https://scholars.lib.ntu.edu.tw/handle/123456789/512186
Title: | Changes in albuminuria during the spontaneous breathing trial: A prospective observational study | Authors: | Chen Y.-Y. JIH-SHUIN JERNG JIEN-JIUN CHEN FAN-CHI CHANG YAO-WEN KUO HAO-CHIEN WANG HUEY-DONG WU |
Issue Date: | 2020 | Publisher: | Elsevier B.V. | Journal Volume: | 119 | Journal Issue: | 1P3 | Start page/Pages: | 488-495 | Source: | Journal of the Formosan Medical Association | Abstract: | Background: We hypothesized urine albumin concentration may detect the early increasing cardiac load during the spontaneous breathing trial (SBT). The purpose of our study is to determine whether the changes in urine albumin concentration before and after the SBT correlate with SBT outcome. Methods: This prospective observational study was conducted from January 2013 to September 2013. Patients receiving endotracheal tube intubation due to acute respiratory failure were included. Urine albumin concentration was measured upon admission to the intensive care unit, before and after the SBT. Results: A total of 211 patients with respiratory failure were screened. Finally, 69 patients were included for analysis. Among the 69 patients received the SBT, 61 patients passed the SBT while 8 patients didn't. Urine albumin concentration upon admission was 251.00 ± 108.21 mg/g in the SBT success group and 260.87 ± 77.95 mg/g in the SBT failure group (p = 0.97). The mean percent change in urine albumin concentration during the SBT was significantly higher in the SBT failure group (+58.44%) than in the SBT success group (+13.11%) (p = 0.02). Univariable and multivariable logistic regression model showed that the difference of urine albumin concentration before and after the SBT correlated significantly with SBT failure (adjusted OR:1.04, p = 0.01). Conclusion: This open label pilot study demonstrates the significant association of the changes in urine albumin concentration with SBT outcome. Further study is warranted to investigate the predictive value of urine albumin concentration. ? 2019 Formosan Medical Association |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85068930172&doi=10.1016%2fj.jfma.2019.07.006&partnerID=40&md5=c3bf528f7080de6e280f86eb0c93c948 https://scholars.lib.ntu.edu.tw/handle/123456789/512186 |
ISSN: | 0929-6646 | DOI: | 10.1016/j.jfma.2019.07.006 | SDG/Keyword: | albumin; acute respiratory failure; aged; albuminuria; APACHE; Article; artificial ventilation; body mass; breathing; comorbidity; congestive heart failure; diabetes mellitus; female; heart left ventricle ejection fraction; human; hypertension; intensive care unit; intubation; lung function test; lung mechanics; major clinical study; male; observational study; prospective study; spontaneous breathing trial; ventilator weaning; albuminuria; extubation; middle aged; multivariate analysis; pathophysiology; positive pressure ventilation; respiratory failure; statistical model; time factor; urine; very elderly; Aged; Aged, 80 and over; Airway Extubation; Albuminuria; Female; Humans; Intensive Care Units; Logistic Models; Male; Middle Aged; Multivariate Analysis; Positive-Pressure Respiration; Prospective Studies; Respiratory Insufficiency; Time Factors; Ventilator Weaning |
Appears in Collections: | 醫學系 |
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