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Prognosis of patients with tracheal intubation in the emergency department

BACKGROUND: Intubation of critically ill patients is one of the increasing emergency procedures. We designed this study to determine age and sex-related mortality rates after emergency intubation. METHODS: This retrospective study collected and analyzed non-trauma intubated patients in a referral ho...

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Autores principales: Sarbazi-Golezari, Ali, Namdar, Peyman, Yousefian, Shiva, Mirzadeh, Monirsadat, Farnood, Afsaneh, Modirian, Ehsan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier Ltd. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8321958/
http://dx.doi.org/10.1016/j.tacc.2021.07.008
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author Sarbazi-Golezari, Ali
Namdar, Peyman
Yousefian, Shiva
Mirzadeh, Monirsadat
Farnood, Afsaneh
Modirian, Ehsan
author_facet Sarbazi-Golezari, Ali
Namdar, Peyman
Yousefian, Shiva
Mirzadeh, Monirsadat
Farnood, Afsaneh
Modirian, Ehsan
author_sort Sarbazi-Golezari, Ali
collection PubMed
description BACKGROUND: Intubation of critically ill patients is one of the increasing emergency procedures. We designed this study to determine age and sex-related mortality rates after emergency intubation. METHODS: This retrospective study collected and analyzed non-trauma intubated patients in a referral hospital from the years 2017–2019 and before the appearance of COVID-19. Patients who were intubated outside of emergency by EMS technicians were excluded. We recorded data of intubated patients, like sex, age, length of being intubated and final diagnosis. P values of less than 0.05 were significant. RESULTS: Data of 520 non-trauma intubated patients were collected and analyzed. More than 64% of the patients were over 65 years old and had a higher mortality rate (86.7%; P < 0.001) than younger patients. The overall in-hospital mortality rate was 80%. More than three quarters of the decedents died within a week of intubation (P < 0.001). There was no significant relationship between sex and mortality rate (P = 0.535). CONCLUSION: Our data showed that with increased age there was a decrease in the chance of being extubated.
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spelling pubmed-83219582021-07-30 Prognosis of patients with tracheal intubation in the emergency department Sarbazi-Golezari, Ali Namdar, Peyman Yousefian, Shiva Mirzadeh, Monirsadat Farnood, Afsaneh Modirian, Ehsan Trends in Anaesthesia & Critical Care Article BACKGROUND: Intubation of critically ill patients is one of the increasing emergency procedures. We designed this study to determine age and sex-related mortality rates after emergency intubation. METHODS: This retrospective study collected and analyzed non-trauma intubated patients in a referral hospital from the years 2017–2019 and before the appearance of COVID-19. Patients who were intubated outside of emergency by EMS technicians were excluded. We recorded data of intubated patients, like sex, age, length of being intubated and final diagnosis. P values of less than 0.05 were significant. RESULTS: Data of 520 non-trauma intubated patients were collected and analyzed. More than 64% of the patients were over 65 years old and had a higher mortality rate (86.7%; P < 0.001) than younger patients. The overall in-hospital mortality rate was 80%. More than three quarters of the decedents died within a week of intubation (P < 0.001). There was no significant relationship between sex and mortality rate (P = 0.535). CONCLUSION: Our data showed that with increased age there was a decrease in the chance of being extubated. Elsevier Ltd. 2021-12 2021-07-30 /pmc/articles/PMC8321958/ http://dx.doi.org/10.1016/j.tacc.2021.07.008 Text en © 2021 Elsevier Ltd. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Article
Sarbazi-Golezari, Ali
Namdar, Peyman
Yousefian, Shiva
Mirzadeh, Monirsadat
Farnood, Afsaneh
Modirian, Ehsan
Prognosis of patients with tracheal intubation in the emergency department
title Prognosis of patients with tracheal intubation in the emergency department
title_full Prognosis of patients with tracheal intubation in the emergency department
title_fullStr Prognosis of patients with tracheal intubation in the emergency department
title_full_unstemmed Prognosis of patients with tracheal intubation in the emergency department
title_short Prognosis of patients with tracheal intubation in the emergency department
title_sort prognosis of patients with tracheal intubation in the emergency department
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8321958/
http://dx.doi.org/10.1016/j.tacc.2021.07.008
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