# Analysis of the current status of "pseudo" unplanned endotracheal extubation in ICU patients in China's tertiary hospitals

## TL;DR

This study examines the frequency and causes of 'pseudo' unplanned endotracheal extubation in ICU patients in China's top hospitals.

## Contribution

The study identifies a significant proportion of 'pseudo' unplanned extubations and highlights management gaps in ICU care.

## Key findings

- 74.9% of unplanned extubation reports come from first-class tertiary hospitals.
- 74.6% of unplanned extubations are self-initiated by patients.
- 45.1% of extubations are classified as 'pseudo' unplanned, indicating potential management issues.

## Abstract

To analyze the current status of "pseudo" unplanned endotracheal extubation in ICU patients in China's tertiary hospitals and to provide a reference for improving the quality of medical care. Through the National Nursing Quality Data Platform, unplanned endotracheal extubation data reported by ICUs in China's tertiary hospitals from 2019 to 2022 were analyzed. The situation of reported hospitals, causes, and the current status of "pseudo" unplanned endotracheal extubation in ICU patients was analyzed. The indicator of unplanned endotracheal extubation in ICUs of China’s tertiary hospitals is mainly from first-class tertiary hospitals (74.9%), most of which are self-extractions by patients (74.6%). The proportion of "pseudo" unplanned endotracheal extubation is 45.1%. "Pseudo" unplanned endotracheal extubation is common in the ICUs of China's tertiary hospitals. As such, management blind spots deserve attention from managers and clinical staff.