Unplanned Extubation in Patients with Mechanical Ventilation: Experience in the Medical Intensive Care Unit of a Single Tertiary Hospital
Background: Potentially harmful unplanned extubation (UE) may occur in patients on mechanical ventilation (MV) in an intensive care unit (ICU) setting. This study aimed to evaluate the clinical characteristics of UE and its impact on clinical outcomes in patients with MV in a medical ICU (MICU). Met...
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| Veröffentlicht in: | Tuberculosis and respiratory diseases 2015-10, Vol.78 (4), p.336-340 |
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| container_title | Tuberculosis and respiratory diseases |
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| creator | Lee, Tae Won Hong, Jeong Woo Yoo, Jung-Wan Ju, Sunmi Lee, Seung Hun Lee, Seung Jun Cho, Yu Ji Jeong, Yi Yeong Lee, Jong Deog Kim, Ho Cheol |
| description | Background: Potentially harmful unplanned extubation (UE) may occur in patients on mechanical ventilation (MV) in an intensive care unit (ICU) setting. This study aimed to evaluate the clinical characteristics of UE and its impact on clinical outcomes in patients with MV in a medical ICU (MICU). Methods: We retrospectively evaluated MICU data prospectively collected between December 2011 and May 2014. Results: A total of 468 patients were admitted to the MICU, of whom 450 were on MV. Of the patients on MV, 30 (6.7%) experienced UE; 13 (43.3%) required reintubation after UE, whereas 17 (56.7%) did not require reintubation. Patients who required reintubation had a significantly longer MV duration and ICU stay than did those not requiring reintubation (19.4±15.1 days vs. 5.9±5.9 days days and 18.1±14.2 days vs. 7.1±6.5 days, respectively; p |
| format | Article |
| fullrecord | <record><control><sourceid>kiss_kisti</sourceid><recordid>TN_cdi_kisti_ndsl_JAKO201532751505513</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><kiss_id>3355302</kiss_id><sourcerecordid>3355302</sourcerecordid><originalsourceid>FETCH-LOGICAL-k503-d1f776dcf4fadc82eac642ee65658e8fb96964269d10bb7988aac274697f44d73</originalsourceid><addsrcrecordid>eNo9zstKAzEUBuAgCpbaJ3CTjcuBXCaXcVdKtdWKgq3bITM5saFjOkzi7RF8a2MVV-fw8_2Hc4RGjBBRSKrLYzSiiuuCCy5P0SRG3xDBuZKKiRH62oS-MyGAxfOP9NqY5PcB-4Af8gYhRfzu0xbfQbs1wbemw0859d3BXeZOD0N2Lfx00haytAe2DAlC9G-AZ2YAvAk-4b3DBj_68NwBXsOQvBk-8WIfe59Md4ZOnOkiTP7mGK2v5uvZoljdXy9n01WxE4QXljqlpG1d6YxtNQPTypIBSCGFBu2aSlY5kJWlpGlUpbUxLVOlrJQrS6v4GF38nt35mHwdbOzqm-ntPSNUcKYEFUQIyrM7_3ex7gf_kp-tOReCE8a_AagBaV4</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Unplanned Extubation in Patients with Mechanical Ventilation: Experience in the Medical Intensive Care Unit of a Single Tertiary Hospital</title><source>KoreaMed Synapse</source><source>DOAJ Directory of Open Access Journals</source><source>PubMed Central Open Access</source><source>KoreaMed Open Access</source><source>PubMed Central</source><creator>Lee, Tae Won ; Hong, Jeong Woo ; Yoo, Jung-Wan ; Ju, Sunmi ; Lee, Seung Hun ; Lee, Seung Jun ; Cho, Yu Ji ; Jeong, Yi Yeong ; Lee, Jong Deog ; Kim, Ho Cheol</creator><creatorcontrib>Lee, Tae Won ; Hong, Jeong Woo ; Yoo, Jung-Wan ; Ju, Sunmi ; Lee, Seung Hun ; Lee, Seung Jun ; Cho, Yu Ji ; Jeong, Yi Yeong ; Lee, Jong Deog ; Kim, Ho Cheol</creatorcontrib><description>Background: Potentially harmful unplanned extubation (UE) may occur in patients on mechanical ventilation (MV) in an intensive care unit (ICU) setting. This study aimed to evaluate the clinical characteristics of UE and its impact on clinical outcomes in patients with MV in a medical ICU (MICU). Methods: We retrospectively evaluated MICU data prospectively collected between December 2011 and May 2014. Results: A total of 468 patients were admitted to the MICU, of whom 450 were on MV. Of the patients on MV, 30 (6.7%) experienced UE; 13 (43.3%) required reintubation after UE, whereas 17 (56.7%) did not require reintubation. Patients who required reintubation had a significantly longer MV duration and ICU stay than did those not requiring reintubation (19.4±15.1 days vs. 5.9±5.9 days days and 18.1±14.2 days vs. 7.1±6.5 days, respectively; p<0.05). In addition, mortality rate was significantly higher among patients requiring reintubation than among those not requiring reintubation (54.5% vs. 5.9%; p=0.007). These two groups of patients exhibited no significant differences, within 2 hours after UE, in the fraction of inspired oxygen, blood pressure, heart rate, respiratory rate, and pH. Conclusion: Although reintubation may not always be required in patients with UE, it is associated with a poor outcome after UE.</description><identifier>ISSN: 1738-3536</identifier><identifier>EISSN: 2005-6184</identifier><language>kor</language><publisher>대한결핵 및 호흡기학회</publisher><subject>Airway Extubation ; Artificial Intensive Care Units ; Respiration</subject><ispartof>Tuberculosis and respiratory diseases, 2015-10, Vol.78 (4), p.336-340</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,778,782,883</link.rule.ids></links><search><creatorcontrib>Lee, Tae Won</creatorcontrib><creatorcontrib>Hong, Jeong Woo</creatorcontrib><creatorcontrib>Yoo, Jung-Wan</creatorcontrib><creatorcontrib>Ju, Sunmi</creatorcontrib><creatorcontrib>Lee, Seung Hun</creatorcontrib><creatorcontrib>Lee, Seung Jun</creatorcontrib><creatorcontrib>Cho, Yu Ji</creatorcontrib><creatorcontrib>Jeong, Yi Yeong</creatorcontrib><creatorcontrib>Lee, Jong Deog</creatorcontrib><creatorcontrib>Kim, Ho Cheol</creatorcontrib><title>Unplanned Extubation in Patients with Mechanical Ventilation: Experience in the Medical Intensive Care Unit of a Single Tertiary Hospital</title><title>Tuberculosis and respiratory diseases</title><addtitle>Tuberculosis and Respiratory Diseases</addtitle><description>Background: Potentially harmful unplanned extubation (UE) may occur in patients on mechanical ventilation (MV) in an intensive care unit (ICU) setting. This study aimed to evaluate the clinical characteristics of UE and its impact on clinical outcomes in patients with MV in a medical ICU (MICU). Methods: We retrospectively evaluated MICU data prospectively collected between December 2011 and May 2014. Results: A total of 468 patients were admitted to the MICU, of whom 450 were on MV. Of the patients on MV, 30 (6.7%) experienced UE; 13 (43.3%) required reintubation after UE, whereas 17 (56.7%) did not require reintubation. Patients who required reintubation had a significantly longer MV duration and ICU stay than did those not requiring reintubation (19.4±15.1 days vs. 5.9±5.9 days days and 18.1±14.2 days vs. 7.1±6.5 days, respectively; p<0.05). In addition, mortality rate was significantly higher among patients requiring reintubation than among those not requiring reintubation (54.5% vs. 5.9%; p=0.007). These two groups of patients exhibited no significant differences, within 2 hours after UE, in the fraction of inspired oxygen, blood pressure, heart rate, respiratory rate, and pH. Conclusion: Although reintubation may not always be required in patients with UE, it is associated with a poor outcome after UE.</description><subject>Airway Extubation</subject><subject>Artificial Intensive Care Units</subject><subject>Respiration</subject><issn>1738-3536</issn><issn>2005-6184</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>JDI</sourceid><recordid>eNo9zstKAzEUBuAgCpbaJ3CTjcuBXCaXcVdKtdWKgq3bITM5saFjOkzi7RF8a2MVV-fw8_2Hc4RGjBBRSKrLYzSiiuuCCy5P0SRG3xDBuZKKiRH62oS-MyGAxfOP9NqY5PcB-4Af8gYhRfzu0xbfQbs1wbemw0859d3BXeZOD0N2Lfx00haytAe2DAlC9G-AZ2YAvAk-4b3DBj_68NwBXsOQvBk-8WIfe59Md4ZOnOkiTP7mGK2v5uvZoljdXy9n01WxE4QXljqlpG1d6YxtNQPTypIBSCGFBu2aSlY5kJWlpGlUpbUxLVOlrJQrS6v4GF38nt35mHwdbOzqm-ntPSNUcKYEFUQIyrM7_3ex7gf_kp-tOReCE8a_AagBaV4</recordid><startdate>20151030</startdate><enddate>20151030</enddate><creator>Lee, Tae Won</creator><creator>Hong, Jeong Woo</creator><creator>Yoo, Jung-Wan</creator><creator>Ju, Sunmi</creator><creator>Lee, Seung Hun</creator><creator>Lee, Seung Jun</creator><creator>Cho, Yu Ji</creator><creator>Jeong, Yi Yeong</creator><creator>Lee, Jong Deog</creator><creator>Kim, Ho Cheol</creator><general>대한결핵 및 호흡기학회</general><scope>HZB</scope><scope>Q5X</scope><scope>JDI</scope></search><sort><creationdate>20151030</creationdate><title>Unplanned Extubation in Patients with Mechanical Ventilation: Experience in the Medical Intensive Care Unit of a Single Tertiary Hospital</title><author>Lee, Tae Won ; Hong, Jeong Woo ; Yoo, Jung-Wan ; Ju, Sunmi ; Lee, Seung Hun ; Lee, Seung Jun ; Cho, Yu Ji ; Jeong, Yi Yeong ; Lee, Jong Deog ; Kim, Ho Cheol</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-k503-d1f776dcf4fadc82eac642ee65658e8fb96964269d10bb7988aac274697f44d73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>kor</language><creationdate>2015</creationdate><topic>Airway Extubation</topic><topic>Artificial Intensive Care Units</topic><topic>Respiration</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Tae Won</creatorcontrib><creatorcontrib>Hong, Jeong Woo</creatorcontrib><creatorcontrib>Yoo, Jung-Wan</creatorcontrib><creatorcontrib>Ju, Sunmi</creatorcontrib><creatorcontrib>Lee, Seung Hun</creatorcontrib><creatorcontrib>Lee, Seung Jun</creatorcontrib><creatorcontrib>Cho, Yu Ji</creatorcontrib><creatorcontrib>Jeong, Yi Yeong</creatorcontrib><creatorcontrib>Lee, Jong Deog</creatorcontrib><creatorcontrib>Kim, Ho Cheol</creatorcontrib><collection>Korean Studies Information Service System (KISS)</collection><collection>Korean Studies Information Service System (KISS) B-Type</collection><collection>KoreaScience</collection><jtitle>Tuberculosis and respiratory diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Tae Won</au><au>Hong, Jeong Woo</au><au>Yoo, Jung-Wan</au><au>Ju, Sunmi</au><au>Lee, Seung Hun</au><au>Lee, Seung Jun</au><au>Cho, Yu Ji</au><au>Jeong, Yi Yeong</au><au>Lee, Jong Deog</au><au>Kim, Ho Cheol</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Unplanned Extubation in Patients with Mechanical Ventilation: Experience in the Medical Intensive Care Unit of a Single Tertiary Hospital</atitle><jtitle>Tuberculosis and respiratory diseases</jtitle><addtitle>Tuberculosis and Respiratory Diseases</addtitle><date>2015-10-30</date><risdate>2015</risdate><volume>78</volume><issue>4</issue><spage>336</spage><epage>340</epage><pages>336-340</pages><issn>1738-3536</issn><eissn>2005-6184</eissn><abstract>Background: Potentially harmful unplanned extubation (UE) may occur in patients on mechanical ventilation (MV) in an intensive care unit (ICU) setting. This study aimed to evaluate the clinical characteristics of UE and its impact on clinical outcomes in patients with MV in a medical ICU (MICU). Methods: We retrospectively evaluated MICU data prospectively collected between December 2011 and May 2014. Results: A total of 468 patients were admitted to the MICU, of whom 450 were on MV. Of the patients on MV, 30 (6.7%) experienced UE; 13 (43.3%) required reintubation after UE, whereas 17 (56.7%) did not require reintubation. Patients who required reintubation had a significantly longer MV duration and ICU stay than did those not requiring reintubation (19.4±15.1 days vs. 5.9±5.9 days days and 18.1±14.2 days vs. 7.1±6.5 days, respectively; p<0.05). In addition, mortality rate was significantly higher among patients requiring reintubation than among those not requiring reintubation (54.5% vs. 5.9%; p=0.007). These two groups of patients exhibited no significant differences, within 2 hours after UE, in the fraction of inspired oxygen, blood pressure, heart rate, respiratory rate, and pH. Conclusion: Although reintubation may not always be required in patients with UE, it is associated with a poor outcome after UE.</abstract><pub>대한결핵 및 호흡기학회</pub><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Tuberculosis and respiratory diseases, 2015-10, Vol.78 (4), p.336-340 |
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| source | KoreaMed Synapse; DOAJ Directory of Open Access Journals; PubMed Central Open Access; KoreaMed Open Access; PubMed Central |
| subjects | Airway Extubation Artificial Intensive Care Units Respiration |
| title | Unplanned Extubation in Patients with Mechanical Ventilation: Experience in the Medical Intensive Care Unit of a Single Tertiary Hospital |
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