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Risk factors for failed first intubation attempt in an out-of-hospital setting: a multicenter prospective study

dc.rights.licenseopenen_US
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorGALINSKI, Michel
dc.contributor.authorWROBEL, Marion
dc.contributor.authorBOYER, Romain
dc.contributor.authorREUTER, Paul Georges
dc.contributor.authorRUSCEV, Mirko
dc.contributor.authorDEBATY, Guillaume
dc.contributor.authorBAGOU, Gilles
dc.contributor.authorDEHOURS, Emilie
dc.contributor.authorBOSC, Juliane
dc.contributor.authorLORENDEAU, Jean-Paul
dc.contributor.authorGODDET, Sybille
dc.contributor.authorMAROUF, Kamelia
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorCATOIRE, Pierre
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorCOMBES, Xavier
dc.contributor.authorSIMONNET, Bruno
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorGIL-JARDINE, Cedric
dc.date.accessioned2022-11-28T13:34:27Z
dc.date.available2022-11-28T13:34:27Z
dc.date.issued2022-10-19
dc.identifier.issn1970-9366 (Electronic) 1828-0447 (Linking)en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/170401
dc.description.abstractEnThis study was performed to identify variables potentially associated with failure of the first intubation attempt in an out-of-hospital emergency setting, considering all aspects of tracheal intubation. This observational prospective multicenter study was performed over 17 months and involved 10 prehospital emergency medical units. After each tracheal intubation, the operator was required to provide information concerning operator and patient characteristics, as well as the environmental conditions during intubation, by completing a data collection form. The primary endpoint was failure of the first intubation attempt. During the study period, 1546 patients were analyzed, of whom 59% were in cardiac arrest; 486 intubations failed on the first attempt (31.4% [95% confidence interval = 30.2-32.6]). Multivariate analysis revealed that the following 7 of 28 factors were associated with an increased risk of a failed first intubation attempt: operator with fewer than 50 prior intubations (odds ratio [OR] = 1.8 [1.4-2.4]), small inter-incisor space (OR = 2.3 [1.7-3.2]), limited extension of the head (OR = 1.6 [1.1-2.1]), macroglossia (OR = 2.3 [1.6-3.2]), ear/nose/throat (ENT) tumor (OR = 4.4 [1.4-13.4]), cardiac arrest (OR = 1.8 [1.3-2.6]), and vomiting (OR = 1.7 [1.3-2.3]). The frequency of adverse events among non-cardiac arrest patients was 17.6%; it increased with each additional intubation attempt. The first intubation attempt failed in more than 30% of cases, and seven variables were associated with increased risk of failure. Most of these factors could not be predicted.
dc.language.isoENen_US
dc.subject.enFirst intubation attempt
dc.subject.enRisk factors for failure
dc.subject.enPrehospital emergency setting
dc.title.enRisk factors for failed first intubation attempt in an out-of-hospital setting: a multicenter prospective study
dc.typeArticle de revueen_US
dc.identifier.doi10.1007/s11739-022-03120-8en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed36261758en_US
bordeaux.journalInternal and Emergency Medicineen_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.teamAHEAD_BPHen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
hal.identifierhal-03875535
hal.version1
hal.date.transferred2022-11-28T13:34:36Z
hal.exporttrue
dc.rights.ccPas de Licence CCen_US
bordeaux.COinSctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Internal%20and%20Emergency%20Medicine&rft.date=2022-10-19&rft.eissn=1970-9366%20(Electronic)%201828-0447%20(Linking)&rft.issn=1970-9366%20(Electronic)%201828-0447%20(Linking)&rft.au=GALINSKI,%20Michel&WROBEL,%20Marion&BOYER,%20Romain&REUTER,%20Paul%20Georges&RUSCEV,%20Mirko&rft.genre=article


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