Table 4.
Factors | % increase in duration of mechanical ventilation | 95% CI | p-value |
---|---|---|---|
| |||
TIAE or desaturation<80% | 12% | (4%, 21%) | 0.004 |
| |||
Age in year | |||
Infant | Reference | ||
Child (1–7 year) | −6% | (−14%, 3%) | 0.164 |
Older child (8–17 year) | −9% | (−18%, 1%) | 0.063 |
| |||
PIM2 score | 0.4% | (0.1%, 0.7%) | 0.014 |
| |||
Diagnosis | |||
Respiratory | 28% | (14%, 44%) | <0.001 |
Neurological | −11% | (−23%, 2%) | 0.100 |
Cardiac | 4% | (−9%, 19%) | 0.54 |
Sepsis | 16% | (−3%, 38%) | 0.098 |
| |||
Indication for tracheal intubation* | |||
Respiratory Failure | 12% | (2%, 22%) | 0.012 |
Hemodynamic Instability | 5% | (−7%, 18%) | 0.441 |
Procedural | −31% | (−39%, −22%) | <0.001 |
Upper Airway Obstruction | −19% | (−28%, −8%) | 0.001 |
Therapeutic hyperventilation | 3% | (−25%, 42%) | 0.838 |
Pulmonary Toilet | 21% | (4%, 41%) | 0.016 |
| |||
Difficult airway features | |||
History of Difficult Airway | 7% | (−4%, 19%) | 0.228 |
Upper Airway Obstruction | −3% | (−15%, 11%) | 0.650 |
Total N= 3,192
Overall p<0.001, R-squared=0.0581
A multivariable linear regression model for TIAE or desaturation<80%, included covariates associated with occurrence of TIAE or desaturation<80% (age, diagnosis, indication for respiratory failure, indication for shock, procedural indication, indication for upper airway obstruction, indication for therapeutic hyperventilation, indication for pulmonary toileting (suctioning and clearance of secretions), and difficult airway features including history of difficult airway and symptom of upper airway obstruction) and PIM2 score. The duration of mechanical ventilation is normalized by natural log transformation. The association with occurrence of TIAE or desaturation<80% in univariate analysis with p=<0.1 was used for covariates inclusion criteria.
Patients may have more than one indication for TI