Peri-intubation cardiac arrest in the Emergency Department: A National Emergency Airway Registry (NEAR) study
Peri-intubation cardiac arrest in the Emergency Department: A National Emergency Airway Registry (NEAR) study
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DOI：
10.1016/j.resuscitation.2021.02.039
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发表时间：
2021-05-01
期刊：
影响因子：
6.5
通讯作者：
Brown, Calvin A.
中科院分区：
文献类型：
--
作者：
April, Michael D.;Arana, Allyson;Brown, Calvin A.
目的：通过对多中心急诊科（艾德）气道登记处的分析确定插管周围心脏骤停的发生率，并报告相关的临床特征。方法：这是对前瞻性收集的数据（国家急诊气道登记处）的二次分析，包括2016年至2018年14岁以上受试者的艾德气管插管（ETIs）。我们排除了插管前心脏骤停的患者。主要结局为插管周围心脏骤停。多变量逻辑回归产生的调整优势比（aOR）的变量与此结果，控制临床特征，困难的气道特征，ETI models.Results：15,776例符合选择标准，157（1.0%，95%CI 0.9-1.2%）经历围插管心脏骤停。插管前收缩压
Aim: To determine the incidence of peri-intubation cardiac arrest through analysis of a multi-center Emergency Department (ED) airway registry and to report associated clinical characteristics.Methods: This is a secondary analysis of prospectively collected data (National Emergency Airway Registry) comprising ED endotracheal intubations (ETIs) of subjects >14 years old from 2016 to 2018. We excluded those with cardiac arrest prior to intubation. The primary outcome was peri-intubation cardiac arrest. Multivariable logistic regression generated adjusted odds ratios (aOR) of variables associated with this outcome, controlling for clinical features, difficult airway characteristics, and ETI modality.Results: Of 15,776 subjects who met selection criteria, 157 (1.0%, 95% CI 0.9-1.2%) experienced peri-intubation cardiac arrest. Pre-intubation systolic blood pressure