J Korean Soc Emerg Med.  2008 Feb;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

• Kim SH
• Kim EC
• Choi YH
• Kim YM
• Oh YM
• Choi HJ
• Lim TH
• Chung HS

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.

Keyword

Intubation; Emergency Medicine; Registries

MeSH Terms

Airway Management
Emergencies
Emergency Medicine
Hospitals, Teaching
Intubation
Intubation, Intratracheal
Logistic Models
Prospective Studies
Registries