Diaphragmatic ultrasonography for predicting ventilator weaning: A meta-analysis

Medicine
Caifeng LiZhi-Qiang Wang

Abstract

Weaning failure is common in mechanically ventilated patients. Whether ultrasound can predict weaning outcome remains controversial. This meta-analysis was performed to assess the accuracy of diaphragmatic ultrasonography for predicting reintubation within 48 hours of extubation. Literature search was performed in PubMed, Embase, and Cochrane Library to identify all the relevant papers, published in English up to July 16, 2017. Eligible studies were included if data were in adequate details to rebuild 2 × 2 contingency tables. Methodological quality of the included studies was evaluated using the Quality Assessment of Diagnostic Accuracy Studies-2 (QUADAS-2) in Review Manager 5.3. The sensitivity, specificity, positive likelihood ratio (PLR), negative likelihood ratio (NLR), diagnostic odds ratio (DOR), and summary receiver operating characteristic (SROC) curve were pooled using the fixed or random effects model, meanwhile, the heterogeneity was evaluated using Cochran Q test and I statistics in Meta-DiSc 1.4. Publication bias was assessed using Deeks funnel plot in Stata 12.0. Thirteen studies with 742 subjects were included in this meta-analysis. The pooled sensitivities for diaphragm excursion (DE) and diaphragm thickness fr...Continue Reading

Associated Clinical Trials

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Citations

Jul 30, 2020·Journal of Intensive Care Medicine·Stephen WhebellHayden White
Jul 28, 2019·Intensive Care Medicine Experimental·Oscar PeñuelasJosé Ángel Lorente
Mar 30, 2020·Indian Journal of Pediatrics·Nitin Dhochak, Rakesh Lodha
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Dec 15, 2020·Current Opinion in Critical Care·Gabriele ViaLuigi Camporota
Nov 20, 2020·Neurocritical Care·Mathangi KrishnakumarDhritiman Chakrabarti
Oct 29, 2020·Journal of Family Medicine and Primary Care·Sanchit KumarNaveet Wig
Dec 29, 2020·Critical Care : the Official Journal of the Critical Care Forum·Arif HussainYaseen Arabi
Oct 10, 2020·The European Respiratory Journal·Christian B LaursenNick Maskell
Nov 14, 2020·European Journal of Pediatrics·Almudena Alonso-Ojembarrena, Ignacio Oulego-Erroz
Dec 25, 2019·Medicina intensiva·F Varón-VegaS Crevoisier
Apr 18, 2021·The European Respiratory Journal·Jeroen L M van DoornJonne Doorduin
Mar 12, 2021·Journal of Nippon Medical School = Nippon Ika Daigaku Zasshi·Takanobu OtaguroHiroyuki Yokota
Jan 1, 2022·Journal of Clinical Ultrasound : JCU·Chanokporn PuchongmartTipa Chakorn

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Software Mentioned

Meta
Stata
QUADAS
Review Manager
DiSc

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