Study to determine the utility of HACOR score as a predictor of weaning off ventilator in ICU

Recruiting

Brief Summary: Patients who are mechanically ventilated in ICU will be screened for undergoing spontaneous breathing trial and successful extubation. After the exclusion criteria are ruled out, patients who are successful on spontaneous breathing trial will have the Heart rate, Acidosis from arterial blood gas. Conscoiusness level, Oxygenation, Respirarory Rate (HACOR score) calculated. Arterial blood gas is the standard of care prior to extubation in any mechanically ventilated patient in the ICU, and Acidosis and Oxygenation components of HACOR will be assessed from ABG. The patients will be followed up for need for any ventilatory support upro 48 hours after extubation. The length of ICU stay, final outcome in terms of mortality will also be noted. Correlation will be done to find the utility of HACOR in predicitng successful extubation.

Recruitment & Eligibility

Inclusion Criteria

Patients who are intubated and on mechanical ventilation and are ready to undergo spontaneous breathing trial (SBT).

Exclusion Criteria

Patients who are deemed unfit clinically for undergoing a spontaneous breathing trial as per the consultant physician will be excluded for the study.
Patients on high vasopressor support and unstable hemodynamics.
Patients with significant electrolyte abnormalities.
Patients with hypothermia.

Primary Outcome Measures

Name	Time	Method
Successful extubation with non-requirement of re-intubation within 48 hours after extubation	48 hours after extubation

Secondary Outcome Measures

Name	Time	Method
Days of ICU stay, number of weaning failures.	30 days after ICU admission

Locations (1): Kasturba Medical Collge and Kasturba Hospital, Manipal
🇮🇳
Udupi, KARNATAKA, India
Kasturba Medical Collge and Kasturba Hospital, Manipal
🇮🇳Udupi, KARNATAKA, India
Dr Souvik Chaudhuri
Principal investigator
9937178620
souvik.chaudhuri@manipal.edu