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Emergency tracheal intubation during off-hours is not associated with increased mortality in hospitalized patients: a retrospective cohort study
- Source :
- BMC Anesthesiology, BMC Anesthesiology, Vol 20, Iss 1, Pp 1-10 (2020)
- Publication Year :
- 2020
-
Abstract
- Background The prognosis of hospitalized patients after emergent endotracheal intubation (ETI) remains poor. Our aim was to evaluate the 30-d hospitalization mortality of subjects undergoing ETI during daytime or off-hours and to analyze the possible risk factors affecting mortality. Methods A single-center retrospective study was performed at a university teaching facility from January 2015 to December 2018. All adult inpatients who received ETI in the general ward were included. Information on patient demographics, vital signs, ICU (Intensive care unit) admission, intubation time (daytime or off-hours), the department in which ETI was performed (surgical ward or medical ward), intubation reasons, and 30-d hospitalization mortality after ETI were obtained from a database. Results Over a four-year period, 558 subjects were analyzed. There were more male than female in both groups (115 [70.1%] vs 275 [69.8%]; P = 0.939). A total of 394 (70.6%) patients received ETI during off-hours. The patients who received ETI during the daytime were older than those who received ETI during off-hours (64.95 ± 17.54 vs 61.55 ± 17.49; P = 0.037). The BMI of patients who received ETI during the daytime was also higher than that of patients who received ETI during off-hours (23.08 ± 3.38 vs 21.97 ± 3.25; P P = 0.361). Multivariate Cox regression analysis found that the significant factors for the risk of death within 30 days included ICU admission (HR 0.312, 0.176–0.554) and the department in which ETI was performed (HR 0.401, 0.247–0.653). Conclusions The 30-d hospitalization mortality after ETI was 66.8%, and off-hours presentation was not significantly associated with mortality. ICU admission and ETI performed in the surgical ward were significant factors for decreasing the risk of death within 30 days. Trial registration This trial was retrospectively registered with the registration number of ChiCTR2000038549.
- Subjects :
- Adult
Male
Emergent endotracheal intubation
medicine.medical_specialty
Emergency Medical Services
Hospitalized patients
medicine.medical_treatment
Vital signs
law.invention
lcsh:RD78.3-87.3
03 medical and health sciences
Young Adult
0302 clinical medicine
After-Hours Care
law
Risk Factors
Anesthesiology
Off-hours
medicine
Intubation, Intratracheal
Intubation
Humans
030212 general & internal medicine
Hospital Mortality
Mortality
Aged
Proportional Hazards Models
Retrospective Studies
Aged, 80 and over
Proportional hazards model
business.industry
Tracheal intubation
030208 emergency & critical care medicine
Retrospective cohort study
Middle Aged
Intensive care unit
Hospitalization
Anesthesiology and Pain Medicine
lcsh:Anesthesiology
Emergency medicine
Female
business
Research Article
Subjects
Details
- ISSN :
- 14712253
- Volume :
- 20
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- BMC anesthesiology
- Accession number :
- edsair.doi.dedup.....a663b520f5edcdc6654490d7ed5eef7a