- Poster presentation
- Open Access
Applying a new weaning index in ICU older patients
Critical Care volume 15, Article number: P35 (2011)
With the increase in life expectation, more admissions to hospital, use of mechanical ventilation (MV) and weaning trials in older patients have been observed.
To evaluate the variables associated with successful weaning from mechanical ventilation in older patients.
We evaluated a cohort from September 2004 to January 2008 with 479 patients. We excluded one patient aged under 18 years, 35 tracheostomized and 112 with neurologic diseases, resulting in 331 patients. Besides the conventional weaning indexes, we evaluated the performance of a new integrative weaning index (IWI). The study was approved by the Ethics Committee of Pedro Ernesto University Hospital (2206-CEP). The chances of successful weaning were investigated using relative risk and logistic regression. The Hosmer-Lemeshow goodness-of-fit test was used to calibrate and the C statistic was calculated to evaluate the association between predicted probabilities and observed proportions in the logistic regression model.
Prevalence of successful weaning in the sample was 83.7%. There was no difference in mortality of older and nonolder patients (P = 0.16), in the days of mechanical ventilation (P = 0.22) and days of weaning (P = 0.55). In older patients, the IWI was the only variable associated with respiratory weaning in this population (P < 0.0001). See Tables 1 to 5.
The IWI was the main independent variable in weaning of the older patient population, and it can contribute to this critical moment.
Rights and permissions
This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
About this article
Cite this article
Azeredo, L., Nemer, S., Caldeira, J. et al. Applying a new weaning index in ICU older patients. Crit Care 15 (Suppl 2), P35 (2011). https://doi.org/10.1186/cc10183
- Public Health
- Logistic Regression
- Regression Model
- Relative Risk
- Patient Population