Reintubation as an outcome predictor in trauma patients

Brian Daley, Felix Garcia-Perez, Steven E. Ross

Research output: Contribution to journalArticle

57 Citations (Scopus)

Abstract

Study objective: Determine reintubation rate, identify its cause, and detail adverse outcomes from reintubation. Design: Retrospective review of extubation failures in the trauma ICU. Setting: University hospital and regional trauma center. Patients: Four hundred five patients arriving intubated or requiring intubation during hospitalization after 2,516 traumatic injury admissions over 18 months. Interventions: None. Results: Reintubation incidence was 7% (27 times per 405 patients). Comparative mortality of the reintubated group (2/24=8%) is similar to overall trauma center mortality (224/2516=6.5%), but less than the cohort of patients admitted to the hospital intubated (63/405=16%). Reintubated patients had an increased frequency of stridor than reported previously (33%), and an increased tracheostomy rate (62% vs 30%). Stridor was not predictable from injury severity score, Glasgow coma score, age, sex, length of intubation, or place of intubation. Pulmonary complications (atelectasis, tracheobronchitis, pneumonia) developed in half of reintubated patients; stridorous patients did not have an increased rate of pulmonary complications. Conclusion: Reintubation in trauma ICU patients does not predict poor outcome.

Original languageEnglish (US)
Pages (from-to)1577-1580
Number of pages4
JournalChest
Volume110
Issue number6
DOIs
StatePublished - Jan 1 1996

Fingerprint

Wounds and Injuries
Intubation
Trauma Centers
Respiratory Sounds
Injury Severity Score
Pulmonary Atelectasis
Mortality
Tracheostomy
Coma
Pneumonia
Hospitalization
Lung
Incidence

All Science Journal Classification (ASJC) codes

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

Reintubation as an outcome predictor in trauma patients. / Daley, Brian; Garcia-Perez, Felix; Ross, Steven E.

In: Chest, Vol. 110, No. 6, 01.01.1996, p. 1577-1580.

Research output: Contribution to journalArticle

Daley, B, Garcia-Perez, F & Ross, SE 1996, 'Reintubation as an outcome predictor in trauma patients', Chest, vol. 110, no. 6, pp. 1577-1580. https://doi.org/10.1378/chest.110.6.1577
Daley, Brian ; Garcia-Perez, Felix ; Ross, Steven E. / Reintubation as an outcome predictor in trauma patients. In: Chest. 1996 ; Vol. 110, No. 6. pp. 1577-1580.
@article{688402850a7b4bdfb5806b558751f12c,
title = "Reintubation as an outcome predictor in trauma patients",
abstract = "Study objective: Determine reintubation rate, identify its cause, and detail adverse outcomes from reintubation. Design: Retrospective review of extubation failures in the trauma ICU. Setting: University hospital and regional trauma center. Patients: Four hundred five patients arriving intubated or requiring intubation during hospitalization after 2,516 traumatic injury admissions over 18 months. Interventions: None. Results: Reintubation incidence was 7{\%} (27 times per 405 patients). Comparative mortality of the reintubated group (2/24=8{\%}) is similar to overall trauma center mortality (224/2516=6.5{\%}), but less than the cohort of patients admitted to the hospital intubated (63/405=16{\%}). Reintubated patients had an increased frequency of stridor than reported previously (33{\%}), and an increased tracheostomy rate (62{\%} vs 30{\%}). Stridor was not predictable from injury severity score, Glasgow coma score, age, sex, length of intubation, or place of intubation. Pulmonary complications (atelectasis, tracheobronchitis, pneumonia) developed in half of reintubated patients; stridorous patients did not have an increased rate of pulmonary complications. Conclusion: Reintubation in trauma ICU patients does not predict poor outcome.",
author = "Brian Daley and Felix Garcia-Perez and Ross, {Steven E.}",
year = "1996",
month = "1",
day = "1",
doi = "10.1378/chest.110.6.1577",
language = "English (US)",
volume = "110",
pages = "1577--1580",
journal = "Chest",
issn = "0012-3692",
publisher = "American College of Chest Physicians",
number = "6",

}

TY - JOUR

T1 - Reintubation as an outcome predictor in trauma patients

AU - Daley, Brian

AU - Garcia-Perez, Felix

AU - Ross, Steven E.

PY - 1996/1/1

Y1 - 1996/1/1

N2 - Study objective: Determine reintubation rate, identify its cause, and detail adverse outcomes from reintubation. Design: Retrospective review of extubation failures in the trauma ICU. Setting: University hospital and regional trauma center. Patients: Four hundred five patients arriving intubated or requiring intubation during hospitalization after 2,516 traumatic injury admissions over 18 months. Interventions: None. Results: Reintubation incidence was 7% (27 times per 405 patients). Comparative mortality of the reintubated group (2/24=8%) is similar to overall trauma center mortality (224/2516=6.5%), but less than the cohort of patients admitted to the hospital intubated (63/405=16%). Reintubated patients had an increased frequency of stridor than reported previously (33%), and an increased tracheostomy rate (62% vs 30%). Stridor was not predictable from injury severity score, Glasgow coma score, age, sex, length of intubation, or place of intubation. Pulmonary complications (atelectasis, tracheobronchitis, pneumonia) developed in half of reintubated patients; stridorous patients did not have an increased rate of pulmonary complications. Conclusion: Reintubation in trauma ICU patients does not predict poor outcome.

AB - Study objective: Determine reintubation rate, identify its cause, and detail adverse outcomes from reintubation. Design: Retrospective review of extubation failures in the trauma ICU. Setting: University hospital and regional trauma center. Patients: Four hundred five patients arriving intubated or requiring intubation during hospitalization after 2,516 traumatic injury admissions over 18 months. Interventions: None. Results: Reintubation incidence was 7% (27 times per 405 patients). Comparative mortality of the reintubated group (2/24=8%) is similar to overall trauma center mortality (224/2516=6.5%), but less than the cohort of patients admitted to the hospital intubated (63/405=16%). Reintubated patients had an increased frequency of stridor than reported previously (33%), and an increased tracheostomy rate (62% vs 30%). Stridor was not predictable from injury severity score, Glasgow coma score, age, sex, length of intubation, or place of intubation. Pulmonary complications (atelectasis, tracheobronchitis, pneumonia) developed in half of reintubated patients; stridorous patients did not have an increased rate of pulmonary complications. Conclusion: Reintubation in trauma ICU patients does not predict poor outcome.

UR - http://www.scopus.com/inward/record.url?scp=0030465013&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0030465013&partnerID=8YFLogxK

U2 - 10.1378/chest.110.6.1577

DO - 10.1378/chest.110.6.1577

M3 - Article

C2 - 8989080

AN - SCOPUS:0030465013

VL - 110

SP - 1577

EP - 1580

JO - Chest

JF - Chest

SN - 0012-3692

IS - 6

ER -