Publication Name	World Journal of Gastrointestinal Surgery
Manuscript ID	112175
Country	China

Category	Gastroenterology & Hepatology
Manuscript Type	Retrospective Study
Article Title	Predicting unplanned extubation risk in patients with endoscopic nasobiliary drainage
Manuscript Source	Unsolicited Manuscript
All Author List	Wen-Jing Li, Na Mi, Xi Huang, Chang-Sha Liu, Shu-Ting Zhang, Yu Liao and Yan Yu
Funding Agency and Grant Number	Funding Agency Grant Number Chongqing Municipal Health Commission Project 2024WSJK017
Corresponding Author	Yan Yu, Department of Hepatobiliary and Pancreatic Surgery, The Second Affiliated Hospital of Army Military Medical University, No. 83 Xinqiao Street, Shapingba District, Chongqing 400037, China. yuyan2025@tmmu.edu.cn
Key Words	Nursing safety; Nomogram; Risk prediction model; Unplanned extubation; Endoscopic nasobilirary drainage
Core Tip	This multicenter retrospective study developed and validated a six-factor risk prediction model for unplanned nasobiliary tube extubation after endoscopic retrograde cholangiopancreatography plus endoscopic nasobiliary drainage. Independent predictors included age ≥ 61 years, smoking history, prolonged fasting, catheter duration, consciousness change, and low serum albumin. The nomogram demonstrated excellent discrimination (area under the curve = 0.881) and clinical utility. A total score ≥ 199 indicates high risk. This tool enables early identification of high-risk patients and supports targeted nursing interventions to reduce complications, hospitalization time, and healthcare costs.
Citation	Li WJ, Mi N, Huang X, Liu CS, Zhang ST, Liao Y, Yu Y. Predicting unplanned extubation risk in patients with endoscopic nasobiliary drainage. World J Gastrointest Surg 2025; In press

Received	2025-08-06 09:15
Peer-Review Started	2025-08-06 09:15
To Make the First Decision
Return for Revision	2025-08-26 08:32
Revised	2025-09-03 09:49
Second Decision	2025-10-13 02:50
Accepted by Journal Editor-in-Chief
Accepted by Executive Editor-in-Chief	2025-10-13 08:51
Articles in Press	2025-10-13 08:51
Publication Fee Transferred	2025-09-05 02:14
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1948-9366 (online)
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