Predictive factors for post-intubation hypotension after emergency airway management

Abstract

OBJECTIVE

To identify factors predicting post-intubation hypotension (PIH) after emergency airway management in the emergency department.

METHODS

This was a prospective cohort study enrolling intubated adults with non-traumatic hemodynamic stable patients in the emergency department, Khon Kaen Hospital from September 2016 to September 2017. The factors potentially associated with PIH were collected. The data was analyzed to define predictive factors for PIH and PIH effects, all- cause mortality was analyzed as the secondary outcome.

RESULTS

A total of 483 patients were enrolled. The patients experienced PIH were 33.1% after multiple logistic regression analysis, baseline systolic blood pressure (SBP)>140 mmHg was significant predictive factors for PIH (adjusted odds ratio (AOR) 1.51%; 95% confidence interval (CI), 1.01 to 2.24 ) and all-cause mortality in PIH group was higher when compared to non-PIH group ( AOR, 3.94; 95% CI, 2.61 to 5.95).

CONCLUSION

Baseline SBP>140 mmHg was independently associated with increase PIH after emergency intubation.