Peripheral muscle strength as a predictor of successfull extubation: a systematic review

Background Extubating failure on the Intensive Care Unit occurs in 5 – 30% of mechanically ventilated patients, with an associated increase in morbidity and mortality. In addition to respiratory factors, peripheral muscle strength, which is measured by physio-and occupational therapists, is increasingly being considered as a potential predictor for successful extubation. Objective This systematic review evaluated the literature of peripheral muscle strength in adult ICU patients, as a predictor of successful extubation for at least 24 hours without re-intubation and conducted a meta-analysis for those instrument…