Association of time of day and extubation success in very low birthweight infants: a multicenter cohort study

OBJECTIVE: To determine the association of overnight extubation (OE) with extubation success. STUDY DESIGN: Retrospective cohort study in three NICUs from 2016 to 2020. Infants without congenital anomalies, less than 1500 grams at birth, who were ventilated and received an extubation attempt were in...

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Detalles Bibliográficos
Autores principales: Guy, Brittany, Dye, Mary Eva, Richards, Laura, Guthrie, Scott O., Hatch, L. Dupree
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group US 2021
Materias:
Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8308074/
https://www.ncbi.nlm.nih.gov/pubmed/34304243
http://dx.doi.org/10.1038/s41372-021-01168-6
Descripción
Sumario:OBJECTIVE: To determine the association of overnight extubation (OE) with extubation success. STUDY DESIGN: Retrospective cohort study in three NICUs from 2016 to 2020. Infants without congenital anomalies, less than 1500 grams at birth, who were ventilated and received an extubation attempt were included. Primary exposure was OE (7:00 pm–6:59 am) and outcome was extubation success defined as no mechanical ventilation for at least 7 days after extubation. RESULTS: A total of 76/379 (20%) infants received OE. Infants extubated during the daytime were older and had higher illness severity markers. Extubation success rates did not differ for overnight (57/76, 75%) versus daytime extubations (231/303, 76%) after adjusting for confounders (adjusted relative risk 0.95, 95% CI 0.82–1.11). CONCLUSION: Though infants in our cohort undergoing daytime and OE were dissimilar, extubation success rates did not differ. Larger multicenter studies are needed to test our findings and identify markers of extubation readiness in preterm infants.

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