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• W4387394177 abstract "Abstract Background Emergency intubations are commonly associated with adverse events when performed in critically ill patients. A detailed look at intubation factors and their association with procedural success and mortality has yet to be fully conducted. Methods A total of 299 successive intubations at a tertiary Veteran Affair hospital were analyzed. Situational factors, personnel involved, intubation indications, induction agents, and airway management techniques were prospectively collected and entered into univariable and multivariable analyses to identify factors associated with procedural difficulty and mortality. Results The use of paralytics was associated with easier intubations (OR: 0.31, 95% CI: 0.11–0.87, p = .03). The use of direct laryngoscopy or video laryngoscopy had no significant association with difficult intubation. Factors associated with increased 30‐day mortality were cardiac arrest (OR: 7.90, 95% CI: 2.77–22.50, p < .001), hypoxia as indication for intubation (OR: 2.31, 95% CI: 1.23–4.35, p = .009), and nadir SpO 2 < 90% (OR: 2.70, 95% CI: 1.01–7.21, p = .048). Presence of an attending anesthesiologist during intubation was associated with a lower 30‐day mortality (OR: 0.11, 95% CI: 0.04–0.29, p < .001). Factors associated with increased 90‐day mortality were cardiac arrest (OR: 6.57, 95% CI: 2.23–19.34, p = .001), hypoxia as indication for intubation (OR: 1.97, 95% CI: 1.10–3.55, p = .023), and older age (OR: 1.38, 95% CI: 1.07–1.78, p = .013). Similarly, presence of an attending anesthesiologist was found to be associated with a lower 90‐day mortality (OR: 0.19, 95% CI: 0.07–0.50, p = .001). Conclusion Cardiovascular and respiratory instability were associated with increased 30‐ and 90‐day mortality. Presence of an attending anesthesiologist was associated with a better survival following intubation outside operating room." @default.
• W4387394177 created "2023-10-07" @default.
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• W4387394177 date "2023-10-06" @default.
• W4387394177 modified "2023-10-08" @default.
• W4387394177 title "Factors associated with 30‐ and 90‐day mortality in intubations among critically ill patients" @default.
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• W4387394177 doi "https://doi.org/10.1111/aas.14334" @default.
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• W4387394177 hasPublicationYear "2023" @default.
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