Evidence map›Paper›PMID 38772683›Full record

Trial reportRespiratory care2024

Effect of Reintubation Within 48 Hours on Mortality in Critically Ill Patients After Planned Extubation.

Michelli Marcela Dadam, Aline Braz Pereira, Mariane Ribeiro Cardoso, Tiago Costa Carnin, Glauco Adrieno Westphal

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Respiratory care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Article
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  6. Review
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  9. Observational
  10. Observational
  11. Article
  12. Review
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

5 authors.

Michelli Marcela DadamThe Hospital Municipal São José, Joinville, Santa Catarina, Brazil.
Aline Braz PereiraThe Hospital Municipal São José, Joinville, Santa Catarina, Brazil.
Mariane Ribeiro CardosoThe Hospital Municipal São José, Joinville, Santa Catarina, Brazil.
Tiago Costa CarninThe Hospital Municipal São José, Joinville, Santa Catarina, Brazil.
Glauco Adrieno WestphalThe Centro Hospitalar Unimed, Joinville, Santa Catarina, Brazil glauco.ww@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRe-intubation is necessary in 2% to 30% of cases of patients receiving a planned extubation. This procedure is associated with prolonged mechanical ventilation, a greater need for tracheostomy, a higher incidence of ventilator-associated pneumonia, and higher mortality. The aim of this study was to evaluate the effect of re-intubation within 48 h on mortality after planned extubation by using a randomized controlled trial database.

methodsSecondary analysis of a multi-center randomized trial, which evaluated the effect of reconnection to mechanical ventilation for 1 h after a successful spontaneous breathing trial, followed by extubation. The study included adult subjects who received invasive mechanical ventilation for > 12 h. The subjects were divided into an extubation failure group and an extubation success group. The outcome was in-hospital mortality. Two multivariate logistic regression models were constructed to identify independent factors associated with mortality.

resultsAmong the 336 subjects studied, extubation failed in 52 (15.4%) and they were re-intubated within 48 h. Most re-intubations occurred between 12 and 24 h after planned extubation (median [interquartile range] 16 [6-36] h). Mortality of the extubation failure group was higher both in the ICU (32.6% vs 6.6%; odds ratio [OR] 6.77, 95% CI 3.22-14.24;

conclusionsRe-intubation within 48 h after planned extubation was associated with mortality in subjects who were critically ill.

Indexed as

Airway ExtubationCritical IllnessHospital MortalityIntensive Care UnitsIntubation, IntratrachealRespiration, ArtificialVentilator WeaningAgedFemaleHumansLogistic ModelsMaleMiddle AgedPneumonia, Ventilator-AssociatedTime Factorsextubationmechanical ventilationmortalityre-intubationventilator weaning

Identifiers

PMID38772683
PMCPMC11285505

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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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.