Analysis of the current status of "pseudo" unplanned endotracheal extubation in ICU patients in China's tertiary hospitals

Qin Zhang; Li Wang; Xiaoli Liu; Zhenwei Liu; Zaichun Pu; Ziji Fang; Lele Li; Danyang Guo; Rong Lu; Ping Jia

doi:10.1038/s41598-024-64996-4

Scientific Reports (Jun 2024)

Analysis of the current status of "pseudo" unplanned endotracheal extubation in ICU patients in China's tertiary hospitals

Qin Zhang,
Li Wang,
Xiaoli Liu,
Zhenwei Liu,
Zaichun Pu,
Ziji Fang,
Lele Li,
Danyang Guo,
Rong Lu,
Ping Jia

Affiliations

Qin Zhang: Department of Day Surgery, Sichuan Provincial People’s Hospital, School of Medicine, University of Electronic Science and Technology of China
Li Wang: Department of NICU, Sichuan Provincial People’s Hospital, School of Medicine, University of Electronic Science and Technology of China
Xiaoli Liu: Department of Proctology, Deyang People’s Hospital
Zhenwei Liu: Department of NICU, Sichuan Provincial People’s Hospital, School of Medicine, University of Electronic Science and Technology of China
Zaichun Pu: School of Medicine, University of Electronic Science and Technology of China
Ziji Fang: School of Medicine, University of Electronic Science and Technology of China
Lele Li: School of Medicine, University of Electronic Science and Technology of China
Danyang Guo: School of Medicine, University of Electronic Science and Technology of China
Rong Lu: Department of NICU, Sichuan Provincial People’s Hospital, School of Medicine, University of Electronic Science and Technology of China
Ping Jia: Department of NICU, Sichuan Provincial People’s Hospital, School of Medicine, University of Electronic Science and Technology of China

DOI: https://doi.org/10.1038/s41598-024-64996-4
Journal volume & issue: Vol. 14, no. 1
pp. 1 – 5

Abstract

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Abstract To analyze the current status of "pseudo" unplanned endotracheal extubation in ICU patients in China's tertiary hospitals and to provide a reference for improving the quality of medical care. Through the National Nursing Quality Data Platform, unplanned endotracheal extubation data reported by ICUs in China's tertiary hospitals from 2019 to 2022 were analyzed. The situation of reported hospitals, causes, and the current status of "pseudo" unplanned endotracheal extubation in ICU patients was analyzed. The indicator of unplanned endotracheal extubation in ICUs of China’s tertiary hospitals is mainly from first-class tertiary hospitals (74.9%), most of which are self-extractions by patients (74.6%). The proportion of "pseudo" unplanned endotracheal extubation is 45.1%. "Pseudo" unplanned endotracheal extubation is common in the ICUs of China's tertiary hospitals. As such, management blind spots deserve attention from managers and clinical staff.

Published in Scientific Reports

ISSN: 2045-2322 (Online)
Publisher: Nature Portfolio
Country of publisher: United Kingdom
LCC subjects: Medicine; Science
Website: https://www.nature.com/srep/

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Abstract

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