Neuroanesthesia & neurocritical care
Predicting extubation in patients with traumatic cervical spinal cord injury using the diaphragm electrical activity during a single maximal maneuver
Authors' conclusion
The increase of EAdi from baseline SBT during a single maximal maneuver is associated with successful extubation and can help guide extubation in CSCI patients.
Study context
- Population
- Traumatic cervical spinal cord injury patients requiring mechanical ventilation in the ICU of a tertiary hospital
- Participants
- 107 patients
- Comparison
- ΔEAdi during a single maximal maneuver for predicting extubation success
- Outcome
- Extubation success (no reintubation after first extubation and no tracheostomy before any extubation during ICU stay)
Methodological detailssingle-centre
- Single-centre
Performance
As reported in the abstract
Extubation success predicted by ΔEAdi
| Test or model | AUROC | AUROC 95% CI | Cut-off value |
|---|---|---|---|
| ΔEAdi | 0.978 | 0.941-0.995 | 7.0 μV |
ΔEAdi
AUROC0.978
AUROC 95% CI0.941-0.995
Cut-off value7.0 μV
- Extubated successfully at the first spontaneous breathing trial (SBT)
- 50 (46.7%)
Further findings
- Baseline EAdi, maximum EAdi and ΔEAdi significantly higher, rapid shallow breathing index lower, in successfully extubated vs failed
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Predicting extubation in patients with traumatic cervical spinal cord injury using the diaphragm electrical activity during a single maximal maneuver. Ann Intensive Care. Published 6 December 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →