Reintubation as an Outcome Predictor in Trauma Patients
Determine reintubation rate, identify its cause, and detail adverse outcomes from reintubation. Retrospective review of extubation failures in the trauma ICU. University hospital and regional trauma center. Four hundred five patients arriving intubated or requiring intubation during hospitalization...
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| Veröffentlicht in: | Chest 1996-12, Vol.110 (6), p.1577-1580 |
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| creator | Daley, Brian J. Garcia-Perez, Felix Ross, Steven E. |
| description | Determine reintubation rate, identify its cause, and detail adverse outcomes from reintubation.
Retrospective review of extubation failures in the trauma ICU.
University hospital and regional trauma center.
Four hundred five patients arriving intubated or requiring intubation during hospitalization after 2,516 traumatic injury admissions over 18 months.
None.
Reintubation incidence was 7% (27 times per 405 patients). Comparative mortality of the reintubated group (2/24=8%) is similar to overall trauma center mortality (224/2516=6.5%), but less than the cohort of patients admitted to the hospital intubated (63/405=16%). Reintubated patients had an increased frequency of stridor than reported previously (33%), and an increased tracheostomy rate (62% vs 30%). Stridor was not predictable from injury severity score, Glasgow coma score, age, sex, length of intubation, or place of intubation. Pulmonary complications (atelectasis, tracheobronchitis, pneumonia) developed in half of reintubated patients; stridorous patients did not have an increased rate of pulmonary complications.
Reintubation in trauma ICU patients does not predict poor outcome. |
| doi_str_mv | 10.1378/chest.110.6.1577 |
| format | Article |
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Retrospective review of extubation failures in the trauma ICU.
University hospital and regional trauma center.
Four hundred five patients arriving intubated or requiring intubation during hospitalization after 2,516 traumatic injury admissions over 18 months.
None.
Reintubation incidence was 7% (27 times per 405 patients). Comparative mortality of the reintubated group (2/24=8%) is similar to overall trauma center mortality (224/2516=6.5%), but less than the cohort of patients admitted to the hospital intubated (63/405=16%). Reintubated patients had an increased frequency of stridor than reported previously (33%), and an increased tracheostomy rate (62% vs 30%). Stridor was not predictable from injury severity score, Glasgow coma score, age, sex, length of intubation, or place of intubation. Pulmonary complications (atelectasis, tracheobronchitis, pneumonia) developed in half of reintubated patients; stridorous patients did not have an increased rate of pulmonary complications.
Reintubation in trauma ICU patients does not predict poor outcome.</description><identifier>ISSN: 0012-3692</identifier><identifier>EISSN: 1931-3543</identifier><identifier>DOI: 10.1378/chest.110.6.1577</identifier><identifier>PMID: 8989080</identifier><identifier>CODEN: CHETBF</identifier><language>eng</language><publisher>Northbrook, IL: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Artificial respiration ; Biological and medical sciences ; Complications and side effects ; Emergency and intensive respiratory care ; extubation failure ; Female ; GCS=Glascow coma scale ; Humans ; Intensive care medicine ; Intensive Care Units ; Intubation ; Intubation, Intratracheal - adverse effects ; ISS=injury severity score ; Male ; Medical sciences ; Middle Aged ; Prognosis ; reintubation ; Respiration, Artificial - adverse effects ; Respiratory Sounds - etiology ; Retrospective Studies ; stridor ; Trachea ; tracheostomy ; trauma ; Treatment Outcome ; Wounds and injuries ; Wounds and Injuries - mortality ; Wounds and Injuries - therapy</subject><ispartof>Chest, 1996-12, Vol.110 (6), p.1577-1580</ispartof><rights>1996 The American College of Chest Physicians</rights><rights>1997 INIST-CNRS</rights><rights>COPYRIGHT 1996 Elsevier B.V.</rights><rights>Copyright American College of Chest Physicians Dec 1996</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c517t-411eb8a281546993ec28a8ac038d2a44cb2a8cf18f3bd82fdf2a451b4bdeb6143</citedby><cites>FETCH-LOGICAL-c517t-411eb8a281546993ec28a8ac038d2a44cb2a8cf18f3bd82fdf2a451b4bdeb6143</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,27929,27930</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2521546$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8989080$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Daley, Brian J.</creatorcontrib><creatorcontrib>Garcia-Perez, Felix</creatorcontrib><creatorcontrib>Ross, Steven E.</creatorcontrib><title>Reintubation as an Outcome Predictor in Trauma Patients</title><title>Chest</title><addtitle>Chest</addtitle><description>Determine reintubation rate, identify its cause, and detail adverse outcomes from reintubation.
Retrospective review of extubation failures in the trauma ICU.
University hospital and regional trauma center.
Four hundred five patients arriving intubated or requiring intubation during hospitalization after 2,516 traumatic injury admissions over 18 months.
None.
Reintubation incidence was 7% (27 times per 405 patients). Comparative mortality of the reintubated group (2/24=8%) is similar to overall trauma center mortality (224/2516=6.5%), but less than the cohort of patients admitted to the hospital intubated (63/405=16%). Reintubated patients had an increased frequency of stridor than reported previously (33%), and an increased tracheostomy rate (62% vs 30%). Stridor was not predictable from injury severity score, Glasgow coma score, age, sex, length of intubation, or place of intubation. Pulmonary complications (atelectasis, tracheobronchitis, pneumonia) developed in half of reintubated patients; stridorous patients did not have an increased rate of pulmonary complications.
Reintubation in trauma ICU patients does not predict poor outcome.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Artificial respiration</subject><subject>Biological and medical sciences</subject><subject>Complications and side effects</subject><subject>Emergency and intensive respiratory care</subject><subject>extubation failure</subject><subject>Female</subject><subject>GCS=Glascow coma scale</subject><subject>Humans</subject><subject>Intensive care medicine</subject><subject>Intensive Care Units</subject><subject>Intubation</subject><subject>Intubation, Intratracheal - adverse effects</subject><subject>ISS=injury severity score</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Prognosis</subject><subject>reintubation</subject><subject>Respiration, Artificial - adverse effects</subject><subject>Respiratory Sounds - etiology</subject><subject>Retrospective Studies</subject><subject>stridor</subject><subject>Trachea</subject><subject>tracheostomy</subject><subject>trauma</subject><subject>Treatment Outcome</subject><subject>Wounds and injuries</subject><subject>Wounds and Injuries - mortality</subject><subject>Wounds and Injuries - therapy</subject><issn>0012-3692</issn><issn>1931-3543</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kUtrFTEUgIMo9VrduxEGEVfONSeZR-KuFF9QaJG6DmcyZ-5NmUlqMqP47811LhWlkkXIyXceycfYc-BbkK16a_eU5i3kY7OFum0fsA1oCaWsK_mQbTgHUcpGi8fsSUo3PJ9BNyfsRGmlueIb1n4h5-elw9kFX2Aq0BeXy2zDRMVVpN7ZOcTC-eI64jJhcZVB8nN6yh4NOCZ6dtxP2dcP76_PP5UXlx8_n59dlLaGdi4rAOoUCgV11WgtyQqFCi2XqhdYVbYTqOwAapBdr8TQDzlaQ1d1PXUNVPKUvV7r3sbwbcmPNZNLlsYRPYUlmVY1Vd0KkcGX_4A3YYk-z2YE53WlVVNn6M0K7XAk4_wQ5oh2R54ijsHT4HL4DJTWGhRkvLwHz6unydn7eL7yNoaUIg3mNroJ408D3Bx8md--TPZlGnPwlVNeHMdeuon6u4SjoHz_6niPyeI4RPTWpTtM1OLws386791u_8NFMmnCccxF5drz-Bl_dX63plDW991RNMlmtTY7j2Rn0wf3_7F_AQhowbo</recordid><startdate>19961201</startdate><enddate>19961201</enddate><creator>Daley, Brian J.</creator><creator>Garcia-Perez, Felix</creator><creator>Ross, Steven E.</creator><general>Elsevier Inc</general><general>American College of Chest Physicians</general><general>Elsevier B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>19961201</creationdate><title>Reintubation as an Outcome Predictor in Trauma Patients</title><author>Daley, Brian J. ; Garcia-Perez, Felix ; Ross, Steven E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c517t-411eb8a281546993ec28a8ac038d2a44cb2a8cf18f3bd82fdf2a451b4bdeb6143</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Artificial respiration</topic><topic>Biological and medical sciences</topic><topic>Complications and side effects</topic><topic>Emergency and intensive respiratory care</topic><topic>extubation failure</topic><topic>Female</topic><topic>GCS=Glascow coma scale</topic><topic>Humans</topic><topic>Intensive care medicine</topic><topic>Intensive Care Units</topic><topic>Intubation</topic><topic>Intubation, Intratracheal - adverse effects</topic><topic>ISS=injury severity score</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Prognosis</topic><topic>reintubation</topic><topic>Respiration, Artificial - adverse effects</topic><topic>Respiratory Sounds - etiology</topic><topic>Retrospective Studies</topic><topic>stridor</topic><topic>Trachea</topic><topic>tracheostomy</topic><topic>trauma</topic><topic>Treatment Outcome</topic><topic>Wounds and injuries</topic><topic>Wounds and Injuries - mortality</topic><topic>Wounds and Injuries - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Daley, Brian J.</creatorcontrib><creatorcontrib>Garcia-Perez, Felix</creatorcontrib><creatorcontrib>Ross, Steven E.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Chest</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Daley, Brian J.</au><au>Garcia-Perez, Felix</au><au>Ross, Steven E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reintubation as an Outcome Predictor in Trauma Patients</atitle><jtitle>Chest</jtitle><addtitle>Chest</addtitle><date>1996-12-01</date><risdate>1996</risdate><volume>110</volume><issue>6</issue><spage>1577</spage><epage>1580</epage><pages>1577-1580</pages><issn>0012-3692</issn><eissn>1931-3543</eissn><coden>CHETBF</coden><abstract>Determine reintubation rate, identify its cause, and detail adverse outcomes from reintubation.
Retrospective review of extubation failures in the trauma ICU.
University hospital and regional trauma center.
Four hundred five patients arriving intubated or requiring intubation during hospitalization after 2,516 traumatic injury admissions over 18 months.
None.
Reintubation incidence was 7% (27 times per 405 patients). Comparative mortality of the reintubated group (2/24=8%) is similar to overall trauma center mortality (224/2516=6.5%), but less than the cohort of patients admitted to the hospital intubated (63/405=16%). Reintubated patients had an increased frequency of stridor than reported previously (33%), and an increased tracheostomy rate (62% vs 30%). Stridor was not predictable from injury severity score, Glasgow coma score, age, sex, length of intubation, or place of intubation. Pulmonary complications (atelectasis, tracheobronchitis, pneumonia) developed in half of reintubated patients; stridorous patients did not have an increased rate of pulmonary complications.
Reintubation in trauma ICU patients does not predict poor outcome.</abstract><cop>Northbrook, IL</cop><pub>Elsevier Inc</pub><pmid>8989080</pmid><doi>10.1378/chest.110.6.1577</doi><tpages>4</tpages></addata></record> |
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| subjects | Adolescent Adult Aged Aged, 80 and over Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Artificial respiration Biological and medical sciences Complications and side effects Emergency and intensive respiratory care extubation failure Female GCS=Glascow coma scale Humans Intensive care medicine Intensive Care Units Intubation Intubation, Intratracheal - adverse effects ISS=injury severity score Male Medical sciences Middle Aged Prognosis reintubation Respiration, Artificial - adverse effects Respiratory Sounds - etiology Retrospective Studies stridor Trachea tracheostomy trauma Treatment Outcome Wounds and injuries Wounds and Injuries - mortality Wounds and Injuries - therapy |
| title | Reintubation as an Outcome Predictor in Trauma Patients |
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