Departments of Neurology and Neurosurgery, Rhode Island Hospital, The Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA
Research Article
Comparing Extubation Outcomes in Patients with Primary Brain Injury and Patients without Primary Brain Injury
Author(s): Richard K Choi*, Margarethe E Goetz, Stevenson Potter, Bradford B Thompson and Linda C Wendell
Patients intubated for primarily neurological reasons represent a unique critically-ill population. Extubation failure rates in Primary Brain Injury (PBI) patients are 18%-38% compared to 13%-18% in the general critical care population. These populations have never been directly compared. We hypothesized that intubated PBI patients would have higher rates of extubation failure compared to non-PBI patients.A retrospective cohort of intubated patients with and without PBI admitted between October 1, 2008 and September 30, 2010 who had a planned non-terminal trial of extubation in either the Medical Intensive Care Unit and Neurocritical Care Unit in a tertiary-care university hospital. Of the 1684 patient charts reviewed, 349 were included; 107 patients had PBI, and 242 did not have PBI. Combined extubation failure rates before 48 hours, 72 hours and 1 week were 13.7%, 17.5%, .. View More»
DOI:
10.37532/nnr22.4.4.1-3
