Incidence And Risk Factors Of Accidental Extubation In A Neonatal Intensive Care Unit

dc.creatorCarvalho F.L.
dc.creatorMezzacappa M.A.
dc.creatorCalil R.
dc.creatorMachado H.D.C.
dc.date2010
dc.date2015-06-26T12:36:38Z
dc.date2015-11-26T15:26:43Z
dc.date2015-06-26T12:36:38Z
dc.date2015-11-26T15:26:43Z
dc.date.accessioned2018-03-28T22:35:23Z
dc.date.available2018-03-28T22:35:23Z
dc.identifier
dc.identifierJornal De Pediatria. , v. 86, n. 3, p. 189 - 195, 2010.
dc.identifier217557
dc.identifier10.2223/JPED.1999
dc.identifierhttp://www.scopus.com/inward/record.url?eid=2-s2.0-77953320804&partnerID=40&md5=f3cf7c93939bb5a4c2c24a8fbd55b68a
dc.identifierhttp://www.repositorio.unicamp.br/handle/REPOSIP/91098
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/91098
dc.identifier2-s2.0-77953320804
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1261171
dc.descriptionObjective: To determine the incidence and risk factors of accidental extubation (AE) in a tertiary neonatal intensive care unit. Methods: A prospective cohort study was conducted to determine AE incidence density per 100 patient-days, during a 23-month period, in 222 newborns receiving assisted ventilation (AV). Logistic regression analysis was used to determine risk factors for AE. The presence of a cyclical pattern in extubation rates, according to the variables of interest, was investigated by Cosinor analysis. Results: The mean AE rate was 5.34/100 patient-days ventilated. AE-associated predictive variables were: subsequent use of the oral and nasal routes during AV [relative risk (RR) = 4.73; 95% confidence interval (95%CI) 1.92-11.60], AV duration (per day, RR = 1.03; 95%CI 1.02-1.04), and number of patient-days ventilated (RR = 1.01; 95%CI 1.01-1.02). According to the adjusted multiple regression analysis, total AV time was the only independent predictor of AE in this sample (RR = 1.02; 95%CI 1.01-1.03). AV time of 10.5 days showed an accuracy of 0.79 (95%CI 0.71-0.87) for the occurrence of AE. Cosinor analysis showed significant periodicity in overall AE rate and in the number of patient-days ventilated. There was a significant correlation between the number of patient-days ventilated and AE frequency. Conclusion: Mean AE density was 5.34/100 patient-days ventilated. AV duration was the only independent predictor of AE. The best accuracy for AE occurrence was achieved at 10.5 days of AV duration. Copyright © 2010 by Sociedade Brasileira de Pediatria.
dc.description86
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dc.description195
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dc.languageen
dc.publisher
dc.relationJornal de Pediatria
dc.rightsaberto
dc.sourceScopus
dc.titleIncidence And Risk Factors Of Accidental Extubation In A Neonatal Intensive Care Unit
dc.typeArtículos de revistas


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