scholarly journals OUTCOMES OF UNPLANNED EXTUBATION IN ORDINARY WARD ARE SIMILAR TO THOSE IN INTENSIVE CARE UNIT: A RETROSPECTIVE CASE-CONTROL STUDY

Respirology ◽  
2018 ◽  
Vol 23 ◽  
pp. 149-149
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Case Control Study ◽  
Case Control ◽  
Unplanned Extubation ◽  
Retrospective Case ◽  
Control Study

Influence of Physical Restraint on Unplanned Extubation of Adult Intensive Care Patients: A Case-Control Study

2008 ◽  
Vol 17 (5) ◽  
pp. 408-415 ◽  
Author(s):  
Li-Yin Chang ◽  
Kai-Wei Katherine Wang ◽  
Yann-Fen Chao
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Case Control Study ◽  
Physical Restraint ◽  
Case Control ◽  
Physical Restraints ◽  
Unplanned Extubation ◽  
Intensive Care Patients ◽  
Increased Risk ◽  
Control Study

Background Unplanned extubation commonly occurs in intensive care units. Various physical restraints have been used to prevent patients from removing their endotracheal tubes. However, physical restraint not only does not consistently prevent injury but also may be a safety hazard to patients. Objectives To evaluate the effect of physical restraint on unplanned extubation in adult intensive care patients. Methods A total of 100 patients with unplanned extubations and 200 age-, sex-, and diagnosis-matched controls with no record of unplanned extubation were included in this case-control study. The 300 participants were selected from a population of 1455 patients receiving mechanical ventilation during a 21-month period in an adult intensive care unit at a medical center in Taiwan. Data were collected by reviewing medical records and incident reports of unplanned extubation. Results The incidence rate of unplanned extubation was 8.7%. Factors associated with increased risk for unplanned extubation included use of physical restraints (increased risk, 3.11 times), nosocomial infection (increased risk, 2.02 times), and a score of 9 or greater on the Glasgow Coma Scale on admission to the unit (increased risk, 1.98 times). Episodes of unplanned extubation also were associated with longer stays in the unit. Conclusions An impaired level of consciousness on admission to the intensive care unit and the presence of nosocomial infection intensify the risk for unplanned extubation, even when physical restraints are used. To minimize the risk of unplanned extubation, nurses must establish better standards for using restraints.

Risk Factors for Surgical Site Infections in Pediatric General Surgery: A Case–Control Study

2021 ◽  
Author(s):  
Gassan T. Almogbel ◽  
Tariq I. Altokhais ◽  
Abdulaziz Alhothali ◽  
Abdulaziz Sami Aljasser ◽  
Khalid M. Al-Qahtani ◽  
...  
Keyword(s):  
Risk Factors ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Surgical Procedures ◽  
Case Control Study ◽  
Case Control ◽  
Bivariate Analysis ◽  
Retrospective Case ◽  
Asa Classification ◽  
Control Study

Abstract Objective Despite being the most common postoperative complication and having associated morbidity and mortality that increase health care costs, surgical site infection (SSI) has not received adequate attention and deserves further study. Previous reports in children were limited to SSI in certain populations. We conducted this retrospective case–control study to determine the incidence and possible risk factors for SSI following pediatric general surgical procedures. Methods This was a retrospective case–control matched cohort study of all patients aged 0 to 14 years who underwent pediatric general surgical procedures between June 2015 and July 2018. The electronic medical records were searched for a diagnosis of SSI. Control subjects were randomly selected at a 4:1 ratio from patients who underwent identical procedures. Multiple risk factors were evaluated by bivariate analysis and multivariable conditional logistic regression. Results A total of 1,520 patients underwent a general pediatric procedure during the study period, and of these, 47 (3.09%) developed SSIs. A bivariate analysis showed that patients with SSIs were younger, were admitted to the neonatal intensive care unit/pediatric intensive care unit (NICU/PICU) preoperatively, were more severely ill as measured by the ASA classification, underwent multiple procedures, had more surgical complications, and were transferred to the NICU/PICU postoperatively. A multivariate analysis identified four independent predictors of SSI: age, preoperative NICU/PICU admission, number of procedures, and ASA classification. Conclusion Younger children with preoperative admission to the NICU/PICU, those who underwent multiple procedures and those who were severely ill as measured by their ASA classification were significantly more likely to develop SSIs.

Bacteremia Due to Persistent Strains of Coagulase-Negative Staphylococci in a Neonatal Intensive-Care Unit

1999 ◽  
Vol 20 (05) ◽  
pp. 349-351 ◽  
Author(s):  
Lillian Sung ◽  
Karam Ramotar ◽  
Lindy M. Samson ◽  
Baldwin Toye
Keyword(s):  
Risk Factors ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Case Control Study ◽  
Case Control ◽  
Retrospective Case ◽  
Coagulase Negative Staphylococci ◽  
Control Study

AbstractThis retrospective case-control study was performed to determine risk factors for bacteremia due to persistent coagulase-negative staphylococci in our neonatal intensive-care unit. Enteral nutrition and the presence of a nasogastric tube were identified as possible risk factors for coagulase-negative staphylococcal bacteremia involving one of the persistent strains.

Vancomycin-resistant Enterococcus (VRE) outbreak in a neonatal intensive care unit and special care nursery at a tertiary-care hospital in Australia—A retrospective case-control study

2019 ◽  
Vol 40 (05) ◽  
pp. 551-558 ◽  
Author(s):  
Patiyan Andersson ◽  
Wendy Beckingham ◽  
Claire Louise Gorrie ◽  
Karina Kennedy ◽  
Kathryn Daveson ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Case Control Study ◽  
Tertiary Care ◽  
Case Control ◽  
Retrospective Case ◽  
Vancomycin Resistant ◽  
Control Study

AbstractObjective:We investigated the risk factors and origins of the first known occurrence of VRE colonization in the neonatal intensive care unit (NICU) at the Canberra Hospital.Design:A retrospective case-control study.Setting:A 21-bed neonatal intensive care unit (NICU) and a 15-bed special care nursey (SCN) in a tertiary-care adult and pediatric hospital in Australia.Patients:All patients admitted to the NICU and SCN over the outbreak period: January–May 2017. Of these, 14 were colonized with vancomycin-resistant Enterococcus (VRE) and 77 were noncolonized.Methods:Demographic and clinical variables of cases and controls were compared to evaluate potential risk factors for VRE colonization. Whole-genome sequencing of the VRE isolates was used to determine the origin of the outbreak strain.Results:Swift implementation of wide-ranging infection control measures brought the outbreak under control. Multivariate logistic regression revealed a strong association between early gestational age and VRE colonization (odds ratio [OR], 3.68; 95% confidence interval [CI], 1.94–7.00). Whole-genome sequencing showed the isolates to be highly clonal Enterococcus faecium ST1421 harboring a vanA gene and to be closely related to other ST1421 previously sequenced from the Canberra Hospital and the Australian Capital Territory.Conclusion:The colonization of NICU patients was with a highly successful clone endemic to the Canberra Hospital likely introduced into the NICU environment from other wards, with subsequent cross-contamination spreading among the neonate patients. Use of routine surveillance screening may have identified colonization at an earlier stage and have now been implemented on a 6-monthly schedule.

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