Author
Listed:
- Benjamin McKay
(Temple/St. Luke’s Medical School, St. Luke’s University Hospital, 801 Ostrum Street, Bethlehem, PA 18015, USA)
- Matthew Meyers
(Department of Emergency Medicine, St. Luke’s University Health Network, 801 Ostrum Street, Bethlehem, PA 18015, USA)
- Leah Rivard
(Department of Emergency Medicine, St. Luke’s University Health Network, 801 Ostrum Street, Bethlehem, PA 18015, USA)
- Holly Stankewicz
(Department of Emergency Medicine, St. Luke’s University Health Network, 801 Ostrum Street, Bethlehem, PA 18015, USA)
- Jill C. Stoltzfus
(Department of Emergency Medicine, St. Luke’s University Health Network, 801 Ostrum Street, Bethlehem, PA 18015, USA)
- Guhan Rammohan
(Department of Emergency Medicine, St. Luke’s University Health Network, 801 Ostrum Street, Bethlehem, PA 18015, USA)
Abstract
Background: Best practices for management of COVID-19 patients with acute respiratory failure continue to evolve. Initial debate existed over whether patients should be intubated in the emergency department or trialed on noninvasive methods prior to intubation outside the emergency department. Objectives: To determine whether emergency department intubations in COVID-19 affect mortality. Methods: We conducted a retrospective observational chart review of patients who had a confirmed positive COVID-19 test and required endotracheal intubation during their hospital course between 1 March 2020 and 1 June 2020. Patients were divided into two groups based on location of intubation: early intubation in the emergency department or late intubation performed outside the emergency department. Clinical and demographic information was collected including comorbid medical conditions, qSOFA score, and patient mortality. Results: Of the 131 COVID-19-positive patients requiring intubation, 30 (22.9%) patients were intubated in the emergency department. No statistically significant difference existed in age, gender, ethnicity, or smoking status between the two groups at baseline. Patients in the early intubation cohort had a greater number of existing comorbidities (2.5, p = 0.06) and a higher median qSOFA score (3, p ≤ 0.001). Patients managed with early intubation had a statistically significant higher mortality rate (19/30, 63.3%) compared to the late intubation group (42/101, 41.6%). Conclusion: COVID-19 patients intubated in the emergency department had a higher qSOFA score and a greater number of pre-existing comorbidities. All-cause mortality in COVID-19 was greater in patients intubated in the emergency department compared to patients intubated outside the emergency department.
Suggested Citation
Benjamin McKay & Matthew Meyers & Leah Rivard & Holly Stankewicz & Jill C. Stoltzfus & Guhan Rammohan, 2022.
"Comparison of Early and Late Intubation in COVID-19 and Its Effect on Mortality,"
IJERPH, MDPI, vol. 19(5), pages 1-7, March.
Handle:
RePEc:gam:jijerp:v:19:y:2022:i:5:p:3075-:d:764961
Download full text from publisher
Corrections
All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:5:p:3075-:d:764961. See general information about how to correct material in RePEc.
If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.
We have no bibliographic references for this item. You can help adding them by using this form .
If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .
Please note that corrections may take a couple of weeks to filter through
the various RePEc services.