ArticleJournal of the American Geriatrics Society2018
Prognosis After Emergency Department Intubation to Inform Shared Decision-Making.
Article in Journal of the American Geriatrics Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
27 citing papers in PubMed, 52 citations in OpenAlex.
- Liberation and discharge status of older patients after invasive mechanical ventilation: a retrospective cohort study.BMC geriatrics · 2025Article
- Older Adults' Experiences of Emergency Department Admission Decisions: A Qualitative Study in a Public Safety Net Hospital.Journal of general internal medicine · 2025Article
- Geriatric-Specific Considerations in the Care of Older Adults with Pulmonary/Respiratory Diseases.Emergency medicine clinics of North America · 2025Review
- Shared Decision-Making on Life-Sustaining Treatment: A Survey of Current Barriers in Practice Among Clinicians Across China.Healthcare (Basel, Switzerland) · 2025Article
- Article
- Institution of a difficult airway response team for emergency department patients with anticipated or encountered difficult airways: Descriptive analysis of a 5-year experience at an academic teaching hospital.Journal of the American College of Emergency Physicians open · 2024Article
- Prognostic awareness of seriously ill older adults in the emergency department.Emergency medicine journal : EMJ · 2024Article
- Frequency of Intubation for Medicare Beneficiaries With Acute Stroke and Association With Patient Outcomes.Neurology · 2024Observational
- Diversity, Equity, and Inclusion: Considerations in the Geriatric Emergency Department Patient.Clinics in geriatric medicine · 2023Review
- Empower Emergency Physicians to Make Patient-Centered Recommendations Regarding Code Status With Serious Illness Communication Training-Resident-Desired, Standard of Emergency Care in 2023.Annals of emergency medicine · 2023Article
- Associated Factors of In-hospital Mortality among Intubated Older Adults in Emergency Department; a Cross-sectional Study.Archives of academic emergency medicine · 2023Article
- Validation of a Simple Score for Mortality Prediction in a Cohort of Unselected Emergency Patients.International journal of clinical practice · 2022Article
- Prognosis of patients with tracheal intubation in the emergency department.Trends in anaesthesia & critical care · 2021Article
- Association of Frailty with Adverse Outcomes in Patients with Suspected COVID-19 Infection.Journal of clinical medicine · 2021Article
- Article
- Daytime-to-Nighttime Sleep Ratios and Cognitive Impairment in Older Intensive Care Unit Survivors.American journal of critical care : an official publication, American Association of Critical-Care Nurses · 2021Article
- Cultures of Practice: Specialty-Specific Differences in End-of-Life Conversations.Palliative medicine reports · 2021Article
- It Takes Courage to Pause: Rapid Goals-of-Care Conversations in the Emergency Department.Journal of geriatric emergency medicine · 2021Article
- The Interface of Emergency and Palliative Care.Journal of geriatric emergency medicine · 2021Article
- Decreased Glasgow Coma Scale score in medical patients as an indicator for intubation in the Emergency Department: Why are we doing it?Clinics (Sao Paulo, Brazil) · 2021Article
Corrections and comments
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Authors and funding
10 authors at 5 institutions in 1 country.
Funding
Abstract
objectivesTo inform the shared decision-making process between clinicians and older adults and their surrogates regarding emergency intubation.
designRetrospective cohort study.
settingMulticenter, emergency department (ED)-based cohort.
participantsAdults aged 65 and older intubated in the ED from 2008 to 2015 from 262 hospitals across the United States (>95% of U.S. nonprofit academic medical centers). MEASUREMENTS: Our primary outcome was age-specific in-hospital mortality. Secondary outcomes were age-specific odds of death after adjusting for race, comorbid conditions, admission diagnosis, hospital disposition, and geographic region.
resultsWe identified 41,463 ED intubation encounters and included 35,036 in the final analysis. Sixty-four percent were in non-Hispanic whites and 54% in women. Overall in-hospital mortality was 33% (95% confidence interval (CI)=34-35%). Twenty-four percent (95% CI=24-25%) of subjects were discharged to home, and 41% (95% CI=40-42%) were discharged to a location other than home. Mortality was 29% (95% CI=28-29%) for individuals aged 65 to 74, 34% (95% CI=33-35%) for those aged 75 to 79, 40% (95% CI=39-41%) for those aged 80 to 84, 43% (95% CI=41-44%) for those aged 85 to 89, and 50% (95% CI=48-51%) for those aged 90 and older.
conclusionAfter emergency intubation, 33% percent of older adults die during the index hospitalization. Only 24% of survivors are discharged to home. Simple, graphic representations of this information, in combination with an experienced clinician's overall clinical assessment, will support shared decision-making regarding unplanned intubation.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.