A Case-Control Study on Predictors and Outcomes of Unplanned Extubation in Mechanically Ventilated Critically Ill Patients
Other Title(s)
Global Research in the Acute Care Setting
View File(s)
Author Information
- Author(s)
- Details
-
Eunok Kwon, PhD, RN, CCNS; Kyung Sook Choi, PhD, RN
- Sigma Affiliation
- Non-member
Visitor Statistics
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Country | Visits |
---|
Top Visiting Cities
City | Visits |
---|
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Kwon, Eunok by View
Title | Page Views |
---|
Popular Works for Kwon, Eunok by Download
Title | Downloads |
---|
View Citations
Citations
The citations below are meant to be used as guidelines. Patrons must make any necessary corrections before using. Pay special attention to personal names, capitalization, and dates. Always consult appropriate citation style resources for the exact formatting and punctuation guidelines.
Item Information
Item Link - Use this link for citations and online mentions.
Abstract
Session presented on Friday, July 25, 2014: Purpose: To find out predictors & outcomes of unplanned extubation in mechanically ventilated critically ill patients. Methods: Researcg design is a case-control study over 3 years period from January 1, 2010 through December 31, 2012. Settings is A 62-beds medical & surgical intensive care unit of 1800 beds tertiary hospital. Data were retrospectively collected from electronic medical records. A total 230 episodes of deliberate unplanned extubation in 242 patients from 41,207 mechanically ventilated patients for 3 years (frequency 0.53%). 460 episodes in 460 patients with planned extubation age, gender & diagnosis-matched controls were analyzed in this case-control study. Results: Predictors associated with unplanned extubation include better motor response (OR 1.3), admission route via ER (OR 1.8), higher APACHE IIscore (1.061), mode of mechanical ventilation (CPAP, PSV: OR4.1, SIMV:3.0), peripheral O2 saturation (OR:0.9), heart rate (OR: 1.0), respiration rate (OR:1.0), pain (OR:0.3), agitation (OR:9.0), delirium (OR:11.6), night shift (OR:6.0) and morning care time (OR:0.5). The patients' & organizational outcomes of unplanned extubation were reintubation (OR;85.66), a poor discharge result (OR:0.2), a longer length of stay in the ICU (adj R-square:7%) and a longer length of stay in the hospital (adj R-square:4.3%). Conclusion: Delirium, agitation, ventilation mode and night shift are high predictive factors of unplanned extubation. The outcomes of unplanned extubation were increasing reintubation, a poor patient outcome at the time of discharge and poor organizational outcome including longer length of stay in the ICU and hospital.
Description
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong
Repository Posting Date
2014-11-17T13:49:06Z
Notes
Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository.
Type Information
Type | Presentation |
Acquisition | Proxy-submission |
Review Type | Abstract Review Only: Reviewed by Event Host |
Category Information
Evidence Level | |
Keywords | meta analysis; Easy guide to nursing research; Evidence based nursing |
Conference Information
Name | 25th International Nursing Research Congress |
Host | Sigma Theta Tau International, the Honor Society of Nursing |
Location | Hong Kong |
Date | 2014 |
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Related items
Showing items related by title, author, creator and subjects.
-
Meta-Analysis of the Effects of Early Mobilization on Mechanically Ventilated Patients
Shibily, Faygah (2017-09-18)So far, there is no meta-analysis for early mobilization intervention of mechanically ventilated patients in the ICU setting has done. This provided the statistic synthesis for this intervention. This meta-analysis highlight ... -
The effects of psychological nursing intervention program on psychological distress and quality of life in women with breast cancer undergoing chemotherapy
Kim, Yeon Hee; Choi, Kyung Sook (2014-11-17)Session presented on Friday, July 25, 2014: Purpose: The purpose of this study was to develop a psychological nursing intervention program and evaluate the effect on psychological distress and quality of life for women ... -
Communication skills intervention: promoting effective communication between nurses and mechanically ventilated patients
Dithole, K. S.; Thupayagale-Tshweneagae, Gloria; Akpor, Oluwaseyi A.; Moleki, Mary M. -
Developing the Evidence for Airway Management of Critically Ill Ventilated Patients
Sole, Mary Lou (2017-07-27)This program describes a trajectory of research to build the evidence for best practices for airway management in critically-ill ventilated patients. Discussion will focus on practices including suctioning and management ... -
Fewer Ventilator Days with Dexmedetomidine Use for Patients Difficult to Extubate Implementation Study
Becker, Susan E. (2016-03-21)Session presented on Tuesday, November 10, 2015: Background: Traditional sedation for mechanically ventilated patients causes delirium which increases the patients' length of stay while hospitalized. When extubation is ...