TY - JOUR T1 - Post-extubation outcomes in a tertiary referral cardio-thoracic intensive care unit (CICU) JF - European Respiratory Journal JO - Eur Respir J VL - 42 IS - Suppl 57 SP - P2432 AU - Charlotte Pereira AU - Martin Rooms AU - Rakhee Shah AU - Layla Meshykhi AU - Grainne Gallagher AU - Kat Elliott AU - Sunny Kaul Y1 - 2013/09/01 UR - http://erj.ersjournals.com/content/42/Suppl_57/P2432.abstract N2 - Extubation failure is associated with increased length of stay (LOS) and higher mortality rate. There is little published data (Thille et al. Crit Care Med 2011; 39:2612-2618) on modifiable risk factors.Aim: Record outcomes of all patients extubated in a tertiary referral CICU and identify risk factors predicting poorer outcomes.Hypothesis: Re-admissions, re-intubations and tracheostomies will be associated with poorer outcomes.Method/Design & Setting: Prospective 1-year observational study in a 25 bedded level 3 CICU facility. Data retrieved from paperless patient record system and patients followed up till discharge or death. The first 6 months data is reported here.Results: Total number of admissions is 650, (43 re-admissions); 70 % male, mean age 64 years (SD 15). Indications for admission: post-cardiac surgery (71%) transplant (8%) ventricular assist device insertion (4.5%) thoracic surgery (3.5%) cardiology (12%) thoracic medicine (1%). Table 1 shows the outcomes.View this table:Table 1Conclusion: This is the first known report of post-extubation outcomes in a CICU setting. Re-intubation, re-admission, tracheostomy and higher baseline serum creatinine (Cr) are all associated with poor outcomes. Further data collection is underway to identify cardio-respiratory modifiable factors and report 1 year LOS and mortality. ER -