A PICU study at Children’s Hospital of Alabama observed clinical improvements in ventilator duration and hospital length of stay after implementing Etiometry’s automated spontaneous breathing trial (SBT) performance tool.



RT’s Three Key Takeaways:

  1. Improved Patient Outcomes: Implementing Etiometry’s Clinical Intelligence Platform at Children’s Hospital of Alabama led to a 30% reduction in mechanical ventilation duration and a 20% decrease in hospital length of stay for pediatric cardiac ICU patients.
  2. Automated Breathing Trial Tool: The platform’s automated spontaneous breathing trial (SBT) tool used real-time clinical and ventilator data to standardize Extubation Readiness Tests, enabling more timely and consistent care practices.
  3. Clinical and Operational Benefits: Shorter ventilation time lowered risks of complications like pneumonia, improved recovery, freed ICU resources, and translated into potential cost savings for hospitals.


Integrating Etiometry’s Clinical Intelligence Platform at the Children’s Hospital of Alabama was associated with significantly improved patient outcomes in the pediatric cardiac ICU, according to a news release from Etiometry. The study, published in the Journal of Pediatric Critical Care, observed a 30% reduction in mechanical ventilation duration and a 20% decrease in overall hospital length of stay for post-surgical patients.

The research evaluated the implementation of an automated spontaneous breathing trial (SBT) performance tool from Etiometry’s Clinical Intelligence Platform. This approach leverages near real-time clinical and ventilator data to automate the hospital’s Extubation Readiness Test (ERT) practices, driving more timely initiation and more consistent adherence to the practices, according to Etiometry. This results in both reduced time on mechanical ventilation and length of hospital stay, Etiometry says.

The study’s findings indicate that the deployment of Etiometry’s SBT tool was associated with a significant reduction in postoperative total ventilation time (TOV) and length of stay (LOS). Specifically, the incidence rate for postoperative TOV was 0.7 times lower post-implementation, and the postoperative LOS was reduced by 20%, according to data.

The single-center study’s significant dataset of 787 pediatric patients makes the findings highly relevant for this patient population, Etiometry says.

“The observed reduction in the duration of mechanical ventilation in this study may be clinically meaningful,” said Dr. Santiago Borasino, medical director of the cardiovascular intensive care unit at Children’s of Alabama professor at the University of Alabama at Birmingham, and the study’s principal investigator. “When we are able to reduce a patient’s time on mechanical ventilation, we are also decreasing their risk of complications such as pneumonia and potentially helping them recover faster and shorten their stay in the ICU. These improved patient outcomes benefits translate to freeing up ICU resources and ultimately, cost savings for hospitals.”

Source: Etiometry