Establishing a Prediction Model for Successfully Planned Endotracheal Extubation in Preterm Neonates: An Answer to Many Questions

Authors

  • Rafia Gul Fatima Memorial Hospital, Lahore Pakistan
  • Aimen Tahir Fatima Memorial Hospital, Lahore Pakistan
  • Samer Fatima Fazaia College of Education for Women Cantt, Lahore
  • Muhammad Usman Fatima Memorial Hospital, Lahore Pakistan
  • Lubna Asghar Fatima Memorial Hospital, Lahore Pakistan
  • Tahir Mahmood Butt
  • Irshad Hussain KRL Hospital, Islamabad

DOI:

https://doi.org/10.48036/apims.v22i1.1553

Keywords:

Endotracheal extubation, Endotracheal intubation, Mechanical ventilation, NICU, Preterm neonates

Abstract

Objective: To establish the prediction model for successfully planned endotracheal extubation in preterm neonates.
Study Design: Prospective cohort study
Place and Duration of Study: This study was conducted at Neonatal ICUs of Fatima Memorial Hospital Lahore, from February 2023 to October 2024.
Methodology: The study included 255 preterm neonates (28–35 weeks gestation) intubated <7 days and extubated for the first time before 30 days of age. Successful extubation was labeled as no need for reintubation within 72 hours following extubation. Demographics, prenatal, and peri-extubation data were collected analyzed using multivariate logistic regression to identify independent predictors. Receiver operating characteristic (ROC) analysis assessed model discrimination, and a nomogram was constructed for individualized prediction.

 

 

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Published

2026-02-03

Issue

Vol. 22 No. 1 (2026): January-March

Section

Original Articles

License

Copyright (c) 2025 Rafia Gul, Aimen Tahir, Samer Fatima, Muhammad Usman, Lubna Asghar, Tahir Mahmood Butt, Irshad Hussain

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by-nc/4.0/.) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.