Risk factors for reintubation in the intensive care unit of a trauma hospital
DOI:
https://doi.org/10.33233/fb.v22i4.4910Keywords:
airway extubation; risk factors; wounds and injuriesAbstract
Mechanical ventilation (MV) is a resource frequently used in the Intensive Care Unit (ICU). However, the need for reintubation after the withdrawal of ventilatory support is associated with unfavorable outcomes. The objectives of this study were to identify possible risk factors and clinical outcome of patients reintubated in the ICU of a trauma referral hospital. A prospective cohort study was performed in a period of 4 months with adult patients admitted to the ICU and who remained on MV for at least 24 hours. The sample consisted of 100 patients divided into a group of non-reintubated patients and patients who attended with the need to return to MV. 27 patients were reintubated, 18 of them reintubated within 48 hours after extubation. Age, diabetes, obesity, time from MV to extubation and respiratory rate (RR) were variables that showed a statistically significant difference between groups (p < 0.05) but could not be identified as independent risk factors for return to ventilation. Reintubation was associated with the need for tracheostomies (TQT) (p < 0.001), longer length of stay on MV (p < 0.001), prolonged ICU stay (p < 0.001) and mortality (p < 0.005). Age, presence of diabetes, obesity, longer MV and higher pre-extubation RF were the variables related to reintubation. This event was directly associated with worse outcomes such as need for TQT, greater dependence on MV, prolonged ICU stay and mortality.
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Copyright (c) 2021 Julia Alencar Renault, Polliana Oliveira Melo, Priscilla Cristina Ribeiro Soares
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