Journal of Emergency Health Care
Formerly known as: International Journal of Medical Investigation
Volume 7, Issue 3 (9-2018)
J Emerg Health Care 2018, 7(3): 11-16 |
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E.Alawneh, Z, M.Aldalala’h*, K, K.Almashaqbah, R, S.Alshorofat, H, Alhaek M. Evaluation between Cough Peak Flow and Cough Strength Score for Anticipating Reintubation after Scheduled Extubation. J Emerg Health Care 2018; 7 (3) :11-16
URL: http://intjmi.com/article-1-331-en.html
URL: http://intjmi.com/article-1-331-en.html
Zaid E.Alawneh, 
, Kafa M.Aldalala’h*, * , Rayya K.Almashaqbah, , Hafiz S.Alshorofat, , Mohammad Alhaek
, Kafa M.Aldalala’h*, * , Rayya K.Almashaqbah, , Hafiz S.Alshorofat, , Mohammad Alhaek
jordan medical university,jordan
Abstract: (6179 Views)
Introduction: Cough peak flow and cough strength score were used to anticipate extubation results in patients where extubation was scheduled. Methods: Our prospective, randomized and double-blind investigation included 204 patients who were candidates for extubation after a successful spontaneous breathing test in the intensive care unit of King Hussein medical center, Amman, Jordan, during the period Feb 2014-Apr2016. Cough strength score (CSS, graded 0-5) and cough peak flow (CPF) were evaluated before extubation. Reintubation was recorded 3 days after extubation. Findings: Reintubation incidence was 12.7 %( 26) during 3 days after scheduled extubation. Patients with successful extubation had more cough strength scores than did reintubated patients (mean +/-SD, 2.8 +/-1.4, 1.7 +/-1.3, respectively, P < 0.05) and cough peak flow (69.2 +/-31.4, 45.4 +/-19.9 L/min, respectively, P < 0.05). The cough strength score demonstrated a positive association with cough peak flow (P <0.05). Mean cough peak flows were 33.1 L/min, 34.4 L/min, 39.2 L/min, 52.6 L/min, 71.9 L/min, and 106.8 L/min in patients with cough strength scores of 0, 1, 2, 3, 4, and 5, respectively. While cough strength score increased from 0 to 1 to 2 to 3 to 4 to 5, the reintubation incidence reduced from 26.96%(55) to 22.5%(46) to 16.7%(34) to 13.7%(28) to 10.8%(22) to 1.96%(4). Conclusion: Cough strength score was suitable to record at the bedside in our intensive care unit. Cough strength score was positively associated with cough peak flow and had the same result for anticipating reintubation after scheduled extubation.
References
1. 1. Krinsley JS, Reddy PK, Iqbal A. What is the optimal rate of failed extubation?. Critical Care. 2012 Feb;16(1):111.
2. Thille AW, Richard JC, Brochard L. The decision to extubate in the intensive care unit. American journal of respiratory and critical care medicine. 2013 Jun 15;187(12):1294-302.
3. Thille AW, Harrois A, Schortgen F, Brun-Buisson C, Brochard L. Outcomes of extubation failure in medical intensive care unit patients. Critical care medicine. 2011 Dec 1;39(12):2612-8.
4. Ismaeil MF, El-Shahat HM, El-Gammal MS, Abbas AM. Unplanned versus planned extubation in respiratory intensive care unit, predictors of outcome. Egyptian Journal of Chest Diseases and Tuberculosis. 2014 Jan 1;63(1):219-31.
5. Whitmore D, Mahambray T. Reintubation following planned extubation: incidence, mortality and risk factors. Intensive care medicine experimental. 2015 Dec 1;3(S1):A684.
6. Menon N, Joffe AM, Deem S, Yanez ND, Grabinsky A, Dagal AH, Daniel S, Treggiari MM. Occurrence and complications of tracheal reintubation in critically ill adults. Respiratory care. 2012 Oct 1;57(10):1555-63
7. Saltürk C, Esquinas AM. Factors Associated With Reintubation in Patients With Chronic Obstructive Pulmonary Disease. Quality Management in Healthcare. 2016 Jul 1;25(3):187
8. Su WL, Chen YH, Chen CW, Yang SH, Su CL, Perng WC, Wu CP, Chen JH.Involuntary cough strength and extubation outcomes for patients in an ICU. Chest. 2010 Apr 1;137(4):777-82
9. Jun Duan,Lintong Zhou,Melling Xiao,et al.Semiquantitative cough strength score for Predicting reintubation after planned extubation. American journal of critical care 2015; 24(6):e86-e90
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