Outcomes of Preterm Infants Who Experienced Unplanned Extubation

Unplanned extubation (UE) is associated with adverse outcomes. The aim of the study was to compare the clinical outcomes in preterm infants who experienced at least one UE to those who did not experience any UE. The matched cohort study compared ventilated preterm infants < 32 weeks who experienc...

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Bibliographic Details
Published in:Respiratory care 2022-10, Vol.67 (10), p.1320-1326
Main Authors: Nair, Vrinda, Loganathan, Prakash Kannan, Smith, Helena, Lal, Mithilesh Kumar
Format: Article
Language:English
Subjects:
Airway Extubation - adverse effects
Artificial respiration
Bronchopulmonary Dysplasia - epidemiology
Bronchopulmonary Dysplasia - etiology
Care and treatment
Cohort Studies
Humans
Infant
Infant, Newborn
Infant, Premature
Infants (Premature)
Neonatal intensive care units
Patient outcomes
Respiration, Artificial - adverse effects
Retinopathy of Prematurity - etiology
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Summary:Unplanned extubation (UE) is associated with adverse outcomes. The aim of the study was to compare the clinical outcomes in preterm infants who experienced at least one UE to those who did not experience any UE. The matched cohort study compared ventilated preterm infants < 32 weeks who experienced UE to those who did not experience any UE. The main outcomes were duration of mechanical ventilation after matching, duration of hospital stay, retinopathy of prematurity (ROP) requiring intervention, and bronchopulmonary dysplasia (BPD). Forty-seven infants were included in each group. The groups were matched for mechanical ventilation duration before UE, birth gestation, and birthweight. The duration of mechanical ventilation after matching (adjusted odds ratio [aOR] 14.8 [11.2-18.4], =
ISSN:0020-1324
1943-3654
DOI:10.4187/respcare.10005