{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T08:06:05Z","timestamp":1789977965159,"version":"4.0.1"},"reference-count":28,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T00:00:00Z","timestamp":1789689600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"MCW Medical Student Summer Research Program"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Intensive Care Med"],"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Reintubation (RI) in surgical intensive care unit (SICU) patients is associated with significant morbidity and mortality. Reported RI rates are lower in surgical populations (6-9%) than in medical populations. This study evaluated the rate, risk factors, and outcomes associated with RI in a SICU cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective cohort study of adults admitted to a Level-1 trauma center SICU who received mechanical ventilation between 2019 and 2020 was performed. Exclusion criteria included age &lt;18 years, self-extubation, tracheostomy before extubation, admission to a nonsurgical service, or death before extubation. RI was defined as unplanned intubation within 96\u2005h of extubation. Demographic, clinical, and peri-extubation variables were analyzed using multivariable logistic regression. Post hoc exploratory analyses evaluated operative and nonoperative intubation subgroups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 667 patients, 52 (7.8%) experienced RI. In the full-cohort model, atrial fibrillation, spinal cord injury, alcohol withdrawal, ventilator-associated pneumonia (VAP), combined propofol\u2013dexmedetomidine sedation, and admitting service were independently associated with RI; VAP timing relative to RI was uncertain. RI occurred in 5.8% of patients intubated for an operative procedure and 11.2% of those intubated for a nonoperative indication (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.011). Compared with successful extubation, RI was associated with longer mechanical ventilation (11 vs 1 day), intensive care unit (ICU) stay (15 vs 2 days) and hospital stay (25 vs 10 days), as well as higher rates of tracheostomy (63% vs 2%), delirium (77% vs 33%), VAP (29% vs 2%), and in-hospital mortality (23% vs 1%, all\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The incidence of RI in this SICU was 7.8% and was associated with markedly worse outcomes. Patient-specific risk assessment may help guide risk-stratified post-extubation monitoring and respiratory support. The exploratory subgroup findings require prospective validation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08850666261488846","type":"journal-article","created":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T13:51:23Z","timestamp":1789739483000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Determining Reintubation Risk Factors and Effects on Outcomes in the Surgical ICU"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-7899-053X","authenticated-orcid":false,"given":"Ethan","family":"Hollar","sequence":"first","affiliation":[{"name":"MCW"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan D.","family":"Conrardy","sequence":"additional","affiliation":[{"name":"MCW"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kai","family":"Yang","sequence":"additional","affiliation":[{"name":"MCW"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Carver","sequence":"additional","affiliation":[{"name":"MCW"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,18]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.287.3.345"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2018.07.004"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcjq.2021.09.008"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201208-1523CI"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e31821e0c6e"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.130.6.1664"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1186\/cc11185"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2017.06.026"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000002327"},{"issue":"5","key":"e_1_3_3_11_2","first-page":"199","article-title":"Intensive care unit nurse staffing and the risk for complications after abdominal aortic surgery","volume":"4","author":"Pronovost PJ","year":"2001","unstructured":"Pronovost PJ, Dang D, Dorman T, et al. 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