ArticleAnesthesia, essays and researches
Self-Extubation in Patients with Traumatic Head Injury: Determinants, Complications, and Outcomes.
Article in Anesthesia, essays and researches. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 9 citations in OpenAlex.
- Unplanned Extubation in the Burn Unit: A Retrospective Review.Journal of burn care & research : official publication of the American Burn Association · 2025Review
- Development of the compliance with mechanical ventilator scale in: A validity and reliability study.Nursing in critical care · 2025Article
- Adverse events related to physical restraint use in intensive care units: A review of the literature.Journal of intensive medicine · 2024Review
- Trauma intensive care unit (TICU) at Hamad General Hospital.Qatar medical journal · 2019Article
- Impact of performance improvement strategies on unplanned extubation in an inner-city intensive care unit.Therapeutic advances in respiratory diseaseObservational
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSelf-extubation is a common clinical problem associated with mechanical ventilation in trauma patients worldwide.
objectivesThis study aimed to evaluate the predisposing factors, complications, and outcomes of self-extubation in patients with head injury.
methodsThis was a retrospective cohort study. SETTINGS: The study was conducted in a trauma intensive care unit (TICU). PATIENTS: All intubated patients with head injury admitted to TICU between 2013 and 2015 were included in the study.
interventionsPlanned compared to selfextubation during weaning from sedation. MEASUREMENTS: Risk, predictors, and outcomes of self-extubation were measured. MAIN
resultsA total of 321 patients with head injury required mechanical ventilation, of which 39 (12%) had self-extubation and 12 (30.7%) had reintubation. The median Glasgow Coma Scale, head abbreviated injury score, and injury severity score were 9, 3, and 27, respectively. The incidence of self-extubation was 0.92/100 ventilated days. Self-extubated patients were more likely to be older, develop agitation (
conclusionsMore than one-tenth of patients with traumatic head injury develop self-extubation; this group of patients is more likely to have prescribed tramadol, develop agitation, and have longer hospital length of stay and less sedation use. Further prospective studies are needed to assess the predictors of self-extubation in TICU.
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