Applied Nursing Research
Volume 24, Issue 3 , Pages 188-192 , August 2011

Risk factors associated with unplanned endotracheal self-extubation of hospitalized intubated patients: a 3-year retrospective case-control study

  • Li-Chun Chang, RN, MSN

      Affiliations

    • Department of Nursing, Cathay General Hospital, Sijhih, Taipei, 106, Taiwan
    • ,
  • Pei-Fen Liu, MS

      Affiliations

    • Department of Nursing, Cathay General Hospital, Sijhih, Taipei, 106, Taiwan
    • ,
  • Yu-Lu Huang, RN, BSN

      Affiliations

    • Department of Nursing, Cathay General Hospital, Sijhih, Taipei, 106, Taiwan
    • ,
  • Sien-Sing Yang, MD

      Affiliations

    • Department of Internal Medicine, Cathay General Hospital, Taipei, 106, Taiwan
    • ,
  • Wen-Yin Chang, RN, PhD

      Affiliations

    • Graduate Institute of Nursing, College of Nursing, Taipei Medical University, Taipei 110, Taiwan
    • Corresponding Author InformationCorresponding author. Tel.: +886 2 2736 1661x6326; fax: +886 2 2377 2842.

Received 22 June 2009 ,Revised 31 August 2009 ,Accepted 8 September 2009.

References 

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  2. Balon JA. Common factors of spontaneous self-extubation in a critical care setting. International Journal of Trauma Nursing. 2001;7(3):93–99
  3. Bouza C, Garcia E, Diaz M, Segovia E. Unplanned extubation in orally intubated medical patients in the intensive care unit: A prospective cohort study. Heart Lung. 2007;36(4):270–276
  4. Chang LY, Wang KW, Chao YF. Influence of physical restraint on unplanned extubation of adult intensive care patients: A case-control study. American Journal of Critical Care. 2008;17(5):408–415
  5. Chao YF. A conceptual framework for predicting complications of complications of ICU patients. Critical Care Nurse. 1993;13(5):48–54
  6. Chen YC, Lin MC, Lin YC, Chang HW, Huang CC, Tsai YH. ICU discharge APACHE II scores help to predict post-ICU death. Chang Gung Medical Journal. 2007;30(2):142–150
  7. Chevron V, Menard JF, Richard JC, Girault C, Leroy J, Bonmarchand G. Unplanned extubation: Risk factors of development and predictive criteria for reintubation. Critical Care Medicine. 1998;26(6):1049–1053
  8. Curry K, Cobb S, Kutash M, Diggs C. Characteristics associated with unplanned extubations in a surgical intensive care unit. American Journal of Critical Care. 2008;17(1):45–51
  9. Frezza EE, Carleton GL, Valenziano CP. A quality improvement and risk management initiative for surgical ICU patients: A study of the effects of physical restraints and sedation on the incidence of self-extubation. American Journal Medical Quality. 2000;15(5):221–225
  10. Hofso K, Cover FM. Part 1. Chemical and physical restraints in the management of mechanically ventilated patients in the ICU: Contributing factors. Intensive and Critical Care Nursing. 2007;23(5):249–255
  11. Krinsley JS, Barone JE. The drive to survive: Unplanned extubation in the ICU. Chest. 2005;128(2):560–566
  12. Mion LC, Minnick AF, Leipzig RM, Catrambone CD, Johnson ME. Patient-initiated removal in intensive care units: A national prevalence study. Critical Care Medicine. 2007;35(12):2714–2720
  13. Moons P, Boriau M, Ferdinande P. Self-extubation risk assessment tool: Predictive validity in a real-life setting. Nursing in Critical Care. 2008;13(6):310–314
  14. Powers J. A sedation protocol for preventing patient self-extubation. Dimensions Critical Care Nursing. 1999;18(2):30–34
  15. Yeh SH, Lee LN, Ho TH, Chiang MC, Lin LW. Implications of nursing care in the occurrence and consequences of unplanned extubation in adult intensive care units. Internal Journal of Nursing Studies. 2004;41(3):255–262

PII: S0897-1897(09)00103-7

doi: 10.1016/j.apnr.2009.09.002

Applied Nursing Research
Volume 24, Issue 3 , Pages 188-192 , August 2011

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