Citation

Eizadi-Mood N, Jafari-Khozani P, Mansourian M, Massoumi G, Yaraghi A. Journal of Isfahan Medical School 2018; 36(486): 743-749.

Copyright

(Copyright © 2018)

DOI

10.22122/jims.v36i486.10151

PMID

unavailable

Abstract

BACKGROUND: Endotracheal intubation is one of the most common interventions in the intensive care unit to provide a reliable airway for patients. We investigated the causes of endotracheal reintubation in cases with poisoning admitted to the intensive care unit.

METHODS: In this case-control study, 43 patients required endotracheal reintubation (case group) and 45 patients in the control group with only one time endotracheal intubation were compared according to clinical, paraclinical, and post-treatment sign and symptoms.

FINDINGS: There was a significant difference between the two groups based on the cause of consumption of drug or poison (suicide, accidental, or unspecified) (P < 0.050). In the group with reintubation, opioid poisoning was more common. Most of the patients in the reintubation group (55.8%) were recovered with complications. However, most patients in the control group (64.4%) were recovered without complications (P < 0.050). The duration of hospitalization in case group was significantly higher than control group (P = 0.004). Patients with accidental poisoning had less chance of reintubation [Odds ratio (OR) = 0.32; 95% of confidence interval (95%CI) = 0.12-0.89; P= 0.020]. Whereas, spontaneous extubation increased the risk of reintubation (OR = 8.30; 95%CI = 1.73-39.67; P = 0.008). Moreover, the possibility of reintubation was higher in spontaneous extubation.

CONCLUSION: Spontaneous extubation and the cause of poisoning are predictive factors for reintubation. In cases where the patient needs endotracheal reintubation, the duration of hospitalization and complications are higher. © 2018, Isfahan University of Medical Sciences(IUMS). All rights reserved.

Language: fa

Keywords

human; Suicide; Poisoning; hospitalization; intoxication; risk factor; major clinical study; controlled study; drug intoxication; opiate; intensive care unit; case control study; endotracheal intubation; Article; intubation; Endotracheal intubation