2026-05-142026-05-142025FONSECA, Jakeline Godinho et al. Risk factors and clinical outcomes of post-extubation stridor in pediatric intensive care. Children, Basel, v. 12, n. 12, e1698, 2025. DOI: 10.3390/children12121698. Disponível em: https://www.mdpi.com/2227-9067/12/12/1698. Acesso em: 11 maio 2026.e- 2227-9067https://repositorio.bc.ufg.br//handle/ri/30367Objectives: To assess risk factors for post-extubation stridor in children and its impact on clinical outcomes. Methods: Prospective cohort study with children aged from 0 to 13 years who were intubated or underwent orotracheal intubation in the pediatric intensive care units (PICU) of two tertiary public hospitals. The outcome of interest was the occurrence of post-extubation stridor. The information collected included patient characteristics, comorbidities, history of airway manipulation, and factors related to orotracheal intubation. A logistic regression was used to identify potential risk factors for post-extubation stridor; data were analyzed until hospital discharge, death, or referral to another facility. Results: A total of 239 children were included, with a median age of 1.3 years and a duration of intubation of three days. Post-extubation stridor was observed in 57.3% of children. A multivariate analysis included prehospital or non-specialized hospital intubation, trauma or complications during intubation, and orotracheal intubation longer than seven days as risk factors for stridor. Children with stridor had a longer PICU length of stay, longer duration of invasive mechanical ventilation, and were often managed with non-invasive ventilation (p < 0.05). Most children with extubation failure (p = 0.001) and cardiorespiratory arrest (p = 0.03) presented with stridor. Conclusions: Risk factors for post-extubation stridor included intubation performed in prehospital or non-specialized hospitals, orotracheal intubation longer than seven days, and trauma or complications during intubation. Children with stridor had a worse prognosis, with longer stays in the PICU and on mechanical ventilation and higher rates of extubation failure.engAcesso Abertohttp://creativecommons.org/licenses/by-nc-nd/4.0/Respiratory soundsAirway extubationPediatric intensive care unitMechanical ventilationArtigo10.3390/children12121698