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Table 3 Final multivariate model – adjusted 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) in adult trauma patients undergoing PHEA in the East of England, 2015–2022

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

Variable

 

Adjusted Odds ratio

(95% CI)

P-value

Age / years

16–34

REF

 
 

35–54

1.76 (1.03–3.06)

0.039*

 

55–74

2.00 (1.19–3.44)

0.010*

 

75+

2.38 (1.31–4.35)

0.005**

GCS motor score

1

REF

 
 

2

1.04 (0.42–2.40)

0.923

 

3

1.22 (0.57–2.54)

0.596

 

4

2.17 (1.19–4.01)

0.012*

 

5

2.82 (1.60–5.09)

< 0.001***

 

6

1.79 (0.99–3.33)

0.064

Pre-PHEA SBP / mmHg

Mid (90–140)

REF

 
 

Low < 90)

0.36 (0.057–1.23)

0.166

 

High (> 140)

6.72 (4.38–10.54)

< 0.001***

 

Critical (> 180)

2.19 (1.05–4.39)

0.031*

Pre-PHEA HR / beats/minute

Mid (60–100)

REF

 
 

Low (< 60)

1.55 (0.85–2.72)

0.190

 

High (> 100)

0.42 (0.27–0.64)

< 0.001***

Fentanyl dose (mcg kg− 1)

1

REF

 

2

0.47 (0.23–0.90)

0.029*

3

0.67 (0.42–1.05)

0.083

0

0.82 (0.50–1.34)

0.568

Pre-PHEA fluids

None

REF

 

Fluids

0.60 (0.36–0.97)

0.043*

Intubation attempts

1

REF

 
 

> 1

1.75 (1.01–2.96)

0.040*

  1. ***p < 0.001, ** p < 0.01, * p < 0.05
  2. PHEA prehospital emergency anaesthesia, RSI rapid sequence induction, HR heart rate, SBP systolic blood pressure, RR respiratory rate. Pre-PHEA fluids are intravenous crystalloid administration by the ambulance service before arrival of Helicopter Emergency Medical Service