Characteristics and outcomes of patients requiring airway rescue by the difficult airway response team in the emergency department and wards: A retrospective study
Objective: In this retrospective cohort study, we aimed to determine the characteristics and outcomes of patients in the emergency department (ED) and wards who required emergency tracheal intubation by the difficult airway response team (DART). Materials and Methods: All patients between 18 and 80...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2020-01-01
|
| Series: | Tzu-Chi Medical Journal |
| Subjects: | |
| Online Access: | http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2020;volume=32;issue=1;spage=53;epage=57;aulast=Yu |
| _version_ | 1818029810039914496 |
|---|---|
| author | Ting-Sian Yu Cheuk-Kwan Sun Ying-Jen Chang I-Wen Chen Chien-Ming Lin Kuo-Chuan Hung |
| author_facet | Ting-Sian Yu Cheuk-Kwan Sun Ying-Jen Chang I-Wen Chen Chien-Ming Lin Kuo-Chuan Hung |
| author_sort | Ting-Sian Yu |
| collection | DOAJ |
| description | Objective: In this retrospective cohort study, we aimed to determine the characteristics and outcomes of patients in the emergency department (ED) and wards who required emergency tracheal intubation by the difficult airway response team (DART). Materials and Methods: All patients between 18 and 80 years old receiving emergency tracheal intubation by the DART at a single tertiary referral hospital from January 2014 to December 2016 were reviewed and divided into ward and ED groups. Patient characteristics, comorbidities, indications for intubation, airway maintenance technique, and survival-to-discharge rates were analyzed and compared. Results: Totally, 192 patients (ward, n = 135; ED, n = 57) were eligible for the current study. Compared with the ward group, patients in the ED group were younger (58.9 ± 13 vs. 51.5 ± 15.6 years, P = 0.001), male-predominant (71.1% vs. 87.7%, P = 0.014), and had a higher incidence of trauma (6.7% vs. 22.8%, P = 0.001). The most common indications for tracheal intubation were respiratory distress (52.6%) and cardiac arrest (17.8%) in the ward group, and respiratory distress (31.6%) and airway protection (28.1%) in the ED group. Patients in the ED group received more fiberoptic intubations (42.1% vs. 17.8%, P = 0.039) and had a higher survival-to-discharge rate (87.7% vs. 44.4%, P < 0.001) than those in the ward group. Conclusions: Better recognition of differences in patient characteristics and indications for intubation in different units of the hospital may enable the DART to customize specialized equipment to improve efficiency and implement appropriate strategies for airway rescue to improve patient outcomes. |
| first_indexed | 2024-12-10T05:25:36Z |
| format | Article |
| id | doaj.art-8660ad7337e24016bbd17146dfab9c29 |
| institution | Directory Open Access Journal |
| issn | 1016-3190 2223-8956 |
| language | English |
| last_indexed | 2024-12-10T05:25:36Z |
| publishDate | 2020-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Tzu-Chi Medical Journal |
| spelling | doaj.art-8660ad7337e24016bbd17146dfab9c292022-12-22T02:00:41ZengWolters Kluwer Medknow PublicationsTzu-Chi Medical Journal1016-31902223-89562020-01-01321535710.4103/tcmj.tcmj_184_18Characteristics and outcomes of patients requiring airway rescue by the difficult airway response team in the emergency department and wards: A retrospective studyTing-Sian YuCheuk-Kwan SunYing-Jen ChangI-Wen ChenChien-Ming LinKuo-Chuan HungObjective: In this retrospective cohort study, we aimed to determine the characteristics and outcomes of patients in the emergency department (ED) and wards who required emergency tracheal intubation by the difficult airway response team (DART). Materials and Methods: All patients between 18 and 80 years old receiving emergency tracheal intubation by the DART at a single tertiary referral hospital from January 2014 to December 2016 were reviewed and divided into ward and ED groups. Patient characteristics, comorbidities, indications for intubation, airway maintenance technique, and survival-to-discharge rates were analyzed and compared. Results: Totally, 192 patients (ward, n = 135; ED, n = 57) were eligible for the current study. Compared with the ward group, patients in the ED group were younger (58.9 ± 13 vs. 51.5 ± 15.6 years, P = 0.001), male-predominant (71.1% vs. 87.7%, P = 0.014), and had a higher incidence of trauma (6.7% vs. 22.8%, P = 0.001). The most common indications for tracheal intubation were respiratory distress (52.6%) and cardiac arrest (17.8%) in the ward group, and respiratory distress (31.6%) and airway protection (28.1%) in the ED group. Patients in the ED group received more fiberoptic intubations (42.1% vs. 17.8%, P = 0.039) and had a higher survival-to-discharge rate (87.7% vs. 44.4%, P < 0.001) than those in the ward group. Conclusions: Better recognition of differences in patient characteristics and indications for intubation in different units of the hospital may enable the DART to customize specialized equipment to improve efficiency and implement appropriate strategies for airway rescue to improve patient outcomes.http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2020;volume=32;issue=1;spage=53;epage=57;aulast=Yuairway response teamemergency tracheal intubationsurvival rate |
| spellingShingle | Ting-Sian Yu Cheuk-Kwan Sun Ying-Jen Chang I-Wen Chen Chien-Ming Lin Kuo-Chuan Hung Characteristics and outcomes of patients requiring airway rescue by the difficult airway response team in the emergency department and wards: A retrospective study Tzu-Chi Medical Journal airway response team emergency tracheal intubation survival rate |
| title | Characteristics and outcomes of patients requiring airway rescue by the difficult airway response team in the emergency department and wards: A retrospective study |
| title_full | Characteristics and outcomes of patients requiring airway rescue by the difficult airway response team in the emergency department and wards: A retrospective study |
| title_fullStr | Characteristics and outcomes of patients requiring airway rescue by the difficult airway response team in the emergency department and wards: A retrospective study |
| title_full_unstemmed | Characteristics and outcomes of patients requiring airway rescue by the difficult airway response team in the emergency department and wards: A retrospective study |
| title_short | Characteristics and outcomes of patients requiring airway rescue by the difficult airway response team in the emergency department and wards: A retrospective study |
| title_sort | characteristics and outcomes of patients requiring airway rescue by the difficult airway response team in the emergency department and wards a retrospective study |
| topic | airway response team emergency tracheal intubation survival rate |
| url | http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2020;volume=32;issue=1;spage=53;epage=57;aulast=Yu |
| work_keys_str_mv | AT tingsianyu characteristicsandoutcomesofpatientsrequiringairwayrescuebythedifficultairwayresponseteamintheemergencydepartmentandwardsaretrospectivestudy AT cheukkwansun characteristicsandoutcomesofpatientsrequiringairwayrescuebythedifficultairwayresponseteamintheemergencydepartmentandwardsaretrospectivestudy AT yingjenchang characteristicsandoutcomesofpatientsrequiringairwayrescuebythedifficultairwayresponseteamintheemergencydepartmentandwardsaretrospectivestudy AT iwenchen characteristicsandoutcomesofpatientsrequiringairwayrescuebythedifficultairwayresponseteamintheemergencydepartmentandwardsaretrospectivestudy AT chienminglin characteristicsandoutcomesofpatientsrequiringairwayrescuebythedifficultairwayresponseteamintheemergencydepartmentandwardsaretrospectivestudy AT kuochuanhung characteristicsandoutcomesofpatientsrequiringairwayrescuebythedifficultairwayresponseteamintheemergencydepartmentandwardsaretrospectivestudy |