Respiratory Re-intubation in Medical Department of Mahsarat Nakhon Ratchasima Hospital
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Abstract
Patients who are reintubated have worse clinical outcomes including increased mortality, longer stay in intensive care unit and prolonged duration of hospitalization. Prognoses of these patients are worse than non-reintubated patients. Studies of risks and outcomes of reintubated patients in Maharat Nakhon Ratchasima Hospital are important for surveillance and prevention of conditions to be reintubated. Objectives: To determine basic characteristics and outcomes of the extubated patients with or without reintubation. Patients &Methods: A descriptive study was done in the sample including all extubated patients after intubation for 6 hours or more in the Department of Medicine, Maharat Nakhon Ratchasima hospital from March 6, 2006 to May, 6, 2006. Result: A total of 158 extubated patients were recruited including 94 (59.5%) non-reintubated patients with no mortality and 64 (40.5%) reintubated patients. The reintubated group had high mortality (71.9%), increased duration of hospitalized care, increased tracheostomy rate and most of them (57 persons; 89.1%) were unplanned for extubation. The most common cause of unplanned extubation is self- extubation. The unplanned extubation occurred more common in non-intensive care units and more often in the evening period. Conclusion: The most of respiratory reintubation in Medical Department of Maharat Nakhon Ratchasima Hospital is unplanned extubation and its common cause was self extubation. The reintubated patients had high mortality rate, increased duration of hospitalized care and increased tracheostomy rate.
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