Advanced age and gender are risk factors for extubation failure in adult ICU
Introduction: Failure in the invasive mechanical ventilation (IMV) withdrawal process is associated with adverse outcomes such as high hospital mortality and high costs. Objective: To know the risk factors for extubation failure in an adult intensive care unit (ICU) undergoing IMV. Secondly, to know...
| Autores: | , , , |
|---|---|
| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2020 |
| País: | Brasil |
| Institución: | Universidade Nove de Julho (UNINOVE) |
| Repositorio: | Revista Conscientiae Saúde (Online) |
| Idioma: | portugués |
| OAI Identifier: | oai:ojs.periodicos.uninove.br:article/16415 |
| Acceso en línea: | https://periodicos.uninove.br/saude/article/view/16415 |
| Access Level: | acceso abierto |
| Palabra clave: | Intensive Care Unit Airway Extubation Respiration Artificial Weaning Unidades de Terapia Intensiva Extubação Ventilação Mecânica Desmame |
| Sumario: | Introduction: Failure in the invasive mechanical ventilation (IMV) withdrawal process is associated with adverse outcomes such as high hospital mortality and high costs. Objective: To know the risk factors for extubation failure in an adult intensive care unit (ICU) undergoing IMV. Secondly, to know the rate of orotracheal reintubation (Re-TOT). Methods: Prospective, observational study conducted on electronic medical records over a period of 11 consecutive months in an adult ICU. Chi-square or Fischer's Exact tests compared Re-TOT, sex and age groups. Results: Medical records from 224 adults were analyzed, with a mean age of 61.9 ± 16.9 years and 48.2% male. The main reason for hospitalization was due to acute respiratory failure (33%). Women were susceptible to extubation failure compared to men (21.5% vs. 10%, p = 0.019; respectively), and advanced age. Re-TOT was 31.5%. Conclusion: Female gender and advanced age were risk factors for extubation failure. Re-TOT was higher than other indexes in the literature. |
|---|