Accuracy of Algorithms and Visual Inspection for Detection of Trigger Asynchrony in Critical Patients : A Systematic Review
Objective. This study aimed to summarize the accuracy of the different methods for detecting trigger asynchrony at the bedside in mechanically ventilated patients. Method. A systematic review was conducted from 1990 to 2020 in PubMed, Lilacs, Scopus, and ScienceDirect databases. The reference list o...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Critical Care Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2021/6942497 |
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| author | Monique Bandeira Alícia Almeida Lívia Melo Pedro Henrique de Moura Emanuelle Olympia Ribeiro Silva Jakson Silva Armèle Dornelas de Andrade Daniella Brandão Shirley Campos |
| author_facet | Monique Bandeira Alícia Almeida Lívia Melo Pedro Henrique de Moura Emanuelle Olympia Ribeiro Silva Jakson Silva Armèle Dornelas de Andrade Daniella Brandão Shirley Campos |
| author_sort | Monique Bandeira |
| collection | DOAJ |
| description | Objective. This study aimed to summarize the accuracy of the different methods for detecting trigger asynchrony at the bedside in mechanically ventilated patients. Method. A systematic review was conducted from 1990 to 2020 in PubMed, Lilacs, Scopus, and ScienceDirect databases. The reference list of the identified studies, reviews, and meta-analyses was also manually searched for relevant studies. The reference standards were esophageal pressure catheter and/or electrical activity of the diaphragm. Studies were assessed following the QUADAS-2 recommendations, while the review was prepared according to the PRISMA criteria. Results. One thousand one hundred and eleven studies were selected, and four were eligible for analysis. Esophageal pressure was the predominant reference standard, while visual inspection and algorithms/software comprised index tests. The trigger asynchrony, ineffective expiratory effort, double triggering, and reverse triggering were analyzed. Sensitivity and specificity ranged from 65.2% to 99% and 80% to 100%, respectively. Positive predictive values reached 80.3 to 100%, while the negative predictive values reached 92 to 100%. Accuracy could not be calculated for most studies. Conclusion. Algorithms/software validated directly or indirectly using reference standards present high sensitivity and specificity, with a diagnostic power similar to visual inspection of experts. |
| format | Article |
| id | doaj-art-ad90c7821272403b870fa945d6d9a389 |
| institution | Kabale University |
| issn | 2090-1305 2090-1313 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Critical Care Research and Practice |
| spelling | doaj-art-ad90c7821272403b870fa945d6d9a3892025-02-03T05:47:09ZengWileyCritical Care Research and Practice2090-13052090-13132021-01-01202110.1155/2021/69424976942497Accuracy of Algorithms and Visual Inspection for Detection of Trigger Asynchrony in Critical Patients : A Systematic ReviewMonique Bandeira0Alícia Almeida1Lívia Melo2Pedro Henrique de Moura3Emanuelle Olympia Ribeiro Silva4Jakson Silva5Armèle Dornelas de Andrade6Daniella Brandão7Shirley Campos8Physical Therapy Department, Universidade Federal de Pernambuco, Recife, BrazilPhysical Therapy Department, Universidade Federal de Pernambuco, Recife, BrazilHospital Geral Otavio de Freitas, Recife, BrazilPhysical Therapy Department, Universidade Federal de Pernambuco, Recife, BrazilPhysical Therapy Department, Universidade Federal de Pernambuco, Recife, BrazilPhysical Therapy Department, Universidade Federal de Pernambuco, Recife, BrazilPhysical Therapy Department, Universidade Federal de Pernambuco, Recife, BrazilPhysical Therapy Department, Universidade Federal de Pernambuco, Recife, BrazilPhysical Therapy Department, Universidade Federal de Pernambuco, Recife, BrazilObjective. This study aimed to summarize the accuracy of the different methods for detecting trigger asynchrony at the bedside in mechanically ventilated patients. Method. A systematic review was conducted from 1990 to 2020 in PubMed, Lilacs, Scopus, and ScienceDirect databases. The reference list of the identified studies, reviews, and meta-analyses was also manually searched for relevant studies. The reference standards were esophageal pressure catheter and/or electrical activity of the diaphragm. Studies were assessed following the QUADAS-2 recommendations, while the review was prepared according to the PRISMA criteria. Results. One thousand one hundred and eleven studies were selected, and four were eligible for analysis. Esophageal pressure was the predominant reference standard, while visual inspection and algorithms/software comprised index tests. The trigger asynchrony, ineffective expiratory effort, double triggering, and reverse triggering were analyzed. Sensitivity and specificity ranged from 65.2% to 99% and 80% to 100%, respectively. Positive predictive values reached 80.3 to 100%, while the negative predictive values reached 92 to 100%. Accuracy could not be calculated for most studies. Conclusion. Algorithms/software validated directly or indirectly using reference standards present high sensitivity and specificity, with a diagnostic power similar to visual inspection of experts.http://dx.doi.org/10.1155/2021/6942497 |
| spellingShingle | Monique Bandeira Alícia Almeida Lívia Melo Pedro Henrique de Moura Emanuelle Olympia Ribeiro Silva Jakson Silva Armèle Dornelas de Andrade Daniella Brandão Shirley Campos Accuracy of Algorithms and Visual Inspection for Detection of Trigger Asynchrony in Critical Patients : A Systematic Review Critical Care Research and Practice |
| title | Accuracy of Algorithms and Visual Inspection for Detection of Trigger Asynchrony in Critical Patients : A Systematic Review |
| title_full | Accuracy of Algorithms and Visual Inspection for Detection of Trigger Asynchrony in Critical Patients : A Systematic Review |
| title_fullStr | Accuracy of Algorithms and Visual Inspection for Detection of Trigger Asynchrony in Critical Patients : A Systematic Review |
| title_full_unstemmed | Accuracy of Algorithms and Visual Inspection for Detection of Trigger Asynchrony in Critical Patients : A Systematic Review |
| title_short | Accuracy of Algorithms and Visual Inspection for Detection of Trigger Asynchrony in Critical Patients : A Systematic Review |
| title_sort | accuracy of algorithms and visual inspection for detection of trigger asynchrony in critical patients a systematic review |
| url | http://dx.doi.org/10.1155/2021/6942497 |
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