Predicting decannulation success in patients with neurological conditions: development and validation of the NEURODECANN Clinical Score

Decannulation is crucial in improving outcomes and quality of life for patients with tracheostomy and neurological injuries. This study aimed to develop and retrospectively assess the NEURODECANN Clinical Score to predict decannulation success. A retrospective cohort of patients with a tracheostomy...

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Detalhes bibliográficos
Autores: Otto Yáñez, Matías, Monge Martínez, Gonzalo, Muñoz, Tamara, Segovia, Erico, Villalobos, Paola, Vera-Uribe, Roberto, Resqueti, Vanessa R., Fregonezi, Guilherme Augusto de Freitas, Torres Castro, Rodrigo
Formato: artículo
Fecha de publicación:2025
País:España
Recursos:Universitat Ramon Llull (URL)
Repositorio:DAU Arxiu Digital de la Universitat Ramon Llull
OAI Identifier:oai:dnet:dau_________::7c77924d548a28e41933222fc7078d60
Acesso em linha:http://hdl.handle.net/20.500.14342/6210
https://doi.org/10.1111/nhs.70200
Access Level:acceso embargado
Palavra-chave:Dany cerebral
Rehabilitació
Medul·la espinal -- Ferides i lesions
Traqueotomia
Decanulació
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spelling Predicting decannulation success in patients with neurological conditions: development and validation of the NEURODECANN Clinical ScoreOtto Yáñez, MatíasMonge Martínez, GonzaloMuñoz, TamaraSegovia, EricoVillalobos, PaolaVera-Uribe, RobertoResqueti, Vanessa R.Fregonezi, Guilherme Augusto de FreitasTorres Castro, RodrigoDany cerebralRehabilitacióMedul·la espinal -- Ferides i lesionsTraqueotomiaDecanulacióDecannulation is crucial in improving outcomes and quality of life for patients with tracheostomy and neurological injuries. This study aimed to develop and retrospectively assess the NEURODECANN Clinical Score to predict decannulation success. A retrospective cohort of patients with a tracheostomy (n = 117) was analyzed, distinguishing those who achieved decannulation from those who did not. Logistic regression and Random Forest analysis identified key predictors: level of consciousness, diagnosis, blue dye test, amount of secretions, speaking valve use, secretion management, dysphagia, maximum inspiratory pressure, and cough. Model performance was assessed using the area under the curve (AUC), sensitivity, and specificity. NEURODECANN demonstrated excellent predictive accuracy (AUC = 0.95, 95% CI: 0.91–0.98), with a sensitivity of 92.6% and specificity of 87.3%. Patients scoring ≥ 13 points had a high probability of successful decannulation. The NEURODECANN Clinical Score provides a structured, evidence-based framework to support clinician-driven decannulation decisions, optimizing tracheostomy management in people with neurological conditions. Further validation is needed to confirm its applicability across diverse clinical settings.info:eu-repo/semantics/acceptedVersionWiley Online LibraryUniversitat Ramon Llull. Facultat de Ciències de la Salut Blanquerna2026202520252026info:eu-repo/semantics/article11 p.application/pdfhttp://hdl.handle.net/20.500.14342/6210https://doi.org/10.1111/nhs.70200reponame:DAU Arxiu Digital de la Universitat Ramon Llullinstname:Universitat Ramon Llull (URL)InglésNursing & Health Sciences, 2025, 27(3): e70200© John Wiley & Sons AustraliaAttribution-NonCommercial 4.0 Internationalhttp://creativecommons.org/licenses/by-nc/4.0/info:eu-repo/semantics/embargoedAccessoai:dnet:dau_________::7c77924d548a28e41933222fc7078d602026-06-21T06:40:37Z
dc.title.none.fl_str_mv Predicting decannulation success in patients with neurological conditions: development and validation of the NEURODECANN Clinical Score
title Predicting decannulation success in patients with neurological conditions: development and validation of the NEURODECANN Clinical Score
spellingShingle Predicting decannulation success in patients with neurological conditions: development and validation of the NEURODECANN Clinical Score
Otto Yáñez, Matías
Dany cerebral
Rehabilitació
Medul·la espinal -- Ferides i lesions
Traqueotomia
Decanulació
title_short Predicting decannulation success in patients with neurological conditions: development and validation of the NEURODECANN Clinical Score
title_full Predicting decannulation success in patients with neurological conditions: development and validation of the NEURODECANN Clinical Score
title_fullStr Predicting decannulation success in patients with neurological conditions: development and validation of the NEURODECANN Clinical Score
title_full_unstemmed Predicting decannulation success in patients with neurological conditions: development and validation of the NEURODECANN Clinical Score
title_sort Predicting decannulation success in patients with neurological conditions: development and validation of the NEURODECANN Clinical Score
dc.creator.none.fl_str_mv Otto Yáñez, Matías
Monge Martínez, Gonzalo
Muñoz, Tamara
Segovia, Erico
Villalobos, Paola
Vera-Uribe, Roberto
Resqueti, Vanessa R.
Fregonezi, Guilherme Augusto de Freitas
Torres Castro, Rodrigo
author Otto Yáñez, Matías
author_facet Otto Yáñez, Matías
Monge Martínez, Gonzalo
Muñoz, Tamara
Segovia, Erico
Villalobos, Paola
Vera-Uribe, Roberto
Resqueti, Vanessa R.
Fregonezi, Guilherme Augusto de Freitas
Torres Castro, Rodrigo
author_role author
author2 Monge Martínez, Gonzalo
Muñoz, Tamara
Segovia, Erico
Villalobos, Paola
Vera-Uribe, Roberto
Resqueti, Vanessa R.
Fregonezi, Guilherme Augusto de Freitas
Torres Castro, Rodrigo
author2_role author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universitat Ramon Llull. Facultat de Ciències de la Salut Blanquerna
dc.subject.none.fl_str_mv Dany cerebral
Rehabilitació
Medul·la espinal -- Ferides i lesions
Traqueotomia
Decanulació
topic Dany cerebral
Rehabilitació
Medul·la espinal -- Ferides i lesions
Traqueotomia
Decanulació
description Decannulation is crucial in improving outcomes and quality of life for patients with tracheostomy and neurological injuries. This study aimed to develop and retrospectively assess the NEURODECANN Clinical Score to predict decannulation success. A retrospective cohort of patients with a tracheostomy (n = 117) was analyzed, distinguishing those who achieved decannulation from those who did not. Logistic regression and Random Forest analysis identified key predictors: level of consciousness, diagnosis, blue dye test, amount of secretions, speaking valve use, secretion management, dysphagia, maximum inspiratory pressure, and cough. Model performance was assessed using the area under the curve (AUC), sensitivity, and specificity. NEURODECANN demonstrated excellent predictive accuracy (AUC = 0.95, 95% CI: 0.91–0.98), with a sensitivity of 92.6% and specificity of 87.3%. Patients scoring ≥ 13 points had a high probability of successful decannulation. The NEURODECANN Clinical Score provides a structured, evidence-based framework to support clinician-driven decannulation decisions, optimizing tracheostomy management in people with neurological conditions. Further validation is needed to confirm its applicability across diverse clinical settings.
publishDate 2025
dc.date.none.fl_str_mv 2025
2025
2026
2026
dc.type.none.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/20.500.14342/6210
https://doi.org/10.1111/nhs.70200
url http://hdl.handle.net/20.500.14342/6210
https://doi.org/10.1111/nhs.70200
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Nursing & Health Sciences, 2025, 27(3): e70200
dc.rights.none.fl_str_mv © John Wiley & Sons Australia
Attribution-NonCommercial 4.0 International
http://creativecommons.org/licenses/by-nc/4.0/
info:eu-repo/semantics/embargoedAccess
rights_invalid_str_mv © John Wiley & Sons Australia
Attribution-NonCommercial 4.0 International
http://creativecommons.org/licenses/by-nc/4.0/
eu_rights_str_mv embargoedAccess
dc.format.none.fl_str_mv 11 p.
application/pdf
dc.publisher.none.fl_str_mv Wiley Online Library
publisher.none.fl_str_mv Wiley Online Library
dc.source.none.fl_str_mv reponame:DAU Arxiu Digital de la Universitat Ramon Llull
instname:Universitat Ramon Llull (URL)
instname_str Universitat Ramon Llull (URL)
reponame_str DAU Arxiu Digital de la Universitat Ramon Llull
collection DAU Arxiu Digital de la Universitat Ramon Llull
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,812455

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