Table 2.

Rates of Clinical Treatment of UAO and Reintubation within 48 Hours Classified by Agreement versus Disagreement between UAO Tool and Clinicians 5 Minutes after Extubation

	MD vs. Tool		RN vs. Tool		RT vs. Tool		Core Trained vs. Tool		Most Experienced vs. Tool
	Reintubation	UAO Treatment	Reintubation	UAO Treatment	Reintubation	UAO Treatment	Reintubation	UAO Treatment	Reintubation	UAO Treatment
Both agree no UAO	15/285 (5%)	31/285 (11%)	10/277 (4%)	30/277 (11%)	12/287 (4%)	29/287 (10%)	11/280 (4%)	28/280 (10%)	14/285 (5%)	31/285 (11%)
Both agree yes UAO	10/41 (24%)	32/41 (78%)	12/40 (30%)	34/40 (85%)	14/46 (30%)	40/46 (87%)	11/32 (34%)	28/32 (87%)	13/46 (28%)	40/46 (87%)
Clinician no UAO, tool yes UAO	9/49 (18%)	31/49 (63%)	7/50 (14%)	29/50 (58%)	5/44 (11%)	23/44 (52%)	5/40 (13%)	21/40 (53%)	6/44 (14%)	23/44 (52%)
Clinician yes UAO, tool no UAO	0/28 (0%)	6/28 (21%)	5/42 (12%)	7/42 (17%)	3/32 (9%)	8/32 (25%)	2/25 (8%)	7/25 (28%)	1/34 (3%)	6/34 (17%)

Definition of abbreviations: MD = physician; RN = registered nurse; RT = respiratory therapist; UAO = upper airway obstruction.

High rates of reintubation and UAO treatment were found when both provider and tool agreed that UAO was present. Low rates of reintubation and UAO treatment were seen when the bedside provider labeled the patient with UAO but the UAO tool did not. High rates of reintubation and UAO treatment occurred when the UAO tool detected UAO but the clinician did not.