The Risk Factors of Unplanned Endotracheal Extubation in Adult Intensive Care Unit

Purpose:

 Unplanned extubation (UEE)is a frequent problem in the intensive care unit and represents an adverse event. It increases morbidity in the intensive care unit (ICU) resulting in prolonged hospital stays and increased costs.To investigate the risk factors of unplanned endotracheal extubation in the intensive care Unit.

Methods:

    We collected 106 unplanned self-extubation cases for this study from January 2011 to December 2012. in a medical center at southern Taiwan . The contents included patients’ characteristics, unplanned tubing removal situation.

Results:

The results show: (1) 106 patients occurred of unplanned endotracheal extubation in the year of 2011 and 2012. (2) The rate in man was higher than in woman, which mostly was distributed in the patients with the age over 70. The frequency (41.5%) in the nursing of day shift was highest than others.. Unplanned extubation was happend during on duty before and after work one hour(21.6%). Over half of them were been restrained inappropriately .29.4% UEE patients during mouth care . After unplanned endotracheal extubation, 50.9% self-extubation patients needed to be re-intubated..

Conclusion:

The concluded factors in unplanned endotracheal extubation could be used in improving quality control of medical administration, clinical practice, and nursing education.