Respiratory failure & ventilation

Impact of frailty and older age on weaning from invasive ventilation: a secondary analysis of the WEAN SAFE study

Ann Intensive CarePublished Secondary analysis of the WEAN SAFE study

An erratum to this article was published (Ann Intensive Care, 28 Apr 2025 ↗)

Authors' conclusion

Frailty status had a more consistent impact than older age on weaning outcomes.

Study context

Population
Patients on invasive mechanical ventilation (MV) enrolled in the WEAN SAFE study
Participants
760 / 360 / 197 / 3,176
Comparison
Frail, elderly, and frail and elderly vs not frail or elderly
  • Frailn = 760
  • Elderlyn = 360
  • Frail and elderlyn = 197
  • Not frail or elderlyn = 3,176reference
Primary endpoint
Delayed weaning and failed weaning from invasive MV

Primary result

As reported in the abstract

Delayed weaning; failed weaning

Delayed weaning; failed weaning Frail 28 and 23% · Elderly 25 and 19% · Frail and elderly 22% and 25% · Not frail or elderly 12% and 13%

Delayed weaning

Failed weaning

  • Frail, Elderly, Frail and elderly vs Not frail or elderly: P < 0.01 — significantly higher

Secondary outcomes

ICU and hospital mortality — Frail, Elderly, Frail and elderly vs Not frail or elderly · higher Frail 21 and 33% · Elderly 19 and 31% · Frail and elderly 26 and 46% · Not frail or elderly 12% and 18% · P < 0.001

ICU mortality

Hospital mortality

Original publication

Impact of frailty and older age on weaning from invasive ventilation: a secondary analysis of the WEAN SAFE study. Ann Intensive Care. Published 20 January 2025. doi:10.1186/s13613-025-01435-1

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