10.6084/m9.figshare.12095043.v1
Alessandro Domingues Heubel
Alessandro Domingues
Heubel
Renata Gonçalves Mendes
Renata Gonçalves
Mendes
Silvia Regina Barrile
Silvia Regina
Barrile
Camila Gimenes
Camila
Gimenes
Bruno Martinelli
Bruno
Martinelli
Luciane Neves da Silva
Luciane Neves da
Silva
Célio Guilherme Lombardi Daibem
Célio Guilherme Lombardi
Daibem
Extubation failure in pediatric intensive care unit: a retrospective cohort study
SciELO journals
2020
Intensive Care Unit
Pediatrics
Mechanical Ventilation
Airway Extubation
2020-04-08 02:50:11
Dataset
https://scielo.figshare.com/articles/dataset/Extubation_failure_in_pediatric_intensive_care_unit_a_retrospective_cohort_study/12095043
<p></p><p>ABSTRACT In the pediatric intensive care unit (ICU), extubation failure may increase mortality risk. This study aimed: (1) to verify the rate of extubation failure in the pediatric ICU of a public hospital located in the city of Bauru (São Paulo, Brazil); (2) to identify the main cause attributed to extubation failure; (3) to evaluate whether age and time of invasive mechanical ventilation (IMV) are characteristics associated to extubation failure; (4) to evaluate whether the length of stay in the ICU/hospital is longer among patients who presented extubation failure. A retrospective study was performed with 89 hospitalized patients from May 2017 to July 2018. Results showed an extubation failure rate corresponding to 16%. The main cause attributed to extubation failure was laryngeal stridor, totaling 57% of the cases. Intergroup comparison (success vs. failure of extubation) showed no differences in relation to age (p=0.294) and IMV time (p=0.228). However, we observed that the extubation failure group had longer ICU (p=0.000) and hospital time (p=0.010). In this way, we conclude that the rate of extubation failure is in agreement with other studies. Laryngeal stridor was responsible for more than half of cases of extubation failure. Although IMV time and age were not associated with the extubation failure, they contributed to a longer stay in the ICU and in the hospital.</p><p></p>