{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T00:27:51Z","timestamp":1785457671752,"version":"3.56.0"},"reference-count":27,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2020,5,1]],"date-time":"2020-05-01T00:00:00Z","timestamp":1588291200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2020,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Post-extubation stridor and hoarseness are important clinical manifestations that indicate laryngeal edema due to intubation. In previous studies the incidence of post-extubation stridor and hoarseness ranged from 1.5% to 26.3% in postoperative patients and patients in the intensive care unit. Female sex and prolonged intubation are reportedly risk factors for post-extubation stridor. However, the risk factors for post-extubation stridor and the appropriate endotracheal tube size in emergency settings remain unknown. This study was performed to identify the risk factors for post-extubation laryngeal edema after emergency intubation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A prospective observational study was conducted in a tertiary emergency medical center\/trauma center. The primary outcome was post-extubation stridor and hoarseness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>During the study period, 482 emergency intubations and 227 extubations were performed in adult patients. In total, 29% of the patients presented symptoms of stridor and\/or hoarseness. Female sex (odds ratio, 2.65; 95% confidence interval, 1.21\u20135.81) and the duration of intubation (odds ratio, 1.18; 95% confidence interval, 1.05\u20131.32) were associated with stridor and\/or hoarseness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Patients who undergo emergency intubation have a higher risk of post-extubation upper airway obstruction symptoms than postoperative patients and patients in the intensive care unit, and female sex is associated with these symptoms.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0300060520926367","type":"journal-article","created":{"date-parts":[[2020,5,29]],"date-time":"2020-05-29T05:31:41Z","timestamp":1590730301000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":17,"title":["Risk factors associated with symptoms of post-extubation upper airway obstruction in the emergency setting"],"prefix":"10.1177","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2701-1223","authenticated-orcid":false,"given":"Mafumi","family":"Shinohara","sequence":"first","affiliation":[{"name":"Advanced Critical Care and Emergency Center, Yokohama City University Medical Center; Department of Emergency Medicine, Yokohama City University, Yokohama City, Kanagawa, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masayuki","family":"Iwashita","sequence":"additional","affiliation":[{"name":"Advanced Critical Care and Emergency Center, Yokohama City University Medical Center; Department of Emergency Medicine, Yokohama City University, Yokohama City, Kanagawa, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3496-1953","authenticated-orcid":false,"given":"Takeru","family":"Abe","sequence":"additional","affiliation":[{"name":"Advanced Critical Care and Emergency Center, Yokohama City University Medical Center; Department of Emergency Medicine, Yokohama City University, Yokohama City, Kanagawa, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ichiro","family":"Takeuchi","sequence":"additional","affiliation":[{"name":"Advanced Critical Care and Emergency Center, Yokohama City University Medical Center; Department of Emergency Medicine, Yokohama City University, Yokohama City, Kanagawa, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,5,29]]},"reference":[{"key":"bibr1-0300060520926367","doi-asserted-by":"publisher","DOI":"10.1378\/chest.112.1.186"},{"key":"bibr2-0300060520926367","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2010.12.015"},{"key":"bibr3-0300060520926367","doi-asserted-by":"publisher","DOI":"10.1186\/cc2913"},{"key":"bibr4-0300060520926367","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000002327"},{"key":"bibr5-0300060520926367","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-015-1018-2"},{"key":"bibr6-0300060520926367","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-018-2150-6"},{"key":"bibr7-0300060520926367","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-002-1563-4"},{"key":"bibr8-0300060520926367","doi-asserted-by":"publisher","DOI":"10.1136\/tsaco-2016-000052"},{"key":"bibr9-0300060520926367","first-page":"503","volume":"77","author":"Cheng KC","year":"2011","journal-title":"Minerva Anestesiol"},{"key":"bibr10-0300060520926367","first-page":"1632","volume":"50","author":"Kriner EJ","year":"2005","journal-title":"Respir Care"},{"key":"bibr11-0300060520926367","doi-asserted-by":"publisher","DOI":"10.1097\/01.CCM.0000214678.92134.BD"},{"key":"bibr12-0300060520926367","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2016.02.010"},{"key":"bibr13-0300060520926367","doi-asserted-by":"publisher","DOI":"10.1186\/cc5957"},{"key":"bibr14-0300060520926367","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2004.02.005"},{"key":"bibr15-0300060520926367","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.06.00029605"},{"key":"bibr16-0300060520926367","doi-asserted-by":"publisher","DOI":"10.1186\/s13613-017-0331-0"},{"key":"bibr17-0300060520926367","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2016.07.007"},{"key":"bibr18-0300060520926367","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-6576.2009.02166.x"},{"key":"bibr19-0300060520926367","first-page":"S67","volume":"80","author":"Jaensson M","year":"2012","journal-title":"AANA J"},{"key":"bibr20-0300060520926367","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0074467"},{"key":"bibr21-0300060520926367","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.158.2.9711045"},{"key":"bibr22-0300060520926367","doi-asserted-by":"publisher","DOI":"10.1007\/BF02044118"},{"key":"bibr23-0300060520926367","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-008-1205-6"},{"key":"bibr24-0300060520926367","doi-asserted-by":"publisher","DOI":"10.1111\/1742-6723.12815"},{"key":"bibr25-0300060520926367","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-199208000-00004"},{"key":"bibr26-0300060520926367","doi-asserted-by":"publisher","DOI":"10.1186\/cc8142"},{"key":"bibr27-0300060520926367","doi-asserted-by":"publisher","DOI":"10.1093\/nutrit\/nuv105"}],"container-title":["Journal of International Medical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0300060520926367","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0300060520926367","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0300060520926367","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T10:46:20Z","timestamp":1777459580000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0300060520926367"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5]]},"references-count":27,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2020,5]]}},"alternative-id":["10.1177\/0300060520926367"],"URL":"https:\/\/doi.org\/10.1177\/0300060520926367","relation":{},"ISSN":["0300-0605","1473-2300"],"issn-type":[{"value":"0300-0605","type":"print"},{"value":"1473-2300","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,5]]},"article-number":"0300060520926367"}}