Skip to main content

Table 9 Association between outcomes of interest and emergency department (ED) type

From: Human and equipment resources for difficult airway management, airway education programs, and capnometry use in Japanese emergency departments: a nationwide cross-sectional study

Item % Crude analysis Adjusted analysis
Odds ratio (95% CI) P Odds ratio (95% CI) P
24-h back-up coverage
 Academic ED 84.8 3.4 (1.7–6.5) < 0.001 3.3 (1.7–6.8) < 0.001
 High-volume ED 73.8 1.4 (0.8–2.5) 0.3 1.4 (0.7–2.5) 0.3
 Tertiary ED 73.9 1.9 (1.2–3.0) 0.008 1.8 (1.1–3.0) 0.02
 Urban ED 75.2 1.7 (1.1–2.9) 0.03 1.7 (1.0–2.9) 0.06
Supraglottic airway device
 Academic ED 60.8 1.6 (1.0–2.4) 0.07 1.6 (1.0–2.8) 0.08
 High-volume ED 56.2 1.3 (0.8–2.2) 0.3 1.4 (0.8–2.4) 0.2
 Tertiary ED 54.3 1.3 (0.8–2.0) 0.3 1.2 (0.7–1.8) 0.5
 Urban ED 49.6 0.9 (0.6–1.4) 0.6 0.8 (0.5–1.3) 0.4
Surgical airway device
 Academic ED 93.7 0.6 (0.2–1.7) 0.3 0.7 (0.2–2.3) 0.5
 High-volume ED 95 0.7 (0.2–2.5) 0.7 0.7 (0.2–2.6) 0.6
 Tertiary ED 95.7 1.0 (0.3–2.9) 1 1.2 (0.4–3.7) 0.8
 Urban ED 94 0.6 (0.2–1.6) 0.3 0.7 (0.2–2.2) 0.5
DAM cart
 Academic ED 49.4 1.0 (0.6–1.6) 1 1.0 (0.6–1.7) 0.9
 High-volume ED 52.5 1.1 (0.7–1.9) 0.7 1.2 (0.7–2.0) 0.6
 Tertiary ED 49.5 1.0 (0.6–1.5) 1 1.0 (0.6–1.5) 1
 Urban ED 47.9 0.9 (0.6–1.4) 0.6 0.9 (0.6–1.4) 0.6
Neuromuscular blocking agents
 Academic ED 83.5 2.9 (1.5–5.5) 0.001 3.2 (1.6–6.5) 0.001
 High-volume ED 80 2.2 (1.2–4.1) 0.01 2.2 (1.1–4.1) 0.02
 Tertiary ED 78.8 3.0 (1.9–4.9) < 0.001 2.7 (1.6–4.4) < 0.001
 Urban ED 68.4 1.0 (0.6–1.6) 1 0.9 (0.5–1.6) 0.9
Anesthesiology rotation
 Academic ED 20.3 0.3 (0.2–0.6) < 0.001 0.3 (0.2–0.6) < 0.001
High-volume ED 38.8 1.0 (0.6–1.7) 1 1.0 (0.6–1.7) 0.9
 Tertiary ED 33.7 0.6 (0.4–1.0) 0.05 0.7 (0.4–1.1) 0.08
 Urban ED 35 0.8 (0.5–1.3) 0.34 0.8 (0.5–1.4) 0.5
Routine use of capnometry to confirm ETI
 Academic ED 53.2 1.4 (0.9–2.4) 0.2 1.3 (0.8–2.3) 0.3
 High-volume ED 47.5 1.0 (0.6–1.7) 1 0.9 (0.5–1.6) 0.8
 Tertiary ED 54.3 2.1 (1.3–3.3) 0.002 2.1 (1.3–3.3) 0.002
 Urban ED 45.3 0.9 (0.6–1.5) 0.7 0.9 (0.6–1.5) 0.7
  1. CI confidence interval, DAM difficult airway management, ETI endotracheal intubation
  2. Academic ED, high-volume ED, and tertiary ED are defined in Table 1