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Table 2 Estimated odds ratios (with 95 % confidence intervals) for the risk of failure on the first intubation attempt, based on a mixed-effects logistic regression model with HEMS as a random effect (n = 1,200)

From: Airway management by physician-staffed Helicopter Emergency Medical Services – a prospective, multicentre, observational study of 2,327 patients

  

Unadjusted

Adjusted

 

n

Odds ratio

95 % CI

p-value

Odds ratio

95 % CI

p-value

Intercept (reference odds)

1,200

0.09

(0.05–0.14)

0.18

(0.06–0.26)

Sex

   

0.92

  

0.88

 Female (ref.)

355

1

1

 Male

845

1.02

(0.68–1.54)

0.92

1.04

(0.67–1.57)

0.88

Agea

   

<0.001

  

< .001

 Age10

1,200

1.071

(0.960–1.193)

1.060

(0.946–1.189)

 Age10-squared

1,200

0.916

(0.873–0.961)

<0.001

0.914

(0.871–0.960)

<0.001

Provider’s previous number of intubations

   

0.48

  

0.46

 > 1,000 (ref.)

587

1

1

 101–1,000

514

0.99

(0.61–1.55)

0.96

0.95

(0.58–1.55)

0.84

 26–100

74

1.19

(0.57–2.51)

0.64

1.24

(0.56–2.71)

0.60

 11–25

12

0.23

(0.03–1.85)

0.17

0.21

(0.03–1.71)

0.14

 0–10

13

1.43

(0.40–5.05)

0.58

1.08

(0.28–4.12)

0.92

Drugs administered

      

0.16

 Sedatives

1,057

0.57

(0.34–0.97)

0.05

0.53

(0.28–1.02)

0.06

 NMBA

1,110

0.67

(0.36–1.22)

0.21

0.82

(0.40–1.70)

0.60

 Analgesics/opioids

858

1.11

(0.70–1.76)

0.66

1.51

(1.88–2.59)

0.14

Trauma

   

0.95

  

0.98

 Non-traumab (ref.)

390

1

1

 Blunt traumac

763

0.93

(0.60–1.45)

0.75

1.05

(0.64–1.71)

0.84

 Penetrating trauma

47

0.93

(0.31–2.82)

0.90

0.98

(0.31–3.10)

0.97

Indication

   

0.30

  

0.41

 Decreased level of consciousness (ref.)

780

1

1

 Hypoxemia

46

1.41

(0.56–3.57)

0.47

1.14

(0.46–3.07)

0.78

 Ineffective ventilation

123

1.42

(0.74–2.69)

0.29

1.31

(0.72–2.68)

0.43

 Existing airway obstruction

25

0.74

(0.16–3.32)

0.69

0.81

(0.20–4.10)

0.79

 Impending airway obstruction

79

1.49

(0.71–3.13)

0.29

1.41

(0.68–3.13)

0.37

 Combative or uncooperative

101

0.30

(0.07–1.22)

0.09

0.28

(0.07–1.19)

0.08

 Relief of pain or distress

46

1.19

(0.40–3.56)

0.76

1.03

(0.35–3.29)

0.96

  1. aIn decades, centred on 50 years (e.g., an ‘age’ of 1.3 equals 50 + 1.3 × 10 years = 63 years). See Fig. 2 for a graphical representation of the estimated age effect
  2. bIncluding drowning and asphyxia
  3. cIncluding burns and strangulation