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2025, Number 2

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Med Crit 2025; 39 (2)

Failed extubation as a risk factor for morbidity and mortality in patients in critical condition of a third level Intensive Care Unit

Sifuentes AML, Vázquez RR

Language: Spanish
References: 15
Page: 96-98
PDF size: 314.61 Kb.


ABSTRACT

Introduction: ventilatory support is a therapeutic measure in the intensive care unit, once the cause is resolved, extubation must be carried out. It has been reported that failed extubation occurs in 20%, impacting mortality by 25-50%. Objective: to establish if failed extubation is a factor for mortality. Material and methods: retrospective analytical observational study. The prevalence of failed extubation and its association with complications and mortality were evaluated; χ2 and relative risk were used, comparison of quantitative variables with Student's T or Mann-Whitney U. Results: 61 patients were included, with a mean age of 47 years. The indications for intubation were neurocritical 75.4%. Failed extubation was 6.5%, all died, 4.9% due to causes other than extubation and only 1.6% due to extubation (p = 0.158). The NIF (p = 0.000), P0.1 (p = 0.000) and leak test (p = 0.001), were predictive tests that favor extubation. Conclusion: failed extubation was not associated with mortality in a statistically significant way. NIF tests, P0.1 and leak test were associated with successful extubation.


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