• Damage control laparotomy with subsequent open abdomen can have significant complications, including inability to achieve fascial closure and an open abdomen

• Ventral hernias, enterocutaneous fistulas, and intra-abdominal abscesses (IAA) are known complications of open abdomens

• There is minimal data regarding predictors of intra-abdominal abscesses

• Reintubation is associated with increased mortality, complications, hospital stay, and financial burden.

• Most studies have focused on reintubation in medically ill ICU populations.

• However, surgical ICU patients with traumatic injuries have different pathophysiology, comorbidities, and injury patterns.

• We evaluated comorbidities, injury patterns, and events leading up to extubation in trauma patients associated with reintubation.

• Elucidating risk factors leading to reintubation may help inform clinical practice in the surgical ICU.