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Factors Associated with the Occurrence of Cardiac Arrest after Emergency Tracheal Intubation in the Emergency Department

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Listed:
  • Won Young Kim
  • Myoung Kwan Kwak
  • Byuk Sung Ko
  • Jae Chol Yoon
  • Chang Hwan Sohn
  • Kyoung Soo Lim
  • Lars W Andersen
  • Michael W Donnino

Abstract

Objectives: Emergency tracheal intubation has achieved high success and low complication rates in the emergency department (ED). The objective of this study was to evaluate the incidence of post-intubation CA and determine the clinical factors associated with this complication. Methods: A matched case-control study with a case to control ratio of 1∶3 was conducted at an urban tertiary care center between January 2007 and December 2011. Critically ill adult patients requiring emergency airway management in the ED were included. The primary endpoint was post-intubation CA, defined as CA within 10 minutes after tracheal intubation. Clinical variables were compared between patients with post-intubation CA and patients without CA who were individually matched based on age, sex, and pre-existing comorbidities. Results: Of 2,403 patients who underwent emergency tracheal intubation, 41 patients (1.7%) had a post-intubation CA within 10 minutes of the procedure. The most common initial rhythm was pulseless electrical activity (78.1%). Patients experiencing CA had higher in-hospital mortality than patients without CA (61.0% vs. 30.1%; p

Suggested Citation

  • Won Young Kim & Myoung Kwan Kwak & Byuk Sung Ko & Jae Chol Yoon & Chang Hwan Sohn & Kyoung Soo Lim & Lars W Andersen & Michael W Donnino, 2014. "Factors Associated with the Occurrence of Cardiac Arrest after Emergency Tracheal Intubation in the Emergency Department," PLOS ONE, Public Library of Science, vol. 9(11), pages 1-5, November.
    • Handle: RePEc:plo:pone00:0112779
    DOI: 10.1371/journal.pone.0112779
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