Practice Variation in Spontaneous Breathing Trial Performance and Reporting
Table 3
Distribution of clinical extubation criteria used across sites and average number of criteria assessed per site.
Extubation criteria
% incidence of use
Average
Stdev
Site 1 ()
Site 2 ()
Site 3 ()
Site 4 ()
Site 5 ()
Site 6 ()
Site 7 ()
Site 8 ()
Obeys commands
71%
11%
76%
57%
70%
80%
70%
53%
81%
80%
Hemodynamically stable
67%
11%
74%
57%
70%
80%
74%
45%
69%
70%
Gag reflex
67%
8%
74%
68%
53%
78%
72%
63%
65%
60%
Neurologically intact
65%
10%
69%
61%
67%
70%
69%
45%
77%
60%
Good spontaneous cough
60%
11%
69%
63%
53%
63%
64%
55%
77%
40%
Good cough suctioning
60%
9%
76%
69%
47%
63%
61%
60%
58%
50%
Pain controlled
55%
11%
71%
58%
44%
63%
44%
53%
65%
40%
No more indication
53%
14%
66%
57%
53%
60%
46%
23%
62%
60%
Hand grip
52%
12%
64%
41%
60%
55%
38%
50%
69%
40%
Cuff leak
51%
21%
72%
54%
51%
45%
72%
13%
35%
70%
No sedative infusion
50%
9%
53%
34%
44%
50%
62%
45%
62%
50%
Head lift
43%
15%
61%
41%
56%
45%
49%
40%
38%
10%
Urine output
36%
18%
54%
50%
37%
48%
33%
23%
46%
0%
Negative fluid balance
31%
9%
45%
32%
30%
23%
28%
28%
42%
20%
Average # of criteria used/Pt
9
7
7
8
8
6
8
7
Values expressed as % incidence of use per site (number of times a criterion is used per site/total number of criteria used per site). Pt, patient; Stdev, standard deviation; #, number. values represent the number of patients at each site with available data.
