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Table 2 Univariate analysis: Association of variables with critical hypertension (defined as a new SBP > 180 mmHg ≤ 10 min of induction, or a > 10% increase if SBP was > 180 mmHg pre-PHEA) of adult trauma patients undergoing PHEA in the East of England, 2015 − 2002

From: Critical hypertension in trauma patients following prehospital emergency anaesthesia: a multi-centre retrospective observational study

Variable

 

Coefficient

P-value

Sex

Female

Male

REF

0.177

0.383

Age / years

16–34

35–54

55–74

75+

REF

0.749

1.252

1.411

0.004*

< 0.001*

< 0.001*

Estimated patient weight

 

0.007

0.220*

Glasgow Coma Scale score

 

0.040

0.053*

GCS motor score

1

2

3

4

5

6

REF

0.158

0.255

0.698

0.879

0.355

0.700

0.470

0.013*

0.001*

0.220*

Mechanism

Transport

Accidental Injury

Assault

Self-harm

Sport/leisure

REF

0.649

0.528

< 0.001

0.722

< 0.001*

0.149*

1.000

0.096*

Shock index (SI)

 

-3.011

< 0.001*

Pre-PHEA SBP / mmHg

Mid (90–140)

Low (< 90)

High (141–180)

Critical (> 180)

REF

-1.186

1.986

0.983

0.106*

< 0.001*

0.003*

Pre-PHEA HR / beats/minute

Mid (60–100)

Low < 60)

High (> 100)

REF

0.165

-0.910

0.531

< 0.001*

Pre-PHEA RR / breaths/minute

Mid (10–25)

High (> 25)

Low (< 10)

REF

-0.261

-0.623

0.277

0.194*

Fentanyl dose (mcg kg− 1)

1

0

2

3

REF

-0.695

-0.256

-0.063

0.002*

0.421

0.759

Ketamine dose (mg kg− 1)

1

0

2

REF

-0.719

0.439

0.173*

0.010*

Rocuronium dose (mg kg− 1)

1

0

2

REF

0.628

-0.126

0.146*

0.692

Indication for PHEA

Reduced consciousness

Airway obstruction/compromise

Ventilatory failure

Agitated head injury

Anticipated clinical course

Other

REF

-0.286

-0.830

0.273

-0.104

0.353

0.219*

0.017*

0.253

0.753

0.531

Arrival time to PHEA / minutes

 

0.009

0.146*

Total attempts

 

0.499

0.006*

Blade type

Direct Laryngoscope

Video Laryngoscope

REF

0.335

0.073*

Pre-PHEA fluids

None

Fluids

REF

-0.833

< 0.001*

  1. * p < 0.25 (threshold for including in first iteration of multivariate model)
  2. PHEA prehospital emergency anaesthesia, RSI rapid sequence induction, HR heart rate, SBP systolic blood pressure, RR respiratory rate. The shock index was calculated as HR/SBP. ‘Arrival to PHEA’ is the time in minutes from the Helicopter Emergency Medical Services (HEMS) team arrival on scene until the time of PHEA. Pre-PHEA fluids are intravenous crystalloid administration by the ambulance service before arrival of HEMS