Table 1.
Comparison of intubation characteristics and procedural complication rates between first and last intubations in repeatedly intubated patients
| Characteristic | First intubation | Last intubation | Odds ratio | P value |
|---|---|---|---|---|
| ( n = 151) | ( n = 151) | (95% confidence interval) | ||
| Intubation location | 0.18 | |||
| ICU | 115 (77) | 127 (86) | – | |
| Emergency department | 15 (10) | 8 (5) | – | |
| Procedural suite | 2 (1) | 2 (1) | – | |
| Hospital floor | 15 (10) | 11 (7) | – | |
| Other | 3 (2) | 0 (0) | – | |
| Intubation indication | 0.27 | |||
| Respiratory distress | 53 (35) | 57 (39) | – | |
| Airway protection | 35 (23) | 27 (18) | – | |
| Hypoxia | 23 (15) | 38 (26) | – | |
| Cardiac arrest | 6 (4) | 4 (3) | – | |
| Elective (preprocedure) | 11 (7) | 8 (5) | – | |
| Shock | 6 (4) | 2 (1) | – | |
| Other | 16 (11) | 12 (8) | – | |
| Intubation attempts | ||||
| 1 or 2 | 134 (89) | 138 (91) | Reference | Reference |
| ≥ 3 | 17 (11) | 13 (9) | 0.74 (0.36 to 1.52) | 0.41 |
| Rank of final intubator | ||||
| Fellow | 98 (69) | 106 (72) | Reference | Reference |
| Resident or other | 28 (10) | 29 (20) | 0.96 (0.58 to 1.58) | 0.86 |
| Attending | 16 (11) | 13 (9) | 0.75 (0.39 to 1.46) | 0.40 |
| Adjunct to DL used | 16 (11) | 18 (12) | 1.13 (0.60 to 2.15) | 0.70 |
| Cormack–Lehane grade | ||||
| 1 | 91 (61) | 88 (58) | Reference | Reference |
| 2 | 33 (22) | 38 (25) | 1.19 (0.70 to 2.01) | 0.52 |
| 3 | 8 (5) | 8 (5) | 1.03 (0.39 to 2.71) | 0.95 |
| 4 | 3 (2) | 5 (6) | 1.72 (0.49 to 6.08) | 0.40 |
| Procedural complicationsa | 8 (6) | 19 (13) | 2.51 (1.09 to 5.76) | 0.03 |
| Major complications | 6 (4) | 14 (9) | – | |
| Hypotension | 3 (2) | 9 (6) | – | |
| Hypoxia | 3 (2) | 7 (5) | – | |
| Aspiration | 1 (1) | 3 (2) | – | |
| Arrhythmia | 2 (1) | 0 (0) | – | |
| Dental trauma | 0 (0) | 1 (1) | – | |
| Esophageal intubation | 0 (0) | 3 (2) | – |
Raw data presented as number (%). DL, direct laryngoscopy. aComplications with frequencies of 0 are omitted from the table.