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Evaluating the Causes of Unplanned Extubation and its Related Complications in Patients Admitted to Intensive Care Units: A Prospective, Cross-sectional Multicenter Study
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Mansooreh Rooeintan   , Simin Jahani * , Bahman Cheraghian |
| Department of Medical and Surgical Nursing, Nursing Care Research Center in Chronic Diseases, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. , Jahanisimin50@yahoo.com |
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Abstract: (1517 Views) |
Background and Aim: Unplanned extubation is an important factor in the assessment of nursing care quality. This study aimed to determine the causes of unplanned extubation and its complications in patients admitted to intensive care units in the educational hospitals affiliated to Ahvaz Jundishapur University of Medical Sciences in 2019-2020.
Methods: This prospective, cross-sectional multicenter study examined 384 patients admitted to intensive care units by convenience sampling method. The data was acquired through a questionnaire consisting of 3 sections, completed by the nurses working in these departments. The first section of the questionnaire included demographic and medical information of the patient undergoing unplanned extubation. Sections 2 and 3 contained researcher-made checklists about factors regarding extubation, and the subsequent complications, respectively. The validity and reliability of the tool were tested and confirmed by calculating the content validity and test-retest approach. For data analysis, SPSS V22 software was used, along with the descriptive and analytical statistics tests.
Results: In the present study, the incidence rate of unplanned extubation was reported to be 14.06%, the reason for which can be divided into 3 areas including patient-related factors such as delirium, nurse-related factors such as high nursing workload, and factors associated with the department’s design and equipment such as tube cuff rupture. Moreover, most complications due to unplanned extubation in patients included laryngeal hemorrhage and aspiration.
Conclusion: Considering the incidence rate of unplanned extubation in patients admitted to ICU departments in this study was reported to be 14.06%, and the identification of its causes and complications, it is essential to train the ICU staff, especially nurses, to reduce the incidence of this phenomenon.
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Article number: 8 |
| Keywords: Intubation, Unplanned Extubation, Intensive Care Unit |
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Full-Text [PDF 1376 kb]
(556 Downloads)
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Type of Study: Research |
Subject:
Special
Received: 2022/02/26 | Accepted: 2022/04/24 | Published: 2022/04/24
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