Value of modified Burns Wean Assessment Program scores in the respiratory intensive care unit: An Egyptian study

Abdelaleem, Nermeen; Salim, Mohamed; ElHafeez, Azza S Abd; Bayoumi, Hassan

doi:10.4081/mrm.2020.691

Cited by 4 publications

(9 citation statements)

References 26 publications

(39 reference statements)

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“…This result was supported with Abdelaleem, et al, (2020) Regarding relation between the studied patients' personal characteristics and their mechanical ventilation day, the current study shows that, there is a statistically significant relation between the studied patients' mechanical ventilation days and the department while there is no statistically significant relation between the studied patients' mechanical ventilation days and their gender, ages, marital status, and hospital name, as illustrated in table ( 5). This result may be due to patients distributed on the departments and units according to their acute level that different from place to another and affecting the ventilation days.…”

Section: Table (6)supporting

confidence: 82%

Effectiveness of Applying a Bundle of Care on Weaning Among Mechanical Ventilated Patientsin Intensive Care Unit Andcardiac Care Unit

El-Hosseini

Shahin²,

EL-Tahry³

2022

Port Said Scientific Journal of Nursing

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Background: Applying of ventilator bundle of care according to evidence-based practice guidelines are expected to improve weaning, provide quality of care, improve patient outcomes, and reduce the risk of complications with ventilated patients. Aim: The researchers wanted to assess how effective a bundle of care was at weaning mechanically ventilated patients in the intensive care unit and cardiac care unit. Subjects and Method:The study used a quasi-experimental research design. A purposive sample of 60 mechanically ventilated patients at both insurance hospitals (Al-Salam) in Port Said governorate and health ministry hospital (Sherbin central) in Dakahlia governorate's critical care unit and cardiac care unit. Tools: three tools were used, first tool includes personal characteristics of the patients and, patient's medical history, second tool Is Ventilator bundle compliance checklist and the third one is Burns' Wean Assessment Program (BWAP) scores to assess and track weaning progresses of the mechanical ventilated patients. Results: This study revealed the improvement in weaning with ventilator bundle of care though out the ventilation days. Additionally, there was a statistically significant correlation between the studied patients' total Burns' weaning assessment and compliance with ventilator bundle of the studied patients with p-value <0.01. Conclusion: It may be concluded that mechanically ventilated patients who comply with the ventilator bundle of care have higher weaning ratings and spend less time on the ventilator. Consequently, the application of a ventilator bundle care is necessary for enhance weaning from mechanical ventilator in ICU and CCU patients.Recommendation: This study recommended applying the ventilator bundle practices for all mechanically ventilated patients with special focus on nursing performance. In addition, using a standardized approach to determine readiness for weaning which can aid in the management of mechanically ventilated patients. Moreover, the study's generalizability could be ensured by replication on a larger probability sample from different geographical areas in Egypt.

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Section: Table (6)supporting

confidence: 82%

Effectiveness of Applying a Bundle of Care on Weaning Among Mechanical Ventilated Patientsin Intensive Care Unit Andcardiac Care Unit

El-Hosseini

Shahin²,

EL-Tahry³

2022

Port Said Scientific Journal of Nursing

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“…At cut-off value of ≥55, the sensitivity and specificity of m-BWAP to predict successful weaning were 73.77% and 84.85%, respectively. The AUC for m-BWAP was significantly higher than that for RSBI [8].…”

Section: Modified Burns Wean Assessment Program Scoresmentioning

confidence: 70%

“…Recently, the utility of m-BWAP in predicting the weaning success in patients with respiratory disorders admitted to the respiratory ICU was studied in Egypt [8]. Patients with respiratory failure requiring MV for longer than 48hours were included.…”

Section: Modified Burns Wean Assessment Program Scoresmentioning

confidence: 99%

“…However, before we expect this ideality, we should think in 2 important points. The first is Will implementing mBWAP in patients with COVID-19 be different from that in patients with chronic respiratory disorders [8]? In another way, patients with COVID-19 include those with previous chronic respiratory disorders as well as "de novo" patients, ie COVID-19 in previously health subjects.…”

Section: Modified Burns Wean Assessment Program Scores and Weaning Ofmentioning

confidence: 99%

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Weaning of Mechanically Ventilated Patients with COVID-19: Value of Modified Burns Wean Assessment Program Scores

Sherif¹

2020

GJO

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Background: Most patients with acute respiratory distress syndrome (ARDS) due to COVID-19 warrant intubation and mechanical ventilation (MV). Methods:As COVID-19 is a relatively new disease to us, with distinct clinical and pathophysiologic features and with massive burden on the health care facilities, particularly the intensive care units (ICUs), it is wise to think in using tools that are feasible, easy and save time and money. Previous studies showed that modified Burns wean assessment program (mBWAP) is a good predictor of weaning success.Results: mBWAP proved useful as a good predictor of successful weaning and extubation in patients requiring long-term MV longer than 21 days, as well as in patients with respiratory disorders admitted to the respiratory ICU. Conclusion:Previous data for mBWAP are encouraging and deserve utilizing it as a predictor tool for weaning from MV in patients with COVID-19. Further prospective studies are warranted.

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“…These findings support those of Peralta et al [21] that moderate and high weight gains are associated with accelerated lung function decline, while weight loss is related to its attenuation. Our results could have significant implications in the management of critically ill patients, particularly those who are mechanically ventilated, and those who had impaired lung functions due to respiratory disorders [4,35].…”

Section: Discussionmentioning

confidence: 87%

Changes in spirometric parameters with position in asymptomatic Egyptian young males with central obesity

et al. 2021

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Background: Central obesity is a chronic condition that can contribute to impairments in lung functions. Body position is an important technique that effectively restores and increases lung functions. We aimed to address the possible changes in spirometric parameters in asymptomatic overweight individuals with central obesity with a change in posture from sitting to supine in comparison to normal weight non-obese ones.Methods: Enrolled subjects were healthy Egyptian males, aged between 20-45 years old, asymptomatic and nonsmokers. They underwent spirometry. The following parameters were measured; forced expiratory volume in one second (FEV1), forced vital capacity (FVC), FEV1/FVC ratio, and forced expiratory flow (FEF)25-75%. They were classified into overweight with central obesity (n=40) and healthy control (n=40) groups based on their body mass index (BMI), weight-hip ratio (WHR), and waist circumference (WC). Spirometric parameters were compared between the 2 groups and in both setting and supine positions.Results: The central obesity group showed significantly lower all spirometric parameters in comparison to the control one. All measured spirometric parameters had a significant reduction with supine position. There were negative correlations between both the WC and WHR and spirometric parameters.Conclusion: In this study of young Egyptian males, individuals with central obesity had reduced spirometric parameters in comparison to healthy ones. Change in position from sitting to supine has significant effects on spirometric parameters in both healthy middle age males with normal weight and those with overweight and central obesity. These results could have important clinical implications.

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Value of modified Burns Wean Assessment Program scores in the respiratory intensive care unit: An Egyptian study

Cited by 4 publications

References 26 publications

Effectiveness of Applying a Bundle of Care on Weaning Among Mechanical Ventilated Patientsin Intensive Care Unit Andcardiac Care Unit

Effectiveness of Applying a Bundle of Care on Weaning Among Mechanical Ventilated Patientsin Intensive Care Unit Andcardiac Care Unit

Weaning of Mechanically Ventilated Patients with COVID-19: Value of Modified Burns Wean Assessment Program Scores

Changes in spirometric parameters with position in asymptomatic Egyptian young males with central obesity

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