Evidence map›Paper›PMID 36689444›Full record

ArticlePloS one2023

Association of immediate versus delayed extubation of patients admitted to intensive care units postoperatively and outcomes: A retrospective study.

Paul Zajic, Michael Eichinger, Michael Eichlseder, Barbara Hallmann, Gabriel Honnef, Tobias Fellinger, Barbara Metnitz, Martin Posch, Martin Rief, Philipp G H Metnitz

Abstract read
In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Paul ZajicDivision of General Anaesthesiology, Emergency- and Intensive Care Medicine, Medical University of Graz, Graz, Austria.ORCID 0000-0003-3097-1994
Michael EichingerDivision of General Anaesthesiology, Emergency- and Intensive Care Medicine, Medical University of Graz, Graz, Austria.
Michael EichlsederDivision of General Anaesthesiology, Emergency- and Intensive Care Medicine, Medical University of Graz, Graz, Austria.ORCID 0000-0002-6307-8388
Barbara HallmannDivision of General Anaesthesiology, Emergency- and Intensive Care Medicine, Medical University of Graz, Graz, Austria.
Gabriel HonnefDivision of General Anaesthesiology, Emergency- and Intensive Care Medicine, Medical University of Graz, Graz, Austria.ORCID 0000-0001-9006-075X
Tobias FellingerCenter for Medical Statistics, Informatics and Intelligent Systems, Medical University of Vienna, Vienna, Austria.
Barbara MetnitzAustrian Center for Documentation and Quality Assurance in Intensive Care, Vienna, Austria.
Martin PoschCenter for Medical Statistics, Informatics and Intelligent Systems, Medical University of Vienna, Vienna, Austria.
Martin RiefDivision of General Anaesthesiology, Emergency- and Intensive Care Medicine, Medical University of Graz, Graz, Austria.ORCID 0000-0002-7378-2846
Philipp G H MetnitzDivision of General Anaesthesiology, Emergency- and Intensive Care Medicine, Medical University of Graz, Graz, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aim of this studyThis study seeks to investigate, whether extubation of tracheally intubated patients admitted to intensive care units (ICU) postoperatively either immediately at the day of admission (day 1) or delayed at the first postoperative day (day 2) is associated with differences in outcomes. MATERIALS AND

methodsWe performed a retrospective analysis of data from an Austrian ICU registry. Adult patients admitted between January 1st, 2012 and December 31st, 2019 following elective and emergency surgery, who were intubated at the day 1 and were extubated at day 1 or day 2, were included. We performed logistic regression analyses for in-hospital mortality and over-sedation or agitation following extubation.

results52 982 patients constituted the main study population. 1 231 (3.3%) patients extubated at day 1 and 958 (5.9%) at day 2 died in hospital, 464 (1.3%) patients extubated at day 1 and 613 (3.8%) at day 2 demonstrated agitation or over-sedation after extubation during ICU stay; OR (95% CI) for in-hospital mortality were OR 1.17 (1.01-1.35, p = 0.031) and OR 2.15 (1.75-2.65, p<0.001) for agitation or over-sedation.

conclusionsWe conclude that immediate extubation as soon as deemed feasible by clinicians is associated with favourable outcomes and may thus be considered preferable in tracheally intubated patients admitted to ICU postoperatively.

Indexed as

Airway ExtubationIntensive Care UnitsAdultHumansLength of StayRetrospective StudiesTime Factors

Identifiers

PMID36689444
PMCPMC9870150

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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.