Title of article :
The Effects of Using the PersianWeaning Tool on Mechanical Ventilation Outcomes Among Patients with Head Trauma: A Clinical Trial
Author/Authors :
Yekefallah, Leili Qazvin University of Medical Sciences - Faculty of Nursing and Midwifery - Metabolic Diseases Research Center , Mohammadi, Sareh Qazvin University of Medical Sciences , Yaghoubi, Siamak Qazvin University of Medical Sciences , Mafi, Maryam Qazvin University of Medical Sciences
Abstract :
Background: Patients with head trauma need mechanical ventilation in order to protect airway and prevent complications. However,
due to the lack of well-developed weaning protocols, weaning failure rate among them is high and hence, they may need mechanical
ventilation and stay in hospital for long time, resulting in heavy costs on healthcare systems and high risk of death.
Objectives: The aim of the present study was to evaluate the effects of using the Persian weaning tool on patient outcomes among
patients with head trauma under mechanical ventilation.
Methods: This clinical trial was conducted in 2018 on sixty patients with head traumawho were receiving mechanical ventilation in
the intensive care unit of Shahid Rajaei Hospital, Qazvin, Iran. Participants were randomly allocated to an intervention and a control
group.Weaning from mechanical ventilation in these groups was performed using the PersianWeaning Tool and routine physiciandirected
method, respectively. Groups were compared with each other concerning weaning outcomes through the Mann-Whitney
U and the chi-square tests conducted using the SPSS software (version 23.0).
Results:Weaning success rate in the intervention group was significantly greater than the control group (83.3% vs. 56.6%; P = 0.024)
and the length of hospital stay in the intervention group was significantly shorter than the control group (19.9 vs. 28.9 days; P =
0.05). However, there were no significant between-group differences concerning extubation success rate (80.0% vs. 63.3%; P = 0.252)
and mechanical ventilation duration (7.5 vs. 8.7 days; P = 0.3).
Conclusions: The use of the PersianWeaning tool is effective in increasing weaning success rate and shortening hospital stay but
has no significant effects on extubation success rate and mechanical ventilation duration. Specific weaning assessment tools and
protocols need to be developed for patients with neurologic conditions.
Keywords :
Head Trauma , Brain Injury , Mechanical Ventilation , Weaning , Intensive Care Unit
Journal title :
Trauma Monthly
