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    Please use this identifier to cite or link to this item: https://ir.cnu.edu.tw/handle/310902800/31783


    標題: Prognostic factors and outcomes of unplanned extubation
    作者: Chao, Chien-Ming
    Sung, Mei-I.
    Cheng, Kuo-Chen
    Lai, Chih-Cheng
    Chan, Khee-Siang
    Cheng, Ai-Chin
    Hsing, Shu-Chen
    Chen, Chin-Ming
    貢獻者: Chi Mei Med Ctr, Dept Intens Care Med
    Chi Mei Med Ctr, Dept Internal Med
    Chung Hwa Univ Med Technol, Dept Safety Hlth & Environm Engn
    Chi Mei Med Ctr, Dept Intens Care Med
    Chia Nan Univ Pharm & Sci, Dept Recreat & Hlth Care Management
    關鍵字: Intensive-Care-Unit
    Acute Respiratory-Failure
    Mechanical Ventilation
    Endotracheal Extubation
    Self-Extubations
    Population
    Support
    Icu
    Age
    日期: 2017-08-17
    上傳時間: 2018-11-30 15:56:34 (UTC+8)
    出版者: Nature Publishing Group
    摘要: This study investigated the prognostic factors and outcomes of unplanned extubation (UE) in patients in a medical center's 6 intensive care units (ICUs) and calculated their mortality risk. We retrospectively reviewed the medical records of all adult patients inChi Mei Medical Center who underwent UE between 2009 and 2015. During the study period, there were 305 episodes of UE in 295 ICU patients (men: 199 [67.5%]; mean age: 65.7 years; age range: 18-94 years). The mean Acute Physiology and Chronic Health Evaluation (APACHE) II score was 16.4, mean therapeutic intervention scoring system (TISS) score was 26.5, and mean Glasgow coma scale score was 10.4. One hundred thirty-six patients (46.1%) were re-intubated within 48 h. Forty-five died (mortality rate: 15.3%). Multivariate analyses showed 5 risk factors-respiratory rate, APACHE II score, uremia, liver cirrhosis, and weaning status-were independently associated with mortality. In conclusion, five risk factors including a high respiratory rate before UE, high APACHE II score, uremia, liver cirrhosis, and not in the process of being weaned-were associated with high mortality in patients who underwent UE.
    關聯: Scientific Reports, v.7, pp.8636
    Appears in Collections:[休閒保健管理系(所)] 期刊論文

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