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NCT03185962: POSE

Predictors Of Successful Extubation in Critically Ill Patients: Multicentre Observational Study

Completed Last updated 26 January 2021
What this trial tests

trial in Intubation in 499 participants. Completed in 25 August 2020.

Timeline
1 May 2017
Primary endpoint
31 October 2019
25 August 2020

Quick facts

Lead sponsorOsaka University
StatusCompleted
Study typeOBSERVATIONAL
Enrollment499
Start date1 May 2017
Primary completion31 October 2019
Estimated completion25 August 2020
Sites1 location across Japan

Conditions studied

Sponsor

Osaka University

Who can join

18 and older, any sex, with Intubation or Extubation. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Extubation failure can directly worsen patient outcomes. Therefore, the decision to extubate is a critical moment during an intensive care unit (ICU) stay. The decision to extubate is usually made after a weaning readiness test involving spontaneous breathing on a T-piece or low levels of ventilatory assistance. However, extubation failure still occurs in 10 to 20% of patients. The investigators focused on previously reported physiological risk factors, and were able to obtain from common clinical practice: 1) age, 2) underlying cardiovascular disease, 3) underlying respiratory disease or occurrence of pneumonia, 4) rapid shallow breathing index (RSBI), 5) positive fluid balance during the previous 24 hours, 6) the ratio of arterial oxygen partial pressure to fractional inspired oxygen, 7) Glasgow Coma Scale, 8) respiratory tract secretions. The investigators aimed to assess the incidence and risk factors for extubation failure among critically ill patients who passed the 30 min spontaneous breathing test (SBT) using a low level of pressure support (PS) with positive end-expiratory pressure (PEEP), in a prospective multicenter study.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Prediction Model of Extubation Outcomes in Critically Ill Patients: A Multicenter Prospective Cohort Study.
    Tanaka A, Kabata D, Hirao O, Kosaka J, et al · · 2022 · cited 5× · PMID 35566646 · DOI 10.3390/jcm11092520

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Other recruiting trials for Intubation

Currently open trials in the same condition.

Other Osaka University trials

Trials by the same sponsor.

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Data sources for this page

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