Articles producció científica> Infermeria

Role of automatic tube compensation as spontaneous breathing trial in critically ill patients: A systematic review and meta-analysis

  • Identification data

    Identifier: imarina:9138832
    Authors:
    Chen YTian XLuo CMLuo SLLin LJiménez-Herrera MF
    Abstract:
    © 2020 The Authors. Published by MRE Press. Objectives: The role of automatic tube compensation (ATC) compared to other spontaneous breathing trials (SBTs) in critically ill receiving mechanical ventilation remains uncertain. The aim of this meta-analysis was to determine the role of ATC in critically ill patients compared to alternative SBT techniques. Methods: We searched PubMed, Cochrane Library, and Embase to capture all potential randomized controlled trials (RCTs) investigating the comparative efficacy of ATC related to other SBT techniques including pressure support (PS), T-piece, continuous positive airway pressure (CPAP) from their inception to February 2020. Primary outcomes were successful extubation rate. Duration of weaning, intensive care unit (ICU) stay, hospital stay, and hospital mortality was regarded as secondary outcomes. We used a risk ratio with accompanying 95% confidence interval (CI) to express estimates. Reviewer Manager (RevMan) 5.1.0 was used to complete all statistical analyses. Results: We included 13 studies enrolling 1117 patients in the final analysis. Pooled results indicated no significant difference when ATC plus CPAP (ATC/CAPA) compared to PS (6 RCTs; 572 patients; risk ratio [RR], 1.15; 95% confidence interval [CI], 1.00 to 1.31), ATC versus T-piece (2 RCTs; 157 patients; RR, 1.14; 95% CI, 0.93 to 1.40), ATC plus PS (ATC/PS) versus PS alone (1 RCTs; 100 patients; RR, 1.15; 95% CI, 0.98 to 1.35), ATC/CPAP versus CPAP alone (3 RCTs; 247 patients; RR, 1.12; 95% CI, 0.97 to 1.29) in terms of successful extubation. Additionally, ATC was also not superior to PS, T-piece, or CPAP in improving the rate of reintubation, the duration of weaning, ICU stay, hospital stay, and hospital mortality. Conclusions: Compared to alternative SBT techniqu
  • Others:

    Author, as appears in the article.: Chen Y; Tian X; Luo CM; Luo SL; Lin L; Jiménez-Herrera MF
    Department: Infermeria
    URV's Author/s: Jiménez Herrera, María Francisca
    Keywords: Systematic review Spontaneous breathing trials Positive airway pressure Meta-analysis Critical illness Automatic tube compensation t-piece systematic review support spontaneous breathing trials meta-analysis mechanical ventilation extubation critical illness atc
    Abstract: © 2020 The Authors. Published by MRE Press. Objectives: The role of automatic tube compensation (ATC) compared to other spontaneous breathing trials (SBTs) in critically ill receiving mechanical ventilation remains uncertain. The aim of this meta-analysis was to determine the role of ATC in critically ill patients compared to alternative SBT techniques. Methods: We searched PubMed, Cochrane Library, and Embase to capture all potential randomized controlled trials (RCTs) investigating the comparative efficacy of ATC related to other SBT techniques including pressure support (PS), T-piece, continuous positive airway pressure (CPAP) from their inception to February 2020. Primary outcomes were successful extubation rate. Duration of weaning, intensive care unit (ICU) stay, hospital stay, and hospital mortality was regarded as secondary outcomes. We used a risk ratio with accompanying 95% confidence interval (CI) to express estimates. Reviewer Manager (RevMan) 5.1.0 was used to complete all statistical analyses. Results: We included 13 studies enrolling 1117 patients in the final analysis. Pooled results indicated no significant difference when ATC plus CPAP (ATC/CAPA) compared to PS (6 RCTs; 572 patients; risk ratio [RR], 1.15; 95% confidence interval [CI], 1.00 to 1.31), ATC versus T-piece (2 RCTs; 157 patients; RR, 1.14; 95% CI, 0.93 to 1.40), ATC plus PS (ATC/PS) versus PS alone (1 RCTs; 100 patients; RR, 1.15; 95% CI, 0.98 to 1.35), ATC/CPAP versus CPAP alone (3 RCTs; 247 patients; RR, 1.12; 95% CI, 0.97 to 1.29) in terms of successful extubation. Additionally, ATC was also not superior to PS, T-piece, or CPAP in improving the rate of reintubation, the duration of weaning, ICU stay, hospital stay, and hospital mortality. Conclusions: Compared to alternative SBT techniques including PSV and T-piece, ATC may have comparable predictive power of successful extubation in critically ill patients. However, a definite conclusion on this topic can not be drawn due to limited data. Therefore, further studies were required to establish our findings due to limited number of eligible studies and small accumulated sample size.
    Thematic Areas: Emergency medicine Critical care and intensive care medicine
    licence for use: https://creativecommons.org/licenses/by/3.0/es/
    Author's mail: maria.jimenez@urv.cat
    Author identifier: 0000-0003-2599-3742
    Record's date: 2023-04-15
    Papper version: info:eu-repo/semantics/publishedVersion
    Link to the original source: https://www.signavitae.com/articles/10.22514/sv.2020.16.0053
    Papper original source: Signa Vitae. 16 (2): 20-28
    APA: Chen Y; Tian X; Luo CM; Luo SL; Lin L; Jiménez-Herrera MF (2020). Role of automatic tube compensation as spontaneous breathing trial in critically ill patients: A systematic review and meta-analysis. Signa Vitae, 16(2), 20-28. DOI: 10.22514/sv.2020.16.0053
    Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
    Article's DOI: 10.22514/sv.2020.16.0053
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2020
    Publication Type: Journal Publications
  • Keywords:

    Critical Care and Intensive Care Medicine,Emergency Medicine
    Systematic review
    Spontaneous breathing trials
    Positive airway pressure
    Meta-analysis
    Critical illness
    Automatic tube compensation
    t-piece
    systematic review
    support
    spontaneous breathing trials
    meta-analysis
    mechanical ventilation
    extubation
    critical illness
    atc
    Emergency medicine
    Critical care and intensive care medicine
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