Respiratory failure & ventilation

A specialist-led interprofessional weaning program to prevent weaning failure in high-risk patients: the PRiVENT study

Crit CarePublished Prospective non-randomised interventional study

Primary result · Successful weaning at ICU dischargeResult — go to the resultOdds ratio 1.46 95% CI 0.99–2.17

Authors' conclusion

The PRiVENT intervention was feasible and successful weaning was numerically more frequent in the intervention group, although the prespecified adjusted primary analysis did not reach statistical significance.

Study context

Population
Mechanically ventilated patients at high risk of weaning failure, screened 96 h to 11 days after intubationprimary analysis
Participants
349 vs 1,768
Comparison
Specialist-led interprofessional weaning program vs control
  • Interventionn = 349
  • Controlsn = 1,768reference
Primary endpoint
Successful weaning
Follow-up
ICU discharge
Methodological detailsmulticentre, claims-data parallel control, prespecified propensity-score matched analysis
  • Multicentre
  • Claims-data parallel control
  • Prespecified propensity-score matched analysis

Primary result

Successful weaning at ICU discharge

Odds ratio

1.46

95% CI 0.99–2.17

P = 0.057

By group

Intervention vs Controls
OR 1.46 (95% CI 0.99–2.17); P = 0.057

As reported in the abstract

Further findings

OutcomeInterventionControlsOR (95% CI)P value
Successful weaning, propensity-score matched analysisPrespecified; matched controls— not stated in the abstract46.4%2.90 (1.61–5.24)P < 0.001
Successful weaning, ICU survivorsExploratory analysis2.10 (1.09–4.04)P = 0.026

— not stated in the abstract

OutcomeInterventionControls
Transfer to specialized weaning center16.3%— not stated in the abstract

— not stated in the abstract

Transfer to specialized weaning center

Transferred patients had longer ventilation durations, contributing to longer overall invasive mechanical ventilation (IMV) duration in the intervention group

Original publication

A specialist-led interprofessional weaning program to prevent weaning failure in high-risk patients: the PRiVENT study. Crit Care. Published 30 September 2026. doi:10.1186/s13054-026-06357-3

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