کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3009666 1181494 2011 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Morbidity related to emergency endotracheal intubation—A substudy of the KETAmine SEDation trial
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
پیش نمایش صفحه اول مقاله
Morbidity related to emergency endotracheal intubation—A substudy of the KETAmine SEDation trial
چکیده انگلیسی

ObjectivesTo evaluate the association between emergency tracheal intubation difficulty and the occurrence of immediate complications and mortality, when standardised airway management is performed by emergency physicians.MethodsThe present study was a substudy of the KETAmine SEDation (KETASED) trial, which compared morbidity and mortality after randomisation to one of two techniques for rapid sequence intubation in an emergency setting. Intubation difficulty was measured using the intubation difficulty scale (IDS) score. Complications recognised within 5 min of endotracheal intubation were recorded. We used multivariate logistic regression analysis to determine the factors associated with the occurrence of complications. Finally, a Cox proportional hazards regression model was used to examine the association of difficult intubation with survival until 28 days.ResultsA total of 650 patients were included, with mean age of 55 ± 19 years. Difficult intubation (IDS >5) was recorded in 73 (11%) patients and a total of 248 complications occurred in 192 patients (30%). Patients with at least one complication had a significantly higher median IDS score than those without any complications. The occurrence of a complication was independently associated with intubation difficulty (odds ratio 5.9; 95% confidence interval (CI) [3.5;10.1], p < 0.0001) after adjustment on other significant factors. There was a positive linear relationship between IDS score and complication rate (R2 = 0.83; p < 0.001). The Cox model for 28-day mortality indicated that difficult intubation (hazard ratio 1.59; 95%CI [1.04;2.42], p = 0.03) was a significant independent predictor of death.ConclusionDifficult intubation, measured by the IDS score, is associated with increased morbidity and mortality in patients managed under emergent conditions.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Resuscitation - Volume 82, Issue 5, May 2011, Pages 517–522
نویسندگان
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