Respiratory failure & ventilation
Temporal Trends and Variation in Bronchoscopy Use for Acute Respiratory Failure in the United States
Authors' conclusion
Bronchoscopy use among hospitalizations treated with IMV has increased over time.
Study context
- Population
- Adult hospitalizations treated with invasive mechanical ventilation (IMV), US, 2012–2018
- Participants
- 6,101,070 IMV-treated hospitalizations
- Outcome
- Proportion of IMV-treated hospitalizations undergoing bronchoscopy
Methodological detailsNational Inpatient Sample, multilevel linear regression
- National Inpatient Sample
- Multilevel linear regression
Main finding
As reported in the abstract
Bronchoscopy use among IMV-treated hospitalizations
P < 0.001
- Hospitalizations undergoing bronchoscopy, 2012-2018
- 609,405
Observational data: associations, not effects.
Further findings
Hospital-level variation in bronchoscopy use · 2018
- Range of bronchoscopy use among 1,787 hospitals
- 0% to 57.1%
- Variation explained at hospital level (adjusted multilevel model)
- 16.0%
- Median OR (95% CI, 2.05-2.21); 113% increased odds moving from lower-use to higher-use hospital
- 2.13
- Adjusted for patient and hospital characteristics
Characteristics of hospitalizations receiving bronchoscopy
- Mean age, years
- 61
- Women
- 41.8%
- In-hospital mortality
- 30.8%
Original publication
Temporal Trends and Variation in Bronchoscopy Use for Acute Respiratory Failure in the United States. Chest. Published 22 August 2022. doi:10.
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