Respiratory failure & ventilation

Management and outcomes in women and men weaning from invasive mechanical ventilation: insights from the WEAN SAFE study

Ann Intensive CarePublished Secondary analysis of the WEAN SAFE cohort study

Authors' conclusion

Women weaning from ventilation were shorter and had less severe respiratory failure but received less protective lung ventilation and more frequent ventilatory over-assistance. When adjusted for height and age, female sex was not independently associated with failed weaning from invasive ventilation.

Study context

Population
Patients who commenced weaning from invasive mechanical ventilation in the WEAN SAFE cohortentered weaning
Participants
4,523 patients
Comparison
Women vs men
  • Womenn = 1,754
  • Menn = 2,769reference
Primary endpoint
Effect of sex on delayed weaning and failed weaning from invasive mechanical ventilation

Primary result

As reported in the abstract

Weaning success
  • Univariate: women less likely to successfully wean from invasive ventilation
  • Adjusted for height, age, frailty: no independent association between sex and weaning success

Secondary outcomes

Ventilatory management

Women received higher tidal volumes and lower PEEP than men; higher driving pressures on controlled and higher inspiratory pressures on assisted ventilation
Female sex and shorter stature independently associated with higher tidal volume ventilation

Ventilatory support, weaning management and outcomes (P/F ratios <200) (subgroup)

No sex differences

Original publication

Management and outcomes in women and men weaning from invasive mechanical ventilation: insights from the WEAN SAFE study. Ann Intensive Care. Published 20 February 2026. doi:10.1016/j.aicoj.2026.100037

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