Pediatric anesthesia & critical care
Risk factors and outcomes associated with unplanned intraoperative extubation of the pediatric surgical patient: An analysis of the NSQIP‐P database
Authors' conclusion
Unplanned intraoperative extubation occurs at a higher frequency in a subset of procedures and patient types.
Study context
- Population
- Patients <18 years in the NSQIP-Pediatric database, 2019–2020
- Participants
- 253,673 patients
- Exposure
- Unplanned intraoperative extubation vs none
- Outcome
- Unplanned intraoperative extubation
Methodological detailsregistry database analysis, univariable and multivariable logistic regression
- Registry database analysis
- Univariable and multivariable logistic regression
Main finding
As reported in the abstract
Incidence of unplanned intraoperative extubation
Unplanned intraoperative extubation, n (%)
163
0.06%
Bilateral cleft lip repair (% of procedure type)
1.31%
Thoracic repair of tracheoesophageal fistula (% of procedure type)
1.11%
Observational data: associations, not effects.
Safety
Postoperative pulmonary complication
| OR (95% CI) | P value | ||
|---|---|---|---|
| Unplanned intraoperative extubationUnadjusted | 6.05 (1.93–14.44) | P < 0.005 | |
| 0.050.21520Odds ratio (log scale) |
Unplanned reintubation within 24 h
| OR (95% CI) | P value | ||
|---|---|---|---|
| Unplanned intraoperative extubationUnadjusted | 8.41 (2.08–34.03) | P < 0.005 | |
| 0.050.21520Odds ratio (log scale) |
Cardiac arrest on day of surgery
| OR (95% CI) | P value | ||
|---|---|---|---|
| Unplanned intraoperative extubationUnadjusted | 22.67 (0.56–132.35) | P < 0.05 | |
| 0.050.21520Odds ratio (log scale) |
Surgical site infection
| OR (95% CI) | P value | ||
|---|---|---|---|
| Unplanned intraoperative extubationUnadjusted | 3.27 (1.74–5.67) | P < 0.0005 | |
| 0.20.5125Odds ratio (log scale) |
Original publication
Risk factors and outcomes associated with unplanned intraoperative extubation of the pediatric surgical patient: An analysis of the NSQIP‐P database. Paediatr Anaesth. Published 19 June 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →