Spontaneous Breathing Test as a Predictor of the Dysfunctional Ventilatory Weaning Response in Intensive Care

Authors

DOI:

https://doi.org/10.5902/2179769242427

Keywords:

Ventilator weaning, Respiration, artificial, Respiratory function tests, Nursing diagnosis, Decision making

Abstract

Objective: to verify the association of the spontaneous breathing test with the nursing diagnosis of Dysfunctional Ventilatory Weaning Response (00034) and to identify the accuracy measures of the spontaneous breathing test for the nursing diagnosis. Method: a cross-sectional study conducted with 42 patients in critical care. Fischer's exact test verified the association, and the accuracy measures were calculated with Medcalc Software Online®. Results: the association between the test and the diagnosis was significant (p=0.0079). The highlighted accuracy measures were 77.42% specificity (58.90 – 90.41), positive likelihood ratio of 3.22 (1.53 – 6.79), and diagnostic odds ratio of 9.14 (1.90 – 44.01). Conclusion: the study verified the existence of an association between the outcome of the spontaneous breathing test and the Dysfunctional Ventilatory Weaning Response (00034), with statistical significance. It also indicated the adequacy of three accuracy measures for the nursing diagnosis.

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Author Biographies

Priscila Carvalho de Souza, Universidade do Estado do Rio de Janeiro

Enfermeira graduada pela UFRJ. Residência em Clínica Médica e Cirúrgica em andamento pela Universidade Federal do Estado do Rio de Janeiro- UNIRIO.

Ingrid Régia Lopes Jerônimo, Hospital Universitário Clementino Fraga Filho - UFRJ

Doutora em Enfermagem pela Escola de Enfermagem Anna Nery. Enfermeira do Hospital Universitário Clementino Fraga Filho - UFRJ.

Carla de Azevedo Vianna, Universidade Federal do Rio de Janeiro -Escola de Enfermagem Anna Nery

Enfermeira Coordenadora do Centro de Simulação Realística do Hospital Pró Cardíaco.
Mestranda em Enfermagem pela Escola de Enfermagem Anna Nery.

Andrea Barroso Benevides, Universidade Federal do Rio de Janeiro (Escola de Enfermagem Anna Nery)

Graduanda de Enfermagem da Escola de Enfermagem Anna Nery (UFRJ).

Rosimere Ferreira Santana, Professora Associada da Universidade Federal Fluminense (UFF)

Graduação em Enfermagem pela Universidade Federal de Goiás (2000), Mestrado em Enfermagem pela Universidade do Estado do Rio de Janeiro (2004), Doutorado em Enfermagem pela Universidade Federal do Rio de Janeiro (2007) e Pós-doutorado pela Universidade Federal do Ceará (2012). Professora Associada da Universidade Federal Fluminense (UFF).

Marcos Antônio Gomes Brandão, Universidade Federal do Rio de Janeiro (Escola de Enfermagem Anna Nery)

Doutor em Enfermagem pela Universidade Federal do Rio de Janeiro (2006), Mestre em Tecnologia Educacional nas Ciências da Saúde pela Universidade Federal do Rio de Janeiro (1999) e Graduado em Enfermagem e Obstetrícia pela Universidade Federal do Rio de Janeiro (1993). Professor Associado da Universidade Federal do Rio de Janeiro. Líder de Pesquisa do Grupo de Pesquisa Tecnologias e Concepções para a Sistematização da Assistência de Enfermagem (TECCONSAE) e pesquisador colaborador do Grupo de Estudos em Aprendizagem e Cognição (GEAC).

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Published

2020-08-05

How to Cite

Souza, P. C. de, Jerônimo, I. R. L., Vianna, C. de A., Benevides, A. B., Santana, R. F., & Brandão, M. A. G. (2020). Spontaneous Breathing Test as a Predictor of the Dysfunctional Ventilatory Weaning Response in Intensive Care. Revista De Enfermagem Da UFSM, 10, e67. https://doi.org/10.5902/2179769242427

Issue

Vol. 10 (2020)

Section

Artigos Originais

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