Prognostic Analysis of 558 Emergency Tracheal Intubation Patients
1. Department of Anesthesiology, Xiamen Third Hospital, Fujian University of Traditional Chinese Medicine, Xiamen 361100, China
2. Department of Medical Education, Xiamen Third Hospital, Fujian University of Traditional Chinese Medicine, Xiamen 361100, China
3. Department of Anesthesiology, Union Hospital, Fujian Medical University, Fuzhou 350001, China
| Abstract: | Objective: To observe and analyze the prognosis and factors of hospitalized patients with emergency tracheal intubation. Methods: From January 2015 to December 2018, the hospitalized patients undergone emergency endotracheal intubation in Union Hospital Affiliated to Fujian Medical University were retrospectively analyzed. The primary goal was in-hospital mortality 30 days after intubation; the secondary observation indicators were intubation causes, causes of death, intubation operation site (surgical ward or medical ward) and time (daytime or off-hours), ICU admission, etc. The differences of the above indexes and the risk factors of mortality were analyzed. Results: 558 patients with emergency endotracheal intubation were included in the study. The hospital mortality rate was 66.8%, showing a downward trend year by year; the most common causes of intubation were respiratory system diseases, cardiovascular system and nervous system diseases. The proportion of patients receiving emergency intubation in medical ward was significantly higher than that in surgical ward, and the mortality was also significantly higher than that in surgical ward (P<0.05); there was no significant difference in the intubation time between the dead patients and the surviving patients (P=0.36). The ICU occupancy rate of patients who died in hospital was significantly lower than that of patients who survived (P=0.00). Of the survival patients, the rate of cardiopulmonary cerebral resuscitation after intubation decreased significantly (P=0.04). In the death patients after intubation, the mean arterial pressure and venous oxygen saturation before intubation were significantly lower than those in the survival patients (P=0.00), and the shock index was significantly higher than that in the survival patients (P=0.00). Conclusion: The prognosis of patients with emergency endotracheal intubation is poor; The in-hospital mortality is as high as 66.8%; Intubation in surgical ward and ICU occupancy after intubation both are the risk factors to reduce the in-hospital mortality. |
| Keywords: | Emergency Endotracheal Intubation; Prognosis; Mortality |
| DOI: | 10.57237/j.wjcm.2023.02.004 |
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Received: 26 March 2023
Accepted: 5 June 2023
Published Online: 15 June 2023
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