Evidence map›Paper›PMID 41383001›Full record

ArticleZhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences2025

[Risk factors and prognosis of first extubation failure in neonates undergoing invasive mechanical ventilation].

Mengyao Wu, Hui Rong, Rui Cheng, Yang Yang, Keyu Lu, Fei Shen

Abstract readEnglish Abstract
In one paragraph

Article in Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences, 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

6 authors.

Mengyao WuDepartment of Neonatology, Children's Hospital of Nanjing Medical University, Nanjing 210008, China. 704484820@qq.com.
Hui RongDepartment of Neonatology, Children's Hospital of Nanjing Medical University, Nanjing 210008, China. 2316811759@qq.com.
Rui ChengDepartment of Neonatology, Children's Hospital of Nanjing Medical University, Nanjing 210008, China.
Yang YangDepartment of Neonatology, Children's Hospital of Nanjing Medical University, Nanjing 210008, China.
Keyu LuDepartment of Neonatology, Children's Hospital of Nanjing Medical University, Nanjing 210008, China.
Fei ShenDepartment of Neonatology, Children's Hospital of Nanjing Medical University, Nanjing 210008, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesProlonged invasive mechanical ventilation is associated with increased risks of severe complications such as retinopathy of prematurity and bronchopulmonary dysplasia. Although neonatal intensive care unit (NICU) follow the principle of early extubation, extubation failure rates remain high, and reintubation may further increase the risk of adverse outcomes. This study aims to identify risk factors and short-term prognosis associated with first extubation failure in neonates, to provide evidence for effective clinical intervention strategies.

methodsClinical data of neonates who received invasive ventilation in the NICU of Children's Hospital of Nanjing Medical University from January 1, 2019, to December 31, 2021, were retrospectively collected. Neonates were divided into a successful extubation group and a failed extubation group based on whether reintubation occurred within 72 hours after the first extubation. Risk factors and short-term outcomes related to extubation failure were analyzed.

resultsA total of 337 infants were included, with 218 males (64.69%). Initial extubation failed in 34 (10.09%) infants. Compared with the successful extubation group, the failed extubation group had significantly lower gestational age [(31.37±5.14) weeks vs (34.44±4.07) weeks], age [2.5 (1.00, 8.25) h vs 5 (1.00, 22.00) h], birth weight [(1 818.97±1128.80) g vs (2 432.18±928.94) g], 1-minute Apgar score (6.91±1.90 vs 7.68±2.03), and the proportion of using mask oxygenation after extubation (21% vs 46%) (all

conclusionsGestational age <28 weeks, younger age at NICU admission, and FiO

Indexed as

Airway ExtubationIntubation, IntratrachealRespiration, ArtificialAge FactorsApgar ScoreBirth WeightBronchopulmonary DysplasiaEnterocolitis, NecrotizingFemaleGestational AgeHumansIncidenceInfant, Extremely PrematureInfant, NewbornIntensive Care Units, NeonatalLength of Stayextubation failedintensive careinvasive mechanical ventilationneonaterisk factors

Identifiers

PMID41383001
PMCPMC12723253

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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.