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신생아 집중치료실에서의 비계획적 기도발관 발생 현황과 인공기도 재삽관 관련 요인

Other Titles
 Incidence of Unplanned Extubation and Related Factors of Reintubation in the Neonatal Intensive Care Unit 
Authors
 임희문  ;  이혜정  ;  박미정  ;  신정은 
Citation
 Journal of the Korean Society of Maternal and Child Health (한국모자보건학회지), Vol.26(2) : 72-79, 2022-04 
Journal Title
Journal of the Korean Society of Maternal and Child Health(한국모자보건학회지)
ISSN
 1226-4652 
Issue Date
2022-04
Keywords
Endotracheal extubation ; Neonatal intensive care unit ; Patient safety
Abstract
Purpose
This descriptive study aimed to identify the incidence and related factors of reintubation after unplanned extubation in the neonatal intensive care unit.
Methods
A secondary data analysis was conducted using electronic medical records. All events of unplanned extubation were audited from January 2020 to August 2021. The data were analyzed by chi-square test using IBM SPSS Statistics ver. 24.0 program.
Results
Fifty-eight unplanned extubation events were identified for 20 months. The incidence was 2.6 per 100 ventilation days during the study period. After unplanned extubation, 35 neonates (60.3%) were immediately reintubated. There was a statistically significant difference between the gestational age (p=0.018) and postconceptional age at unplanned extubation (p=0.044) and the total intubation period (p=0.003) between the reintubation and nonreintubation groups.
Conclusion
These findings indicate that the incidence of unplanned extubation was significantly higher than that of an adult in South Korea. According to this study, targeting interventions are required to prevent unplanned extubation and ensure patient safety.
Files in This Item:
T202201945.pdf Download
DOI
10.21896/jksmch.2022.26.2.72
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Pediatrics (소아과학교실) > 1. Journal Papers
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
Shin, Jeong Eun(신정은) ORCID logo https://orcid.org/0000-0002-4376-8541
Lee, Hyejung(이혜정) ORCID logo https://orcid.org/0000-0001-9357-0640
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/188666
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