Integrative Weaning Index as a Predictor of Successful Weaning from Mechanical Ventilation | ||||
| Al-Azhar International Medical Journal | ||||
| Volume 2024, Issue 10, October 2024 | ||||
| DOI: 10.58675/2682-339X.2648 | ||||
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| Authors | ||||
| Mousa El-shamly; Ahmed Kabil; Mahmoud Ghalwash | ||||
| Chest Diseases, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt | ||||
| Abstract | ||||
| Background: Even while mechanical ventilation (MV) is a commonly used supportive treatment among individuals with different types of respiratory failure and has several advantages, it is not a risk-free technique. Aim and objectives: To evaluate the role of the Integrative weaning index (IWI) as a good, considerable, and effective predictor of weaning from mechanical ventilation. Patients and methods: This was a prospective comparative-one blind-single-center study was conducted at Al-Azhar University Hospitals in Cairo, between March 2023 and March 2024, 40 adult patients were among those who underwent more than a 24-hour mechanical ventilation. Results: There was statistically insignificant difference between both groups as regard success rate of weaning (70% vs 60%) with higher successful weaning rate in IWI group 1. IWI at weaning had sensitivity of 91.7% and specificity of 87.5% for predicting weaning success in group 1. At cut off level of 43.5. IWI at weaning had sensitivity of 92.3% and specificity of 71.4% for predicting weaning success in group 2. Conclusion: Our study validates the efficacy of IWI in predicting the result of the weaning process, accurately identifying both successful and unsuccessful outcomes. | ||||
| Keywords | ||||
| Integrative weaning index; Mechanical Ventilation; Predictor | ||||
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