兰州大学机构库
Rapid shallow breathing index predicting extubation outcomes: A systematic review and meta-analysis
Jia, Donghui1,2; Wang, Hengyang1,2; Wang, Qian1,2; Li, Wenrui1,2; Lan, Xuhong1,2; Zhou, Hongfang1,2; Zhang, Zhigang1,2
2024-02
Online publication date2023-09
Source PublicationIntensive and Critical Care Nursing   Impact Factor & Quartile
ISSN0964-3397 ; 1532-4036
EISSN1532-4036
Volume80
page numbers13
AbstractObjective: This meta-analysis aimed to assess the predictive value of the rapid shallow breathing index for extubation outcomes. Methodology: We conducted a systematic review of literature (inception to March 2023) and a meta-analysis. Statistical analysis was performed using Meta-Disc 1.4 software, RevMan 5.4 software and Stata 14.0 software to evaluate the predictive value of RSBI for extubation outcomes.Results: A total of 1,987 studies were retrieved, and after applying the inclusion criteria, 79 studies were included in the final analysis, involving 13,170 patients undergoing mechanical ventilation. The random-effects model was employed for statistical analysis. The summary receiver operating characteristic curves (SROC) area under the curve (AUC) was 0.8144. The pooled sensitivity was 0.60 (95% CI: 0.59, 0.61), the pooled specificity was 0.68 (95% CI: 0.66, 0.70). Conclusions: The Rapid Shallow Breathing Index demonstrated moderate accuracy, poor pooled sensitivity and specificity in predicting successful extubation, however the study does not present adequate data to support or reject the use of this tool as a single parameter that predicts extubation outcome. Future studies should explore the combination of The Rapid Shallow Breathing Index with other indicators and clinical experience to improve the success rate of extubation and reduce the risk of extubation failure. Implications for clinical practice: Premature and delayed extubation in mechanically ventilated patients can have a negative impact on prognosis and prolong hospital stay. The Rapid Shallow Breathing Index is a simple, costeffective, and easily monitored objective evaluation index, which can be used to predict the outcome of extubation, especially in primary hospitals. Our study comprehensively evaluated the value of this tool in predicting extubation outcomes, which can help clinicians combine subjective experience with objective indicators to improve the accuracy of extubation time decisions.
KeywordRapid shallow breathing index Extubation Predict Systematic review Meta-analysis
PublisherELSEVIER SCI LTD
DOI10.1016/j.iccn.2023.103551
Indexed BySCIE ; SSCI
Language英语
WOS Research AreaNursing
WOS SubjectNursing
WOS IDWOS:001086877000001
Original Document TypeReview
PMID 37783181
Citation statistics
Document Type期刊论文
Identifierhttps://ir.lzu.edu.cn/handle/262010/569745
Collection兰州大学
Corresponding AuthorZhang, Zhigang
Affiliation
1.Lanzhou Univ, Hosp 1, Dept Crit Care Med, Lanzhou 730000, Gansu, Peoples R China;
2.Lanzhou Univ, Sch Nursing, Lanzhou 730000, Gansu, Peoples R China
Recommended Citation
GB/T 7714
Jia, Donghui,Wang, Hengyang,Wang, Qian,et al. Rapid shallow breathing index predicting extubation outcomes: A systematic review and meta-analysis[J]. Intensive and Critical Care Nursing,2024,80.
APA Jia, Donghui.,Wang, Hengyang.,Wang, Qian.,Li, Wenrui.,Lan, Xuhong.,...&Zhang, Zhigang.(2024).Rapid shallow breathing index predicting extubation outcomes: A systematic review and meta-analysis.Intensive and Critical Care Nursing,80.
MLA Jia, Donghui,et al."Rapid shallow breathing index predicting extubation outcomes: A systematic review and meta-analysis".Intensive and Critical Care Nursing 80(2024).
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