.83 [95% CI, 0.78-0.87], moderate certainty), whereas specificity was poor (0.58 [95% CI, 0.49-0.66], moderate certainty) with …
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V Trivedi, D Chaudhuri, R Jinah, J Piticaru, A Agarwal… - Chest, 2022