Please use this identifier to cite or link to this item: https://doi.org/10.4103/ijccm.IJCCM-452-16
Title: Factors associated with reintubation in an intensive care unit: A prospective observational study
Authors: Lee, ESH
LIM TSE JIANN DANNY 
Taculod, JM
Sahagun, JT
Otero, JP
Teo, K
Loh, WNH
TAN YONG HUI ADDY 
Issue Date: 1-Mar-2017
Publisher: Medknow Publications
Citation: Lee, ESH, LIM TSE JIANN DANNY, Taculod, JM, Sahagun, JT, Otero, JP, Teo, K, Loh, WNH, TAN YONG HUI ADDY (2017-03-01). Factors associated with reintubation in an intensive care unit: A prospective observational study. Indian Journal of Critical Care Medicine 21 (3) : 131-137. ScholarBank@NUS Repository. https://doi.org/10.4103/ijccm.IJCCM-452-16
Abstract: Background and Aims: The objective of the study was to determine the incidence of failed extubations in our Intensive Care Unit (ICU) and identify associated clinical factors. Materials and Methods: A prospective observational study of mechanically ventilated patients who underwent extubation attempts in our (predominantly surgical) ICU was undertaken from July 2012 to August 2013. The primary endpoint was the need for nonelective reintubation within 72 h of extubation. Clinical data of the reintubated patients were compared with those who were successfully extubated to identify factors associated with reintubation. Results: Five hundred and eight extubation attempts were documented, 38 (7.5%) of which were unsuccessful. On multivariate analysis, the following clinical factors were found to be associated with an increased risk of failed extubation: unplanned extubations (adjusted odds ratio [OR] 5.8), the use of noninvasive ventilation (NIV) postextubation (adjusted OR 3.2), and sepsis (adjusted OR 2.9). Patient demographic factors, other premorbid and comorbid medical conditions, and differences of laboratory parameters did not appear to significantly influence reintubation rates in our study. Conclusions: Our study has demonstrated a relatively low reintubation rate, likely due to inclusion of elective admissions/intubations in our patient population. Unplanned extubations, the use of NIV postextubation, and sepsis were associated with increased reintubation risk, reinforcing the need for increased vigilance in this subgroup of patients after extubation.
Source Title: Indian Journal of Critical Care Medicine
URI: https://scholarbank.nus.edu.sg/handle/10635/208667
ISSN: 0972-5229
1998-359X
DOI: 10.4103/ijccm.IJCCM-452-16
Appears in Collections:Staff Publications
Elements

Show full item record
Files in This Item:
File Description SizeFormatAccess SettingsVersion 
ijccm.IJCCM_452_16.pdf270.13 kBAdobe PDF

OPEN

PublishedView/Download

SCOPUSTM   
Citations

12
checked on Feb 3, 2023

Page view(s)

89
checked on Feb 2, 2023

Download(s)

1
checked on Feb 2, 2023

Google ScholarTM

Check

Altmetric


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.