FACTORS ASSOCIATED WITH INTUBATION IN COPD WITH EXACERBATION IN PRE-HOSPITAL CARE
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Abstract
Background: Currently, the emergency medical system plays an increasingly important role in the out of hospital. Dyspnea was the main symptom that calling service by COPD exacerbation patients. In Chiangrai, there was an increasing number of the emergency medical services patients with COPD exacerbations.
Objective: To study the factors affecting intubation on the emergency ambulance in patients with severe exacerbation of COPD.
Methods: This study is an observational retrospective cohort analysis of patients with severe exacerbation of COPD who were admitted through the emergency medical system of Chiang Rai Prachanukroh Hospital database between 1 January 2018 - 31 December 2019. Collect historical data from the record of the operation of emergency medical services. The data were analyzed by using t-test, exact probability test and logistic regression.
Results: The study included 347 patients. Results revealed that 31 patients in intubated group and 316 patients in non-intubated group. The relationship between the significant factors associated with intubation in COPD with exacerbation in pre-hospital care were male (OR 4.23, 95%CI 1.15-15.49, p=0.030), respiration rates ≥30 beats per minute (OR 6.76, 95%CI 1.82-25.16, p=0.004), and oxygen saturation <88 percent (OR 5.15, 95%CI 1.85-14.35, p=0.002).
Conclusions and discussions The significant associated factors with intubation in exacerbation COPD patients (p<0.05) were male, respiration rates ≥30 beats per minute, and oxygen saturation <88 percent. The result of this study will be used to develop treatment of COPD with exacerbation in pre-hospital care.
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References
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