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- W3160809644 abstract "Purpose The rational time for intubation during early mandibular distraction osteogenesis (MDO) in infants is unknown. To investigate the differences in clinical outcomes following MDO before and after a standardized extubation protocol implementation in infants. Methods A retrospective cohort study was performed for infant patients under 1 year old undergoing MDO. The study population was composed of all patients presenting for evaluation and management who underwent MDO between November 2016 and February 2021. We divided them into 2 groups: the pre-protocol group and the protocol group. The inpatient charts of infants were assessed. The primary outcome was respiratory events after extubation. The secondary outcomes were duration of mechanical ventilation (MV), postoperative length of stay (LOS), and success rate of the first extubation. Other variables included age, sex, weight, height, and information related to diagnosis, distraction, anesthesia, and operation. The logistic regression model and linear regression model were used to calculate unadjusted and adjusted relative risk (RR) and mean difference (MD) for associations between 2 groups and the primary and secondary outcomes. Results There were 142 infants in the pre-protocol group and 135 infants in the protocol group. The patients in the protocol group were heavier in weight than those in the pre-protocol group (P Conclusions Among infants undergoing MDO, the standardization of extubation practices can reduce respiratory events after extubation compared with traditional management." @default.
- W3160809644 created "2021-05-24" @default.
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- W3160809644 date "2021-05-01" @default.
- W3160809644 modified "2023-10-18" @default.
- W3160809644 title "A Standardized Extubation Schedule Reduces Respiratory Events After Extubation Following Mandibular Distraction in Infants" @default.
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- W3160809644 doi "https://doi.org/10.1016/j.joms.2021.05.002" @default.
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