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The accidental extubation rate decreased to one tenth of what it was in 2010 (1.1% vs. 10.2%, p 0.001). The ICU mortality did not change (31.4% vs. 35.6%, p = 0.343) but ICU length of stay showed a decreasing trend (9 days vs 10 days, p = 0.054) in 2016. There were temporal changes in care of patients on mechanical ventilation including better control of pain and agitation, and active attempt of awakening. There were temporal changes in care of patients on mechanical ventilation including better control of pain and agitation, and active attempt of awak
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