Evidence map›Paper›PMID 41158329›Full record

ArticleJournal of thoracic disease2025

Risk factors of delayed extubation after esophagectomy in the surgical intensive care unit.

An Shi, Jianli Wang, Chenghao Zhu, Hui Li, Jianxiao Chen, Tianyi Ai, Zhiqiang Shi, Jiajia Tang, Mingli Zhu

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Article in Journal of thoracic disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

An Shi *Department of Critical Care Medicine, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Jianli Wang *Department of Critical Care Medicine, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Chenghao ZhuShenghua Zizhu Academy, Shanghai, China.
Hui LiDepartment of Critical Care Medicine, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Jianxiao ChenDepartment of Critical Care Medicine, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Tianyi AiDepartment of Critical Care Medicine, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Zhiqiang ShiDepartment of Critical Care Medicine, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Jiajia TangDepartment of Critical Care Medicine, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Mingli ZhuDepartment of Critical Care Medicine, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.ORCID https://orcid.org/0000-0002-0070-4556

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Esophageal cancer is a common malignant tumor of the digestive tract, for which esophagectomy, a high-risk surgery, is the main treatment. Certain features of esophageal cancer surgery may increase the uncertainty of postoperative extubation, and inappropriate timing for extubation after esophagectomy may result in serious complications. This study aimed to determine the incidence and risk factors of delayed extubation after esophagectomy in the surgical intensive care unit (SICU). Methods: The study population included patients with esophageal cancer who were admitted to the SICU after undergoing transthoracic esophagectomy in one center from July 2023 to December 2023. In the SICU, patients who were extubated within 90 minutes were assigned to the early-extubation group, and those extubated after more than 90 minutes were assigned to the delayed-extubation group. The demographic characteristics, preoperative variables, intraoperative parameters, and postoperative variables were collected. Results: Of the 117 enrolled patients, there were 49 (41.9%) patients in delayed-extubation group, and compared to those in the early-extubation group, these patients had a longer operative duration (254.41±76.41 Conclusions: Delayed extubation after esophagectomy was found to be common in the SICU and remained an important factor contributing to the increase in the incidence of adverse events and medical costs. Intraoperative colloid infusion and urine volume were associated with delayed extubation.

Indexed as

delayed extubationEsophagectomyrisk factorsurgical intensive care unit (SICU)

Identifiers

PMID41158329
PMCPMC12557675

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