ArticleWorld journal of gastrointestinal surgery2025
Predicting unplanned extubation risk in patients with endoscopic nasobiliary drainage.
Article in World journal of gastrointestinal surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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.
Who cites it
1 citing paper in PubMed.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundUnplanned extubation (UE) after endoscopic retrograde cholangiopancreatography plus endoscopic nasobiliary drainage (ENBD) increases patient morbidity and prolongs hospitalization duration.
aimTo construct a risk prediction model for UE in patients undergoing ENBD to provide evidence for clinical nursing.
methodsA multicenter retrospective study was conducted, collecting data from 981 patients undergoing ENBD from three hospitals in Chongqing from January 2018 to June 2024, randomly allocated to modeling and validation groups in a 7:3 ratio. Logistic regression analysis was used to screen independent risk factors, construct prediction models, and draw nomograms.
resultsThe overall incidence of UE was 6.12% (60/981). The majority (70.00%) of extubations occurred within 24-72 h postoperatively. Multivariate logistic regression analysis identified age ≥ 61 years [odds ratio (OR) = 2.341, 95% confidence interval (CI): 1.28-4.27], smoking history (OR = 2.876, 95%CI: 1.54-5.37), prolonged fasting time (OR = 1.124, 95%CI: 1.05-1.20), prolonged catheter duration (OR = 1.286, 95%CI: 1.09-1.52), and consciousness changes (OR = 3.152, 95%CI: 1.69-5.89) were independent risk factors while serum albumin was a protective factor (OR = 0.912, 95%CI: 0.87-0.95). The model receiver operating characteristic area under curve was 0.881 with accuracy of 80.36%, sensitivity of 83.59%, and specificity of 74.88%. A nomogram total score ≥ 199 points corresponded to a high-risk threshold.
conclusionThe six-factor risk prediction model had good discrimination and accuracy, which can provide clinical nursing staff with scientific evidence to identify patients at high risk and help reduce the incidence of UE.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.