SynthesisActa bio-medica : Atenei Parmensis2017
Unplanned Extubations in Intensive Care Unit: evidences for risk factors. A literature review.
Synthesis in Acta bio-medica : Atenei Parmensis, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06990308 (A Single-center, Patient- and Assessor-blinded, Randomized Controlled Trial to Compare Patient Outcomes Between Deflated and Inflated Cuff Endotracheal Extubations During Scheduled, Non-airway Surgery in Healthy Adults), which is not on this map. Cited by 21 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
A Single-center, Patient- and Assessor-blinded, Randomized Controlled Trial to Compare Patient Outcomes Between Deflated and Inflated Cuff Endotracheal Extubations During Scheduled, Non-airway Surgery in Healthy Adults
Who cites it
21 citing papers in PubMed, 36 citations in OpenAlex.
- Prevention of unplanned extubation in neonates with silk tie securement.Pediatric research · 2026Article
- Development and Application of a Unplanned Extubation Assessment and Clinical Decision Support Information System.Risk management and healthcare policy · 2026Article
- A Risk Stratification Model for Unplanned Extubation a Chinese Tertiary Hospital Respiratory Intensive Care Unit: A Retrospective Study Based on Nursing-Related and Ventilation Characteristics.Risk management and healthcare policy · 2026Article
- Article
- Knowledge, attitudes, and practices of nurses in preventing unplanned extubation of orotracheal intubation in the adult intensive care unit: a multicenter questionnaire survey.Frontiers in medicine · 2026Article
- Impact of adding an airway safety prompt to the A-F bundle on unplanned extubation in the intensive care unit.BMJ open quality · 2025Article
- Risk Prediction of Unplanned Extubation in Inpatients Using Random Forest and Logistic Regression Models.Journal of patient safety · 2025Article
- Unplanned Extubation in the Burn Unit: A Retrospective Review.Journal of burn care & research : official publication of the American Burn Association · 2025Review
- Accidental Endotracheal Tube Displacement in Intensive Care Unit Patients: A Randomized Comparison of Three Different Endotracheal Tube-securing Tapes.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2025Article
- Prevention of unplanned extubation in neonatal patients: Protocol for a systematic review and meta-analysis.PloS one · 2025Article
- Estimation of the optimal time needed for weaning of Intensive Care Unit tracheostomized patients on mechanical ventilation. A prospective observational study.Acta bio-medica : Atenei Parmensis · 2023Observational
- Quality improvement project to reduce unplanned extubations in a paediatric intensive care unit.BMJ open quality · 2023Article
- A Nomogram for Predicting Physical Restraint of Patients in Intensive Care Unit.Emergency medicine international · 2023Article
- Comparison of the Effectiveness of Two Types of Commercial Endotracheal Tube Holders, with the Conventional Method in a Manikin Model.Advanced biomedical research · 2023Article
- Study on the effectiveness, safety and comprehensive evaluations of novel medical restraint gloves in patients with consciousness disorders.American journal of translational research · 2023Article
- Outcomes of unplanned extubation in ordinary ward are similar to those in intensive care unit: A STROBE-compliant case-control study.Medicine · 2019Article
- Application of palliative care in demented patients: the caregivers' point of view.Acta bio-medica : Atenei Parmensis · 2018Article
- Unplanned extubations in general intensive care unit: A nine-year retrospective analysis.Acta bio-medica : Atenei Parmensis · 2018Observational
- Self-Extubation in Patients with Traumatic Head Injury: Determinants, Complications, and Outcomes.Anesthesia, essays and researchesArticle
- Impact of performance improvement strategies on unplanned extubation in an inner-city intensive care unit.Therapeutic advances in respiratory diseaseObservational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
aimUnplanned extubations (UE) are getting more and more relevant in Critical Care, becoming a quality and care safeness outcome. This happens because after an UE the patient can face some complications concerning the airway management, respiratory and hemodynamic problems, lengthen in the hospital stay and in the mechanical ventilation time. The aim of this review is identify and classify the factors that could increase UE risk. METHODOLOGY: A systematic review of scientific articles was performed consulting the databases PubMed, Cinahl, Medline, EBSCOhost and Google Scholar. Articles from 2006 to 2011 were included. Pediatric Care settings were excluded.
results21 articles were selected. From the results emerged that risk factors associated to the patient are widely controversial. Yet restlessness, a low level of sedation and a high level of consciousness seem to be highly related to UE. Organizational risk factors, as workload, nurse:patient ratio, and the use of interdisciplinary protocols seem to play an important role in UE.
conclusionAccording the current literature, the research on UE still has to handle a wide uncertainty. There is the need for more studies developing conclusive evidences on the role of different risk factors. Anyway, literature highlights the importance of the nurse and of the healthcare system organization in reducing UE incidence.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.