RT Journal Article SR Electronic T1 Incidence and outcome of weaning from mechanical ventilation according to new categories JF European Respiratory Journal JO Eur Respir J FD European Respiratory Society SP 88 OP 94 DO 10.1183/09031936.00056909 VO 35 IS 1 A1 G-C. Funk A1 S. Anders A1 M-K. Breyer A1 O. C. Burghuber A1 G. Edelmann A1 W. Heindl A1 G. Hinterholzer A1 R. Kohansal A1 R. Schuster A1 A. Schwarzmaier-D'Assie A1 A. Valentin A1 S. Hartl YR 2010 UL http://erj.ersjournals.com/content/35/1/88.abstract AB Weaning from mechanical ventilation was categorised as simple, difficult or prolonged by an international task force of the American Thoracic Society/European Respiratory Society/European Society of Intensive Care Medicine/Society of Critical Care Medicine/Sociéte de Réanimation de Langue Française in 2007. This new classification has not been tested in clinical practice. The objective of the present study was to determine the incidence and outcome of weaning according to the new categories. We included medical and surgical patients who required mechanical ventilation in a prospective, multicentre, 6-month cohort study. From an initial cohort of 510 patients, 257 intubated patients started weaning. Of these patients, the cumulative incidences of simple, difficult, and prolonged weaning were 152 (59%), 68 (26%) and 37 (14%), respectively. Hospital mortality was increased in patients with prolonged (32%) but not difficult (9%) weaning in comparison with those with simple weaning (13%), overall p = 0.0205. In a multivariate logistic regression model, prolonged but not difficult weaning was associated with an increased risk of death. Ventilator-free days and intensive care unit (ICU)-free days were decreased in both difficult and prolonged weaning. In conclusion, the new weaning category prolonged weaning is associated with increased mortality and morbidity in the ICU. The new category difficult to wean was associated with increased morbidity, but not mortality.