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J Korean Soc Emerg Med > Volume 19(1); 2008 > Article
Journal of The Korean Society of Emergency Medicine 2008;19(1): 45-50.
The Parameters Affecting the Success Rate for Endotracheal Intubation in Emergency Department: Multi-center Trial using Korean Emergency Airway Management Registry
Seung Hwan Kim, Eui Chung Kim, Young Hwan Choi, Young Min Kim, Young Min Oh, Hyuk Joong Choi, Tai Ho Lim, Hyun Soo Chung
1Department of Emergency Medicine, College of Medicine, Yonsei University, Korea. hsc104@yuhs.ac
2Department of Emergency Medicine, Eulji Medical Center, Korea.
3Department of Emergency Medicine, College of Medicine, The Catholic University of Korea, Korea.
4Department of Emergency Medicine, College of Medicine, Hanyang University, Korea.
ABSTRACT
PURPOSE:
To determine the parameters affecting the success rate for endotracheal intubation in emergency department (ED) of teaching hospitals in the metropolitan area of Korea.
METHODS:
This was a prospective observational study in six teaching hospitals. From February 25 to August 31, 2006, physicians performing intubations at six university-affiliated EDs in the Seoul metropolitan area completed a data form from which data were entered into the Korean Emergency Airway Management Registry (KEAMR). Data were abstracted from KEAMR and analyzed.
RESULTS:
A total of 703 intubations were registered over this period with overall success rate of 78.2%. As indicated by univariate analysis, endotracheal intubation was most successful when the glottic exposure grade (GEG) was lower (p<0.001), the specialty of the intubator was emergency medicine (p<0.001), the level of training was higher (p<0.001) and the intubation method was rapid sequence intubation (p=0.039). In logistic regression analysis, GEG, specialty of the intubator, and level of training were related to success rate. But no significant differences were shown among the intubation methods.
CONCLUSION:
Success rates for endotracheal intubation in emergency departments of teaching hospitals in the Seoul metropolitan area were related to GEG, specialty of the intubator, and level of training.
Key words: Intubation, Emergency Medicine, Registries
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