Mixed-methods study explores extubation rates and clinical practices in ICUs, indicating significant variability and influencing factors.
Key Points
To evaluate the relationship between spontaneous breathing trials and successful extubation, and to understand clinical practices influencing these outcomes.
Conducted retrospective chart reviews and interviews across five intensive care units.
Analyzed SBT and extubation times during two distinct periods.
Performed statistical analysis to identify predictors of extubation outcomes.
Utilized grounded theory and content analysis for qualitative data interpretation.
Significant increase in time from SBT to extubation from 2020 to 2023 (p < 0.01).
Successful extubation rates increased significantly for Unit C in 2023 (OR = 1.56, p < 0.001).
Variability in extubation outcomes across different units observed over time.
Independent factors influencing timing and success of extubation identified within unit contexts.