@article{ref1,
title="Reintubation in patients with acute poisoning: Risk factor analysis",
journal="Journal of Isfahan Medical School",
year="2018",
author="Eizadi-Mood, N. and Jafari-Khozani, P. and Mansourian, M. and Massoumi, G. and Yaraghi, A.",
volume="36",
number="486",
pages="743-749",
abstract="BACKGROUND: Endotracheal intubation is one of the most common interventions in the intensive care unit to provide a reliable airway for patients. We investigated the causes of endotracheal reintubation in cases with poisoning admitted to the intensive care unit. <br><br>METHODS: In this case-control study, 43 patients required endotracheal reintubation (case group) and 45 patients in the control group with only one time endotracheal intubation were compared according to clinical, paraclinical, and post-treatment sign and symptoms. <br><br>FINDINGS: There was a significant difference between the two groups based on the cause of consumption of drug or poison (suicide, accidental, or unspecified) (P < 0.050). In the group with reintubation, opioid poisoning was more common. Most of the patients in the reintubation group (55.8%) were recovered with complications. However, most patients in the control group (64.4%) were recovered without complications (P < 0.050). The duration of hospitalization in case group was significantly higher than control group (P = 0.004). Patients with accidental poisoning had less chance of reintubation [Odds ratio (OR) = 0.32; 95% of confidence interval (95%CI) = 0.12-0.89; P= 0.020]. Whereas, spontaneous extubation increased the risk of reintubation (OR = 8.30; 95%CI = 1.73-39.67; P = 0.008). Moreover, the possibility of reintubation was higher in spontaneous extubation. <br><br>CONCLUSION: Spontaneous extubation and the cause of poisoning are predictive factors for reintubation. In cases where the patient needs endotracheal reintubation, the duration of hospitalization and complications are higher. © 2018, Isfahan University of Medical Sciences(IUMS). All rights reserved.<p /><p>Language: fa</p>",
language="fa",
issn="1027-7595",
doi="10.22122/jims.v36i486.10151",
url="http://dx.doi.org/10.22122/jims.v36i486.10151"
}