Economic Impact of Prolonged Tracheal Extubation Times
Author Information
Author(s): Dexter Franklin, Marian Anil A., Epstein Richard H.
Primary Institution: University of Iowa
Hypothesis
Prolonged tracheal extubation times increase operating room time and costs.
Conclusion
Prolonged tracheal extubation times increase operating room time by approximately 13 minutes and are often associated with operating rooms that have workloads exceeding 8 hours.
Supporting Evidence
- Prolonged extubations occurred in 23% of cases.
- Mean operating room time was 13.3 minutes longer for cases with prolonged extubation.
- 77% of prolonged extubations occurred in operating rooms with workloads exceeding 8 hours.
Takeaway
When doctors take longer to wake patients up after surgery, it makes the operating room busier and costs more money.
Methodology
Retrospective cohort study analyzing cases from a university hospital over a period from October 2011 to June 2023.
Potential Biases
Potential biases related to the specific practices and workflows of the surgeons involved.
Limitations
The study was limited to data from a single hospital, which may affect generalizability.
Participant Demographics
Included both adult and pediatric patients, with a mean patient age of 55 years.
Statistical Information
P-Value
<0.0001
Confidence Interval
12.8–13.7 min
Statistical Significance
p<0.0001
Digital Object Identifier (DOI)
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