Department of Neurology, Duke University Hospital, Durham, North Carolina, 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
