A Study of the Influential Factors Related to Successful Extubation of Patients in the Surgical Intensive Care Unit

2.50
Hdl Handle:
http://hdl.handle.net/10755/154438
Type:
Presentation
Title:
A Study of the Influential Factors Related to Successful Extubation of Patients in the Surgical Intensive Care Unit
Abstract:
A Study of the Influential Factors Related to Successful Extubation of Patients in the Surgical Intensive Care Unit
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Wang, Kwua-Yun, RN, MS
P.I. Institution Name:National Defense Medical Center
Title:Professor, Dean
[Research Presentation] The purpose of this study was to examine the influential factors related to successful extubation and the predictors of successful extubation in a surgical intensive care unit (SICU) patients with mechanical ventilators. A prospective design was used. One hundred and twenty-four intubated patients after surgery were collected from the SICU of a medical center in Northern Taiwan. A questionnaire containing demographics and disease characteristics, VentCheckTM, Evita ventilator and HP physiological monitoring machine were used to collect data. Data was analyzed by frequency, percentage, mean, standard deviation, rank, Chi-square test, independent-samples T-test and stepwise logistic regression using SPSS 13.0 software package. P<0.05 was considered as the statistically significant level. The result of this study were as follows: of 124 intubated patients, 107 were successful extubation, and 17 were extubation failure (reintubation within 72 hours after planned extubation). The successful extubation patients had significantly lower APACHE II score (p=0.04), shorter duration of mechanical ventilator (p=0.02), and less time in the SICU (p<0.001) compared to the extubation failure patients. In the inventory of evaluative extubation of patients in the SICU, the Chi-square test or independent-samples T test showed that átheásignificant variablesáincluded whether consciousness is alert, respiratory rate, rapid shallow breathing index (RSBI) and PaO2/FiO2. The results of stepwise logistic regression showed that the significant predictors of successful extubation were duration of mechanical ventilation, PaO2/FiO2, whether consciousness is alert and tidal volume. In conclusion, the results of this study will be a useful approach to guiding the extubation of patients with mechanical ventilators in the SICU.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleA Study of the Influential Factors Related to Successful Extubation of Patients in the Surgical Intensive Care Uniten_GB
dc.identifier.urihttp://hdl.handle.net/10755/154438-
dc.description.abstract<table><tr><td colspan="2" class="item-title">A Study of the Influential Factors Related to Successful Extubation of Patients in the Surgical Intensive Care Unit</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Wang, Kwua-Yun, RN, MS</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">National Defense Medical Center</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Professor, Dean</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">w6688@ndmctsgh.edu.tw</td></tr><tr><td colspan="2" class="item-abstract">[Research Presentation] The purpose of this study was to examine the influential factors related to successful extubation and the predictors of successful extubation in a surgical intensive care unit (SICU) patients with mechanical ventilators. A prospective design was used. One hundred and twenty-four intubated patients after surgery were collected from the SICU of a medical center in Northern Taiwan. A questionnaire containing demographics and disease characteristics, VentCheckTM, Evita ventilator and HP physiological monitoring machine were used to collect data. Data was analyzed by frequency, percentage, mean, standard deviation, rank, Chi-square test, independent-samples T-test and stepwise logistic regression using SPSS 13.0 software package. P&lt;0.05 was considered as the statistically significant level. The result of this study were as follows: of 124 intubated patients, 107 were successful extubation, and 17 were extubation failure (reintubation within 72 hours after planned extubation). The successful extubation patients had significantly lower APACHE II score (p=0.04), shorter duration of mechanical ventilator (p=0.02), and less time in the SICU (p&lt;0.001) compared to the extubation failure patients. In the inventory of evaluative extubation of patients in the SICU, the Chi-square test or independent-samples T test showed that &aacute;the&aacute;significant variables&aacute;included whether consciousness is alert, respiratory rate, rapid shallow breathing index (RSBI) and PaO2/FiO2. The results of stepwise logistic regression showed that the significant predictors of successful extubation were duration of mechanical ventilation, PaO2/FiO2, whether consciousness is alert and tidal volume. In conclusion, the results of this study will be a useful approach to guiding the extubation of patients with mechanical ventilators in the SICU.</td></tr></table>en_GB
dc.date.available2011-10-26T12:59:55Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T12:59:55Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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