The effectiveness of rapid sequence intubation (RSI) versus non-RSI in emergency department: an analysis of multicenter prospective observational study

Table 5 Multivariable model of rapid sequence intubation versus non-rapid sequence intubation

	Success on 1st attempt	Success ≤2nd attempt, adjusted OR (95% CI)	Complication^a, adjusted OR (95% CI)	Major complication^b, adjusted OR (95% CI)
Primary exposure
RSI (vs. non-RSI)	2.1 (1.7–2.6)	1.8 (1.4–2.6)	1.0 (0.7–1.3)	1.0 (0.7–1.5)
Covariates
Age decile	1.0 (1.0–1.0)	1.0 (1.0–1.0)	1.0 (1.0–1.0)	1.0 (1.0–1.0)
Male (vs. female)	0.8 (0.7–1.0)	0.8 (0.6–1.1)	0.8 (0.6–1.0)	0.9 (0.6–1.3)
Estimated body weight decile	1.0 (1.0–1.0)	1.0 (1.0–1.0)	1.0 (1.0–1.0)	1.0 (1.0–1.0)
Primary indication
Medical indication^c	1 [reference]	1 [reference]	1 [reference]	1 [reference]
Trauma^d	0.6 (0.5–0.7)	0.7 (0.5–1.0)	1.1 (0.7–1.3)	0.9 (0.6–1.5)
Device
Direct laryngoscopy	1 [reference]	1 [reference]	1 [reference]	1 [reference]
Video laryngoscopy	0.6 (0.3–1.0)	0.4 (0.2–0.8)	1.5 (0.7–2.7)	0.9 (0.3–2.2)
Other^e	1.0 (0.3–3.7)	0.2 (0.1–0.5)	1.4 (0.5–3.5)	0.9 (0.1–3.2)
Intubator
Emergency physician	1 [reference]	1 [reference]	1 [reference]	1 [reference]
Transitional-year resident^f	0.2 (0.2–0.3)	0.2 (0.1–0.3)	1.2 (0.9–1.8)	1.0 (0.6–1.6)
Emergency medicine resident	0.7 (0.5–0.9)	0.8 (0.5–1.1)	1.1 (0.8–1.5)	0.6 (0.4–1.0)
Other^g	0.4 (0.3–0.5)	0.4 (0.3–0.7)	1.3 (0.9–2.1)	1.8 (1.1–3.0)

Abbreviation: OR odds ratio, CI confidential interval, RSI rapid sequence intubation
^aDefined as cardiac arrest, hypotension, hypoxemia, regurgitation, esophageal intubation with delayed recognition, main stem bronchial intubation, dental or lip trauma, airway trauma, or allergic reaction
^bDefined as cardiac arrest, hypotension, hypoxemia, regurgitation, or esophageal intubation
^cDefined as altered mental status, respiratory failure, shock, airway obstruction, asthma, or other medical indications
^dDefined as head trauma, shock, facial/neck trauma, burn/inhalation, or other trauma indications
^eDefined as direct laryngoscopy or video laryngoscopy with gum elastic bougie or lighted stylet
^fDefined as postgraduate years 1 or 2
^gDefined as surgery, anesthesia, or pediatrics

ISSN: 1865-1380