INVESTIGATING THE RISK FACTORS IN UNPLANNED ENDOTRACHEAL TUBE REMOVAL IN ADULT PATIENTS OF INTENSIVE CARE UNITS OF SHAHID BEHESHTI HOSPITAL OF QOM, IRAN IN 2021

Unplanned removal of the endotracheal tube is one of the quality criteria of care in the intensive care unit and may lead to irreversible complications. The aim of this study was to investigate the risk factors for unplanned endotracheal tube removal in adult patients admitted to the General Special Care Department of Shahid Beheshti Hospital of Qom, Iran in 2021.

This study was conducted in the year 2021 using a retrospective descriptive analytical method. The statistical sample included all patients over 18 years of age admitted to the intensive care unit who had unplanned tracheal tube removal. In this study, a researcher-made extubation checklist was used. Data analysis was done using SPSS version 23 through descriptive and regression tests. A significance level of 0.05 was considered significant.

18.33% of patients had the experience of unplanned tracheal tube removal. Their mean age was 54.62 ± 6.54 and their level of consciousness was 10.54 ± 2.07. Furthermore, 72.06% of the patients were agitated. The variables of age, workload of nurse, level of consciousness, restlessness, history of drug use, and occurrence of delirium after hospitalization in ICU played a role in unplanned tracheal tube removal. In the examination of complications, the most complications were related to aspiration and then to damage to the larynx.

Unplanned extubation is more common in internal ward patients than in surgical ward patients. It is also more common in elderly people, people with a history of drug use, the disproportion between the number of patients and the number of nurses, but it has no relationship with patient gender.