PMID- 35757494
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220716
IS  - 1205-9838 (Print)
IS  - 2368-6820 (Electronic)
IS  - 1205-9838 (Linking)
VI  - 58
DP  - 2022
TI  - Outcomes and follow-up for children intubated in an adult-based community 
      hospital system: A retrospective chart review.
PG  - 69-76
LID - 10.29390/cjrt-2022-015 [doi]
AB  - OBJECTIVES: Emergency intubation is a high-risk procedure in children. Studies 
      describing intubation practices in locations other than pediatric centres are 
      scarce and varied. This study described pediatric intubations in adult-based 
      community emergency departments (EDs) and determined what factors were associated 
      with intubated-related adverse events (AEs) and described outcomes of children 
      transferred to a quaternary care pediatric institution. METHODS: This is a 
      retrospective review of data collected between January 2006 and March 2017 at 
      Lakeridge Health and Hospital for Sick Children (SickKids). Patients were <18 
      years and intubated in Lakeridge Health EDs; those intubated prior to ED arrival 
      were excluded. Primary outcomes were intubation first-pass success (FPS) and AEs 
      secondary to intubation. RESULTS: Patients (n = 121) were analyzed, and median 
      (interquartile range (IQR)) age was 3.7 (0.4-14.3) years. There were 76 (62.8%) 
      FPS, with no difference between pediatricians (n = 25, 23%) or anaesthetists (n = 
      12, 11%), versus all other providers (paramedic n = 13 (12%), ED physician n = 37 
      (34%), respiratory therapist n = 20 (18%), transfer team n = 2 (2%)). The 
      proportion of AEs was 24 (19.8%, n = 21 minor, n = 3 major), with no significant 
      difference between pediatricians or anaesthetists versus all other providers. 
      Data from 68 children transferred to SickKids were available, with the majority 
      extubated within a short median (IQR) time of admission, 1.2 (0.29-3.8) days. 
      CONCLUSIONS: Pediatric intubations were rare in a Canadian adult-based community 
      hospital system. Most intubations demonstrated FPS with relatively few AEs and no 
      significant differences between health provider type. Future investigations 
      should utilize multi-centred data to inform strategies suited for organizations' 
      unique practice cultures, including training programs.
FAU - Nonoyama, Mika L
AU  - Nonoyama ML
AD  - Faculty of Health Sciences, Ontario Tech University, Oshawa, Ontario, Canada.
AD  - Department of Respiratory Therapy & Child Health Evaluative Sciences, Hospital 
      for Sick Children, Toronto, Ontario, Canada.
AD  - Department of Physical Therapy and Rehabilitation Sciences Institute, University 
      of Toronto, Toronto, Ontario, Canada.
FAU - Kukreti, Vinay
AU  - Kukreti V
AD  - Paediatrics, Lakeridge Health, Oshawa, Ontario, Canada.
FAU - Papaconstantinou, Efrosini
AU  - Papaconstantinou E
AD  - Faculty of Health Sciences, Ontario Tech University, Oshawa, Ontario, Canada.
AD  - CMCC Centre for Disability Prevention and Rehabilitation, Ontario Tech 
      University, Oshawa, Ontario, Canada.
FAU - Kozlowski, Natascha
AU  - Kozlowski N
AD  - Ontario Institute for Cancer Research, Toronto, Ontario, Canada.
FAU - Tsimelkas, Sarah
AU  - Tsimelkas S
AD  - Faculty of Health Sciences, Ontario Tech University, Oshawa, Ontario, Canada.
AD  - Paediatrics, Lakeridge Health, Oshawa, Ontario, Canada.
LA  - eng
PT  - Journal Article
DEP - 20220610
PL  - Canada
TA  - Can J Respir Ther
JT  - Canadian journal of respiratory therapy : CJRT = Revue canadienne de la therapie 
      respiratoire : RCTR
JID - 9617402
PMC - PMC9187052
OTO - NOTNLM
OT  - community
OT  - emergency service
OT  - hospital
OT  - hospitals
OT  - intubation
OT  - patient outcome assessment
OT  - pediatrics
OT  - retrospective studies
COIS- All authors have completed the ICMJE uniform disclosure form at 
      www.icmje.org/coi_disclosure.pdf and declare no financial relationships with any 
      organizations that might have an interest in the submitted work in the previous 3 
      years and no other relationships or activities that could appear to have 
      influenced the submitted work.
EDAT- 2022/06/28 06:00
MHDA- 2022/06/28 06:01
PMCR- 2022/06/10
CRDT- 2022/06/27 04:26
PHST- 2022/06/27 04:26 [entrez]
PHST- 2022/06/28 06:00 [pubmed]
PHST- 2022/06/28 06:01 [medline]
PHST- 2022/06/10 00:00 [pmc-release]
AID - 015 [pii]
AID - 10.29390/cjrt-2022-015 [doi]
PST - epublish
SO  - Can J Respir Ther. 2022 Jun 10;58:69-76. doi: 10.29390/cjrt-2022-015. eCollection 
      2022.