지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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초록· 키워드
오류제보하기
Objective: Hypotension after emergent endotracheal intubation is a serious complication related to in-hospital mortality.
We investigated factors including modified shock index to predict the development of hypotension after emergent intubation.
Methods: This retrospective observational study was conducted between January 2011 and December 2016. The study population included intubated patients among all medical patients admitted to the emergency department (ED) except for patients whose systolic blood pressure was below 90 mmHg at any time before intubation. The postintubation hypotension (PIH) groups were compared with the non-PIH group. The secondary outcome was in-hospital mortality.
Results: A total of 285 patients were included in this study, of which 92 patients (32.3%) PIH. The age (odds ratio [OR], 1.04; 95% confidence interval [CI], 1.01-1.06; P=0.001), serum albumin level (OR, 0.62; 95% CI, 0.41-0.92; P=0.019), shock index (OR, 3.25; 95% CI, 1.26-8.38; P=0.015), and modified shock index (MSI) (OR, 2.18; 95% CI, 1.06-4.47; P=0.034) were more closely associated with PIH than any other factors. The average survival of the PIH group was significantly shorter than that of the non-PIH group (13.6±3.5 vs. 35.6±12.0, log-rank test P=0.019).
Conclusion: Overall, 32.3% of hemodynamically stable medical patients developed PIH in ED. MSI was associated with PIH.
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등록된 정보가 없습니다.
참고문헌 (20)
참고문헌 신청
Griesdale DE / 2008 / Complications of endotracheal intubation in the critically ill / Intensive Care Med 34:1835~1842
Heffner AC / 2012 / The frequency and significance of postintubation hypotension during emergency airway management / J Crit Care 27:417.e9~417.e13
Jaber S / 2006 / Clinical practice and risk factors for immediate complications of endotracheal intubation in the intensive care unit: a prospective, multiple-center study / Crit Care Med 34:2355~2361
Jaber S / 2010 / An intervention to decrease complications related to endotracheal intubation in the intensive care unit: a prospective, multiple-center study / Intensive Care Med 36:248~255
Perbet S / 2015 / Incidence of and risk factors for severe cardiovascular collapse after endotracheal intubation in the ICU: a multicenter observational study / Crit Care 19:257
Heffner AC / 2012 / The frequency and significance of postintubation hypotension during emergency airway management / J Crit Care 27:417.e9~417.e13
Jaber S / 2006 / Clinical practice and risk factors for immediate complications of endotracheal intubation in the intensive care unit: a prospective, multiple-center study / Crit Care Med 34:2355~2361
Jaber S / 2010 / An intervention to decrease complications related to endotracheal intubation in the intensive care unit: a prospective, multiple-center study / Intensive Care Med 36:248~255
Perbet S / 2015 / Incidence of and risk factors for severe cardiovascular collapse after endotracheal intubation in the ICU: a multicenter observational study / Crit Care 19:257
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