Assessment of the magnitude and associated factors of unplanned extubation in intensive care unit at Addis Ababa governmental hospitals. Addis Ababa, Ethiopia 2021
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Date
2021-08
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Addis Ababa University
Abstract
Background: Unplanned extubation is the premature removal of an endotracheal tube accidentally during procedural activities or by the action of the patient. It is one of the commonly reported complications among mechanically ventilated patients in the intensive care unit.
Objectives: Assess the magnitude and associated factors of unplanned extubation in intensive care unit at Addis Ababa governmental hospitals, Addis Ababa Ethiopia January8, 2021-May9, 2021
Methods: Hospital based cross-sectional study conducted on 317intubated patients in the intensive care unit which fulfilled the inclusion criteria at the selected Addis Ababa governmental hospitals, Addis Ababa Ethiopia from January8, 2021-May9, 2021.Data collection
method was includes patients chart review, direct observation and by asking the physician.
Collected data was entered to Epi-data version 4.6.0.2 and was analyzed by SPSS version 26 statistical software .All independent variables with the dependent variable was analyzed using binary logistic regression to determine the variables independently predictive of unplanned
extubation. Odd ratio .P-value and 95% confidence interval was calculated to differentiate risk factors and to assess association strength. Variables with P-value<0.25 on bivariate analysis were going to multivariable analysis and P-value less than 0.05 was cut point to test the statistical significance.
Result: The prevalence of unplanned extubation in this study was 19.74 %.Being male (AOR=3.132, 95%CI: 1.276-7.69), duration of intubation <5days (AOR=2.475, 95% CI: 1.0395.894), managed by junior resident (AOR=5.25, 95% CI: 2.125-12.969), being physically restrained (AOR=4.356, 95%CI: 1.786-10.624), night shift (AOR=3.282, 95%CI:1.4517.424)and
agitation (AOR=4.934,95%CI:1.934-12.586) were significantly contribute to the occurrence of unplanned extubation.
Conclusion and recommendation: This study showed that the prevalence of unplanned extubation was high in ICU at Addis Ababa governmental hospitals. We suggest to ICU staffs in Addis Ababa governmental hospitals to give special attention to early intubated patients especially for male individuals and the stakeholders of hospitals should rearrange the time of
shift and physician schedule in ICU.
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Keywords
Unplanned extubation, risk factors