Trauma & major bleeding

Intubation Setting and Mortality in Trauma Patients Undergoing Hemorrhage Control Surgery: A Propensity Score-Matched Analysis

Anesth AnalgPublished Retrospective cohort study

Authors' conclusion

ED intubation was not significantly associated with increased in-hospital mortality after controlling for injury severity and shock.

Study context

Population
Major trauma (ISS ≥16) patients requiring hemorrhage control surgery, Israeli National Trauma Registry, 2016–2023271 per group matched
Participants
975 participants
Exposure
Emergency department (ED) intubation vs OR intubation
  • ED intubationn = 470
Outcome
In-hospital mortality
Methodological detailsregistry-based, nationwide, propensity-score matched, multivariable logistic regression
  • Registry-based
  • Nationwide
  • Propensity-score matched
  • Multivariable logistic regression

Main finding

In-hospital mortality (propensity-matched)

Odds ratio

0.97

95% CI 0.58–1.61

By group

ED intubation vs OR intubation
OR 0.97 (95% CI 0.58–1.61)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeED intubationOR intubationOR (95% CI)
In-hospital mortality (unadjusted)Unadjusted22.6%8.5%3.13 (2.15–4.62)

ICU admission

ED intubation associated with >2-fold increase in odds of ICU admission in adjusted and propensity-matched analyses

Original publication

Intubation Setting and Mortality in Trauma Patients Undergoing Hemorrhage Control Surgery: A Propensity Score-Matched Analysis. Anesth Analg. Published 16 May 2025. doi:10.1213/ane.0000000000007542

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