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Table 3 Explorative analysis of factors potentially associated with FPS and DASH-1A rates

From: The effect of a multi-faceted quality improvement program on paramedic intubation success in the critical care transport environment: a before-and-after study

 

FPS rate (n = 484)

 

DASH-1A (n = 415)

 

Overall

350/484 (72%)

 

205/415 (49%)

 

Video laryngoscope

 First attempt with VL

149/174 (86%)

p < 0.001*

82/154 (53%)

p = 0.20

 First attempt without VL

201/310 (65%)

 

123/261 (47%)

 

Neuromuscular blockage

 Rapid sequence induction

151/191 (79%)

p = 0.02*

105/191 (55%)

p = 0.04*

 Drug facilitated intubation

154/224 (69%)

 

100/224 (45%)

 

 N/A (cardiac arrest)

45/69 (65%)

 

N/A

 

Base intubation volume

 High (> 10 per year)

193/264 (73%)

p = 0.50

121/238 (51%)

p = 0.60

 Medium (10—5 per year)

114/164 (70%)

 

56/123 (46%)

 

 Low (< 5 per year)

43/56 (77%)

 

28/54 (52%)

 

Type of call

 Scene

65/110 (59%)

p = 0.01*

17/62 (27%)

p = 0.001*

 Modified scene

98/128 (77%)

 

60/112 (54%)

 

 Interfacility

187/246 (76%)

 

128/241 (53%)

 

Level of care

 Critical care

274/368 (74%)

p = 0.06

157/315 (50%)

p = 0.7

 Advanced care

76/116 (66%)

 

48/100 (53%)

 
  1. *Statistically significant at p < 0.05, VL = video laryngoscopy, FPS = first pass success, DASH-1A = Definitive Airway Sans Hypoxia/Hypotension on First Attempt