Incidência e fatores de risco para hipotensão pós-intubação em pacientes críticos com COVID-19

Ergün, Bişar; Ergan, Begüm; Yakar, Mehmet Nuri; Küçük, Murat; Küçük, Murat; Yaka, Erdem; Gökmen, Ali Necati

doi:10.5935/0103-507x.20220007-pt

Cited by 5 publications

(1 citation statement)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The most common cardiovascular instability during or immediately after tracheal intubation is hypotension (4). Cardiovascular instability/collapse/hypotension due to tracheal intubation has been studied with different definitions in various critically ill populations (5)(6)(7)(8)(9)2010, to December 31, 2014. We defined immunocompromised as patients with any solid organ or nonsolid organ malignancy or transplant, whether solid organ or not, requiring current chemotherapy.…”

Section: Introductionmentioning

confidence: 99%

Risk factors of peri-intubation cardiovascular collapse in critically ill patients

Ergün

2024

Journal of Critical Care

View full text Add to dashboard Cite

Section: Introductionmentioning

confidence: 99%

Risk factors of peri-intubation cardiovascular collapse in critically ill patients

Ergün

2024

Journal of Critical Care

View full text Add to dashboard Cite

Prevalence of peri-intubation major adverse events among critically ill patients: A systematic review and meta analysis

Downing,

Yardi,

Ren

et al. 2023

The American Journal of Emergency Medicine

View full text Add to dashboard Cite

A Nomogram Model for Post-Intubation Hypotension in Patients with Severe Pneumonia in the Emergency Department

Pan,

Cheng,

Han

et al. 2023

JIR

View full text Add to dashboard Cite

Post-intubation hypotension (PIH) frequently occurs in the management of critically ill patients and is associated with prognosis. The study aimed to construct a prediction model for PIH events by analyzing risk factors in patients with severe pneumonia in the emergency department. Methods: We retrospectively enrolled 572 patients with severe pneumonia diagnosed in the emergency department of West China Hospital of Sichuan University. Five hundred patients with severe pneumonia who underwent endotracheal intubation were included in the study. All patients were randomized according to 7:3 and divided into a training cohort (n=351) and a validation cohort (n=149). Risk factors for PIH were analyzed using Least Absolute Shrinkage and Selection Operator (LASSO) and multivariable logistic regression. Calibration curves, receiver operating characteristic (ROC) curve, and decision curve analysis were applied to assess the predictive model's fitness, discrimination, and clinical utility. Results: A total of 500 patients with severe pneumonia who underwent endotracheal intubation were enrolled in this study, and PIH occurred in 234 (46.8%) of these patients. Age, heart rate, systolic blood pressure, chronic obstructive pulmonary disease, acute physiology and chronic health evaluation II score, and induction agent use were identified as significant risk factors for the occurrence of PIH. Additionally, the body mass index was the opposite of the above. The area under the ROC curve (AUC) for the model was 0.856 (95% CI, 0.818-0.894) in the training cohort and 0.849 (95% CI, 0.788-0.910) in the validation cohort. The nomogram model was validated and demonstrated good calibration and high net clinical benefit. Finally, to facilitate application by clinicians, an online server has been set up which can be accessed free of charge via the website https://chinahospitals.shinyapps.io/DynNomapp/. Conclusion:The nomogram is used for individualized prediction of patients with severe pneumonia prior to intubation and is simple to perform with high clinical value.

show abstract

Incidência e fatores de risco para hipotensão pós-intubação em pacientes críticos com COVID-19

Cited by 5 publications

References 27 publications

Risk factors of peri-intubation cardiovascular collapse in critically ill patients

Risk factors of peri-intubation cardiovascular collapse in critically ill patients

Prevalence of peri-intubation major adverse events among critically ill patients: A systematic review and meta analysis

A Nomogram Model for Post-Intubation Hypotension in Patients with Severe Pneumonia in the Emergency Department

Contact Info

Product

Resources

About