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Evaluation between Cough Peak Flow and Cough Strength Score for Anticipating Reintubation after Scheduled Extubation
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Zaid E.Alawneh,   , Kafa M.Aldalala’h*, * , Rayya K.Almashaqbah, , Hafiz S.Alshorofat, , Mohammad Alhaek |
| jordan medical university,jordan |
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Abstract: (5669 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. |
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| Keywords: Cough peak flow, cough strength, reintubation, extubation |
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Type of Study: Research |
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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. Int J Med Invest 2018; 7 (3) :11-16 URL: http://intjmi.com/article-1-331-en.html
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