Association of Overnight Extubation With Outcomes After Cardiac Surgery in the Intensive Care Unit.

ABSTRACT:

Background

The frequency and safety of overnight extubation (OE) after cardiac surgery across intensive care units (ICUs) is unknown.

Methods

We performed a retrospective study of adults (≥ 18 years) in US ICUs after coronary artery bypass grafting (CABG) or aortic valve replacement (AVR) or both, using The Society of Thoracic Surgery Adult Cardiac Surgery Database (July 2014 to June 2017); our primary cohort was elective CABGs. We assessed OE (7:00 pm to 6:59 am) frequency and used multilevel regression modelling to identify factors associated with OE. Within mechanical ventilation (MV) duration strata, we used propensity score matching to evaluate associations of OE with reintubations (primary outcome), mortality, and complications.

Results

Among 142,225 patients wi

SUBMITTER: Gershengorn HB 

PROVIDER: S-EPMC6736599 | biostudies-literature | 2019 Aug

REPOSITORIES: biostudies-literature