Critical Care Clinical Trial
— I-SWEAROfficial title:
ICU Predictive Score of WEaning Success in Patients At Risk of Extubation Failure
Observational study in two medical-surgical intensive care units of the Clermont-Ferrand University Hospital to develop a composite score for prediction of 72h-extubation failure in patients at risk of extubation failure.
Status | Recruiting |
Enrollment | 300 |
Est. completion date | September 28, 2023 |
Est. primary completion date | September 28, 2023 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Age > 18 years - Invasive mechanical ventilation for at least 48 hours - Criteria for ventilatory weaning are present - T-piece spontaneous breathing trial planned - Patients with a social security program Exclusion Criteria: - Patients already included in this study during the same stay in intensive care - Resuscitation neuromyopathy defined by an MRC (Medical Research Council) score < 48/60 - Surgery planned within 72 hours - Prolonged ventilatory weaning (>7 days after the first SBT) - Patients with tracheostomy - Patients with non-reintubation decision or terminal extubation - Brain damaged patients - Patients with ECMO/ECLS - Tetraplegic or paraplegic patients with lesion level higher than T8 - Nasotracheal intubated patients - Pregnant or breastfeeding women - Refusal to participate in the study (refusal by patient or family member/trusted person). - Patients under guardianship |
Country | Name | City | State |
---|---|---|---|
France | CHU | Clermont-Ferrand |
Lead Sponsor | Collaborator |
---|---|
University Hospital, Clermont-Ferrand |
France,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | The primary outcome measure is extubation failure, defined as the need for reintubation within 72 hours of extubation. | 72 hours | ||
Secondary | Mortality at day 7, 28 and 90 | 90 days | ||
Secondary | Length of stay in intensive care | 90 days | ||
Secondary | Number of days without mechanical ventilation from study inclusion to day 28 | 28 days | ||
Secondary | Time frame and reasons for reintubation in case of failed extubation. | 28 days | ||
Secondary | Use of non-invasive post-extubation ventilation | 7 days | ||
Secondary | Use of High Flow Nasal Oxygenation post-extubation | 7 days |
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