Sanchez Leon D, Goudie J Scott, De la Pena Jennifer, Ban Kevin, Fisher Jonathan
Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA.
Int J Emerg Med. 2008 Jun;1(2):131-3. doi: 10.1007/s12245-008-0028-0. Epub 2008 May 31.
The purpose of this study is to identify the rate of emergency department (ED) intubation and the mortality associated with ED intubation.
We conducted a retrospective chart review of all patients intubated in the ED between 1 January 2004 and 31 December 2004 at an urban level one trauma centre with approximately 50,000 ED visits annually. All ED intubations were identified and reviewed. Two investigators reviewed all charts and collected the following data: age, sex, and final disposition from hospital as well as reason for intubation. The main outcome measure was survival to hospital discharge.
One hundred sixty-three intubations were reviewed. Of the total 163 patients, 44 (27.0%) died prior to discharge from the hospital, 42 (25.8.%) patients were discharged to a skilled nursing facility (e.g. nursing home, rehabilitation and extended care facility) and 71 (43.6%) patients were discharged home. Dividing our cohort into trauma and non-trauma subgroups, 38/126 (30.2%) of the non-trauma patients and 6/37 (16.2.%) of the trauma patients died. The mean age for all patients in our study group was 61.5 years, with trauma patients being younger than the non-trauma subgroup. The mean age for trauma patients was 50.1 while non-trauma patients had a mean age of 64.8.
The mortality after an ED intubation in our study population was relatively high. Further studies need to confirm these findings and help identify predictors of mortality.
本研究的目的是确定急诊科插管率以及与急诊科插管相关的死亡率。
我们对2004年1月1日至2004年12月31日期间在一家每年急诊科就诊人数约为50000人次的城市一级创伤中心进行急诊科插管的所有患者进行了回顾性病历审查。识别并审查了所有急诊科插管情况。两名研究人员审查了所有病历并收集了以下数据：年龄、性别、医院最终处置情况以及插管原因。主要结局指标是存活至出院。
共审查了163例插管病例。在这163例患者中，44例（27.0%）在出院前死亡，42例（25.8%）患者出院后入住专业护理机构（如疗养院、康复和长期护理机构），71例（43.6%）患者出院回家。将我们的队列分为创伤和非创伤亚组，非创伤患者中有38/126（30.2%）死亡，创伤患者中有6/37（16.2%）死亡。我们研究组所有患者的平均年龄为61.5岁，创伤患者比非创伤亚组患者年轻。创伤患者的平均年龄为50.1岁，而非创伤患者的平均年龄为64.8岁。
我们研究人群中急诊科插管后的死亡率相对较高。需要进一步研究来证实这些发现，并帮助确定死亡率的预测因素。
