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Association of Glasgow coma scale and endotracheal intubation in predicting mortality among patients admitted to the intensive care unit.
| Content Provider | Europe PMC |
|---|---|
| Author | Moghaddam, Nader Markazi Fathi, Mohammad Jame, Sanaz Zargar Balaye Darvishi, Mohammad Mortazavi, Morteza |
| Copyright Year | 2023 |
| Abstract | BackgroundWe assessed predictors of mortality in the intensive care unit (ICU) and investigated if Glasgow coma scale (GCS) is associated with mortality in patients undergoing endotracheal intubation (EI).MethodsFrom February 2020, we performed a 1-year study on 2,055 adult patients admitted to the ICU of two teaching hospitals. The outcome was mortality during ICU stay and the predictors were patients’ demographic, clinical, and laboratory features.ResultsEI was associated with a decreased risk for mortality compared with similar patients (adjusted odds ratio [AOR], 0.32; P=0.030). This shows that EI had been performed correctly with proper indications. Increasing age (AOR, 1.04; P<0.001) or blood pressure (AOR, 1.01; P<0.001), respiratory problems (AOR, 3.24; P<0.001), nosocomial infection (AOR, 1.64; P=0.014), diabetes (AOR, 5.69; P<0.001), history of myocardial infarction (AOR, 2.52; P<0.001), chronic obstructive pulmonary disease (AOR, 3.93; P<0.001), immunosuppression (AOR, 3.15; P<0.001), and the use of anesthetics/sedatives/hypnotics for reasons other than EI (AOR, 4.60; P<0.001) were directly; and GCS (AOR, 0.84; P<0.001) was inversely related to mortality. In patients with trauma surgeries (AOR, 0.62; P=0.014) or other surgical categories (AOR, 0.61; P=0.024) undergoing EI, GCS had an inverse relation with mortality (accuracy=82.6%, area under the receiver operator characteristic curve=0.81).ConclusionsA variety of features affected the risk for mortality in patients admitted to the ICU. Considering GCS score for EI had the potential of affecting prognosis in subgroups of patients such as those with trauma surgeries or other surgical categories. |
| Related Links | https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC10030249&blobtype=pdf |
| ISSN | 25866052 |
| Journal | Acute and Critical Care [Acute Crit Care] |
| Volume Number | 38 |
| DOI | 10.4266/acc.2022.00927 |
| PubMed Central reference number | PMC10030249 |
| Issue Number | 1 |
| PubMed reference number | 36935540 |
| e-ISSN | 25866060 |
| Language | English |
| Publisher | Korean Society of Critical Care Medicine |
| Publisher Date | 2023-02-22 |
| Access Restriction | Open |
| Rights License | This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Copyright © 2023 The Korean Society of Critical Care Medicine |
| Subject Keyword | endotracheal intubation Glasgow coma scale intensive care unit logistic models mortality risk factors |
| Content Type | Text |
| Resource Type | Article |
| Subject | Critical Care Nursing Critical Care and Intensive Care Medicine |
