Skip Navigation
Skip to contents

ACC : Acute and Critical Care

OPEN ACCESS
SEARCH
Search

Search

Page Path
HOME > Search
1 "Nader Markazi Moghaddam"
Filter
Filter
Article category
Keywords
Publication year
Authors
Original Article
Trauma
Association of Glasgow coma scale and endotracheal intubation in predicting mortality among patients admitted to the intensive care unit
Nader Markazi Moghaddam, Mohammad Fathi, Sanaz Zargar Balaye Jame, Mohammad Darvishi, Morteza Mortazavi
Acute Crit Care. 2023;38(1):113-121.   Published online February 22, 2023
DOI: https://doi.org/10.4266/acc.2022.00927
  • 6,824 View
  • 192 Download
  • 1 Web of Science
  • 3 Crossref
AbstractAbstract PDF
Background
We assessed predictors of mortality in the intensive care unit (ICU) and investigated if Glasgow coma scale (GCS) is associated with mortality in patients undergoing endotracheal intubation (EI).
Methods
From February 2020, we performed a 1-year study on 2,055 adult patients admitted to the ICU of two teaching hospitals. The outcome was mortality during ICU stay and the predictors were patients’ demographic, clinical, and laboratory features.
Results
EI was associated with a decreased risk for mortality compared with similar patients (adjusted odds ratio [AOR], 0.32; P=0.030). This shows that EI had been performed correctly with proper indications. Increasing age (AOR, 1.04; P<0.001) or blood pressure (AOR, 1.01; P<0.001), respiratory problems (AOR, 3.24; P<0.001), nosocomial infection (AOR, 1.64; P=0.014), diabetes (AOR, 5.69; P<0.001), history of myocardial infarction (AOR, 2.52; P<0.001), chronic obstructive pulmonary disease (AOR, 3.93; P<0.001), immunosuppression (AOR, 3.15; P<0.001), and the use of anesthetics/sedatives/hypnotics for reasons other than EI (AOR, 4.60; P<0.001) were directly; and GCS (AOR, 0.84; P<0.001) was inversely related to mortality. In patients with trauma surgeries (AOR, 0.62; P=0.014) or other surgical categories (AOR, 0.61; P=0.024) undergoing EI, GCS had an inverse relation with mortality (accuracy=82.6%, area under the receiver operator characteristic curve=0.81).
Conclusions
A variety of features affected the risk for mortality in patients admitted to the ICU. Considering GCS score for EI had the potential of affecting prognosis in subgroups of patients such as those with trauma surgeries or other surgical categories.

Citations

Citations to this article as recorded by  
  • Airway management and functional outcomes in intubated patients with ischemic stroke
    Jae Wook Jung, Ilmo Kang, Jin Park, Sang-Beom Jeon
    Scientific Reports.2025;[Epub]     CrossRef
  • The Glasgow Coma Scale: an international standard for education and practice with adults
    Neal Cook, Ruth Trout, Catheryne Waterhouse, Mary Braine, Chris Barrett, Paul Brennan, Graham Teasdale, Ole Abildgaard Hansen, Valeria Caponnetto, Pedro Raúl Castellano Santana, Hilalnur Küçükakgün, Claire Lynch, Andrea Shepherd, Zeliha Tulek, Zoé Wahl
    British Journal of Neuroscience Nursing.2025; 21(Sup1c): S1.     CrossRef
  • Using nursing data for machine learning-based prediction modeling in intensive care units: A scoping review
    Yesol Kim, Mihui Kim, Yeonju Kim, Mona Choi
    International Journal of Nursing Studies.2025; 169: 105133.     CrossRef

ACC : Acute and Critical Care
TOP