Airway management

Sex difference in the risk of extubation failure in intensive care units (ICUs)

Ann Intensive CarePublished Post hoc analysis of a clinical trial

Primary result · Reintubation within 7 days after extubationResult — go to the resultDifference + 5.6% 95% CI - 0.3 to 10.8

Authors' conclusion

In this post hoc analysis of a clinical trial including a homogeneous subset of patients at high risk of extubation failure, sex was independently associated with reintubation.

Study context

Population
ICU patients at high risk of extubation failure
Participants
641 patients
Comparison
Males vs females
  • Malesn = 425
  • Femalesn = 216reference
Primary endpoint
Reintubation
Follow-up
7 days following extubation
Methodological detailsmultivariable logistic regression
  • Multivariable logistic regression

Primary result

Reintubation within 7 days after extubation · day 7

Difference

+ 5.6%

95% CI - 0.3 to 10.8

P = 0.059

By group

As reported in the abstract

Male sex independently associated with reintubation within 7 days, multivariable logistic regression
adjusted OR 1.70 [95% CI, 1.01 to 2.89]; P = 0.048 (95% CI, P)

Further findings

Reintubation at 48 h

difference + 5.0 (0.2–9.2) · P = 0.038

Original publication

Sex difference in the risk of extubation failure in ICUs. Ann Intensive Care. Published 19 December 2023. doi:10.1186/s13613-023-01225-7

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