Respiratory failure & ventilation
The impact of an intensive care telemedicine program on weaning from invasive ventilation: a secondary analysis of the ERIC trial
Authors' conclusion
Although ICU telemedicine did not improve the weaning success rate, our findings indicate that it facilitates the exploitation of existing weaning potential by ensuring more frequent SBTs and thereby shortening ventilation duration of successfully weaned patients.
Study context
- Population
- ICU patients on invasive mechanical ventilation for ≥2 consecutive days with ≥1 spontaneous breathing trial (SBT), Berlin, Germany308 analysed
- Participants
- 1,463 patients
- Comparison
- Complex telemedicine intervention vs control condition
- Interventionn = 253
- Controln = 55reference
- Primary endpoint
- Weaning process: SBTs (% of patient days)
Methodological detailsstepped-wedge, cluster-randomized, 10 clusters of ICUs
- Stepped-wedge
- Cluster-randomized
- 10 clusters of ICUs
Primary result
As reported in the abstract
SBTs (% of patient days)
P < 0.001
Further findings
Duration of invasive mechanical ventilation, successfully weaned patients · significantly shorter in the intervention group
P = 0.031
| Outcome | OR (95% CI) | P value | |
|---|---|---|---|
| Weaning failure (multivariable regression)Intervention not associated with weaning success | 1.45 (0.71–2.95) | P = 0.302 | |
| 0.20.5125Odds ratio (log scale) |
| Outcome | β (CI) | P value |
|---|---|---|
| Time between first SBT and successful weaning (multivariable regression)Shorter time with the intervention | 0.56 (0.32–0.98) | P = 0.042 |
Weaning classification
- No difference between the groups
- P = 0.21
Weaning success rate
- No difference between the groups (28% vs 36%)
- P = 0.32
Time from first SBT to successful weaning
- No difference between the groups (2 [IQR 1, 5] vs 4 [IQR 1, 13] days)
- P = 0.12
Original publication
The impact of an intensive care telemedicine program on weaning from invasive ventilation: a secondary analysis of the ERIC trial. Crit Care. Published 7 August 2026. doi:10.
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