%0 Journal Article 
%T Predictive value of diaphragmatic rapid shallow breathing index in mechanical ventilation weaning: a systematic review and meta-analysis
%A Lin-Li Sang
%A Wei-Yun Teng
%A Jie Yang
%A Liu-Zhao Cao
%D 2021
%J Signa Vitae
%R 10.22514/sv.2020.16.0119
%P 34-41
%V 17
%N 4
%U {https://www.signavitae.com/articles/10.22514/sv.2020.16.0119}
%8 2021-07-08
%X <p class="ql-align-justify"><strong>Background: </strong>Mechanical ventilation weaning is a multifactorial process. D-RSBI cannot only reflect the respiratory function but also the diaphragmatic function with the bedside ultrasound technique.</p><p class="ql-align-justify"><strong>Objective: </strong>This review aimed to assess the predictive value of diaphragmatic rapid shallow breathing index (D-RSBI) of weaning outcome.</p><p class="ql-align-justify"><strong>Method:</strong> Databases were systematically reviewed including PubMed, Cochrane Library, Embase, CNKI and WanFang Data. Sensitivity and specificity were pooled with random effects models.</p><p class="ql-align-justify"><strong>Results:</strong> Nine studies met the inclusion criteria and 568 patients were involved. D-RSBI had a pooled sensitivity of 0.84 and a pooled specificity of 0.87 which predicted weaning success. D-RSBI in the success group was significantly lower than the weaning failure group.</p><p class="ql-align-justify"><strong>Conclusion: </strong>D-RSBI is a sensitive and specific predictor for weaning outcomes in spite of the limitations and heterogeneity among the studies. Further studies focusing on particular disease are needed as well.</p>