Predictive Value of Serial Rapid Shallow Breathing Index Measurements for Extubation Success in Intensive Care Unit Patients

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dc.authorid0000-0003-1834-7355
dc.authorid0000-0003-0440-1146
dc.authorid0000-0002-3176-7859
dc.authorwosidAGD-4450-2022
dc.authorwosidJDD-2678-2023
dc.authorwosidA-2778-2019
dc.contributor.authorTurhan, Semin
dc.contributor.authorTutan, Duygu
dc.contributor.authorŞahiner, Yeliz
dc.contributor.authorKısa, Alperen
dc.contributor.authorÖnen Özdemir, Sibel
dc.contributor.authorTutan, Mehmet Berksun
dc.contributor.authorKayır, Selçuk
dc.contributor.authorDoğan, Güvenç
dc.date.accessioned2024-09-20T10:47:27Z
dc.date.available2024-09-20T10:47:27Z
dc.date.issued2024en_US
dc.departmentHitit Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü
dc.description.abstractAbstract: Background and Objectives: Extubation success in ICU patients is crucial for reducing ventilator-associated complications, morbidity, and mortality. The Rapid Shallow Breathing Index (RSBI) is a widely used predictor for weaning from mechanical ventilation. This study aims to determine the predictive value of serial RSBI measurements on extubation success in ICU patients on mechanical ventilation. Materials and Methods: This prospective observational study was conducted on 86 ICU patients at Hitit University between February 2024 and July 2024. Patients were divided into successful and unsuccessful extubation groups. RSBI values were compared between these groups. Results: This study included 86 patients (32 females, 54 males) with a mean age of 54.51 ± 12.1 years. Extubation was successful in 53 patients and unsuccessful in 33. There was no significant difference in age and intubation duration between the groups (p = 0.246, p = 0.210). Significant differences were found in RSBI-1a and RSBI-2 values (p = 0.013, p = 0.011). The median RSBI-2a was 80 in the successful group and 92 in the unsuccessful group (p = 0.001). The ?RSBI was higher in the unsuccessful group (p = 0.022). ROC analysis identified optimal cut-off values: RSBI-2a ? 72 (AUC 0.715) and ?RSBI ? ?3 (AUC 0.648). RSBI-2a ? 72 increased the likelihood of successful extubation by 10.8 times, while ?RSBI ? ?3 increased it by 3.4 times. Using both criteria together increased the likelihood by 28.48 times. Conclusions: Serial RSBI measurement can be an effective tool for predicting extubation success in patients on IMV. These findings suggest that serially measured RSBI may serve as a potential indicator for extubation readiness.
dc.description.provenanceSubmitted by Zeynep Umut NARİN (umutarslan@hitit.edu.tr) on 2024-09-20T10:46:18Z No. of bitstreams: 1 semin-turhan2024.pdf: 542605 bytes, checksum: bb2eddf35a98f297b2450ece31891232 (MD5)en
dc.description.provenanceApproved for entry into archive by Zeynep Umut NARİN (umutarslan@hitit.edu.tr) on 2024-09-20T10:47:27Z (GMT) No. of bitstreams: 1 semin-turhan2024.pdf: 542605 bytes, checksum: bb2eddf35a98f297b2450ece31891232 (MD5)en
dc.description.provenanceMade available in DSpace on 2024-09-20T10:47:27Z (GMT). No. of bitstreams: 1 semin-turhan2024.pdf: 542605 bytes, checksum: bb2eddf35a98f297b2450ece31891232 (MD5) Previous issue date: 2024en
dc.identifier.citationTurhan, S., Tutan, D., Şahiner, Y., Kısa, A., Özdemir, S. Ö., Tutan, M. B., ... & Doğan, G. (2024). Predictive Value of Serial Rapid Shallow Breathing Index Measurements for Extubation Success in Intensive Care Unit Patients. Medicina, 60(8), 1329.
dc.identifier.doi10.3390/medicina60081329
dc.identifier.issn1010-660X
dc.identifier.issn1648-9144
dc.identifier.pmid39202610
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://doi.org/10.3390/medicina60081329
dc.identifier.urihttps://hdl.handle.net/11491/9056
dc.identifier.wosWOS:001305953900001
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorTutan, Duygu
dc.institutionauthorKısa, Alperen
dc.institutionauthorKayır, Selçuk
dc.institutionauthorDoğan, Güvenç
dc.language.isoen
dc.publisherMDPI
dc.relation.ispartofMEDICINA-LITHUANIA
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectSerial Rapid Shallow Breathing Indexen_US
dc.subjectIntensive Care Uniten_US
dc.subjectMechanical Ventilationen_US
dc.subjectExtubation Successen_US
dc.subjectPredictive Valueen_US
dc.titlePredictive Value of Serial Rapid Shallow Breathing Index Measurements for Extubation Success in Intensive Care Unit Patients
dc.typeArticle

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