ArticleWorld journal of clinical cases2022
Predictive value of the unplanned extubation risk assessment scale in hospitalized patients with tubes.
Article in World journal of clinical cases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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4 citing papers in PubMed, 3 citations in OpenAlex.
- 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
- Development and Application of a Unplanned Extubation Assessment and Clinical Decision Support Information System.Risk management and healthcare policy · 2026Article
- An Empirical Study of Feedforward Control in Unplanned Extubation of Nasogastric Tube.Journal of multidisciplinary healthcare · 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
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Authors and funding
6 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundCritical patients often had various types of tubes, unplanned extubation of any kind of tube may cause serious injury to the patient, but previous reports mainly focused on endotracheal intubation. The limitations or incorrect use of the unplanned extubation risk assessment tool may lead to improper identification of patients at a high risk of unplanned extubation and cause delay or non-implementation of unplanned extubation prevention interventions. To effectively identify and manage the risk of unplanned extubation, a comprehensive and universal unplanned extubation risk assessment tool is needed.
aimTo assess the predictive value of the Huaxi Unplanned Extubation Risk Assessment Scale in inpatients.
methodsThis was a retrospective validation study. In this study, medical records were extracted between October 2020 and September 2021 from a tertiary comprehensive hospital in southwest China. For patients with tubes during hospitalization, the following information was extracted from the hospital information system: age, sex, admission mode, education, marital status, number of tubes, discharge mode, unplanned extubation occurrence, and the Huaxi Unplanned Extubation Risk Assessment Scale (HUERAS) score. Only inpatients were included, and those with indwelling needles were excluded. The best cut-off value and the area under the curve (AUC) of the Huaxi Unplanned Extubation Risk Assessment Scale were been identified.
resultsA total of 76033 inpatients with indwelling tubes were included in this study, and 26 unplanned extubations occurred. The patients' HUERAS scores were between 11 and 30, with an average score of 17.25 ± 3.73. The scores of patients with or without unplanned extubation were 22.85 ± 3.28 and 17.25 ± 3.73, respectively (
conclusionThe HUERAS has good reliability and predictive validity. It can effectively identify inpatients at a high risk of unplanned extubation and help clinical nurses carry out risk screening and management.
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