Factors influencing the extubation of patients in a vegetative state after tracheotomy
10.3760/cma.j.issn.0254-1424.2022.10.009
- VernacularTitle:影响持续植物状态合并气管切开患者拔管的相关因素分析
- Author:
Shaowei WANG
1
;
Xi ZENG
;
Qingfu LI
;
Liugen WANG
;
Heping LI
Author Information
1. 郑州大学第一附属医院康复医学科，郑州 450000
- Keywords:
Vegetative state;
Tracheotomy;
Extubation
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2022;44(10):907-911
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the factors influencing the extubation time of patients in a persistent vegetative state (PVS) after tracheotomy so as to provide a theoretical basis for early extubation for such patients.Methods:Clinical data were collected on PVS patients after a tracheotomy. The cases were divided into an extubation group and a difficult extubation group according to whether the extubation was successful or not. Version 22.0 of the SPSS software was used to evaluate univariate and multivariate logistic regressions analyzing the factors influencing the success of extubation.Results:The single-factor analysis revealed significant differences between the groups in terms of average age, nursing level, nutrition, swallowing function, hypoalbuminemia and incubation time. Gender, brain injury, stroke, ischemic anoxic encephalopathy and lung infection were not, however, significant predictors. The multivariate logistic regression analysis highlighted nutritional mode, swallowing function, intubation time, pulmonary infection, full-time care and age as independent predictors of extubation success.Conclusions:Intermittent oral to esophageal tube feeding and full-time care are protective factors for extubation of patients in a PVS after a tracheotomy. Swallowing disorders, intubation for more than 30 days, pulmonary infection and greater age are risk factors for unsuccessful extubation. Nutritional support, swallowing function training and intensive nursing can effectively improve the success rate of extubation.
