Evidence map›Paper›PMID 38803994›Full record

ArticleCritical care research and practice2024

A Prospective Study Evaluating Gender Differences of Serious Outcomes through Difficult Airway Physiological Score (DAPS) in the Emergency Department.

Shahan Waheed, Rida Jawed, Ahmed Raheem, Asad Iqbal Mian

Abstract read
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Article in Critical care research and practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Shahan WaheedDepartment of Emergency Medicine, Aga Khan University and Hospital (AKUH), Karachi, Pakistan.ORCID https://orcid.org/0000-0002-1562-2094
Rida JawedDepartment of Emergency Medicine, Aga Khan University and Hospital (AKUH), Karachi, Pakistan.ORCID https://orcid.org/0000-0002-3761-233X
Ahmed RaheemDepartment of Emergency Medicine, Aga Khan University and Hospital (AKUH), Karachi, Pakistan.
Asad Iqbal MianDepartment of Emergency Medicine, Aga Khan University and Hospital (AKUH), Karachi, Pakistan.

Funding

JHU-Afghanistan-Pakistan Collaborative Trauma and Injury Research TrainingD43TW007292 · FIC · JOHNS HOPKINS UNIVERSITY · PI Nadeem Ullah Khan, Junaid Abdul Razzak · 2005 to 2026
$4.7M
FIC NIH HHS D43 TW007292
6 · The paper itself

Abstract

Introduction: Gender variation in critically ill adults after resuscitation is reported in many studies. However, this variation is not well established when evaluating the physiological instability in this population. This study aimed to prospectively evaluate the gender variation in serious outcomes by the difficult airway physiological score (DAPS) among critically ill patients requiring endotracheal intubation (ETI). Methods: This is a cohort study conducted from August 2021 to December 2022 in the emergency department of Aga Khan University. The prospective validity of the difficult airway physiological score was derived using retrospective data and includes 12 variables: sex, age, time of intubation, hypotension, respiratory distress, vomiting, shock index >0.9, pH < 7.3, fever, anticipated decline, Glasgow Coma Scale (GCS) < 15, and agitation. The serious outcomes were cardiac arrest, mortality (within 1 hour after intubation in emergency), hypotension (systolic blood pressure <90 mmHg), and oxygen desaturation (SpO Results: We enrolled 326 patients with a mean age of 50.3 (±17.8), with 123 (33.7%) females and 203 (62.2%) males. 198 (60.7%) patients were >45 years old, of which 136 (67%) were male and 62 (50.4%) female. Cardiac arrest was observed in 56 (17.2%), with 24 (19.5%) females and 32 (15.8%) males, Conclusions: The Difficult Airway Physiological Score (DAPS) predicts the risk of serious outcomes after intubation with high precision and reliability with different score cutoffs between the two sexes, highlighting the gender variation of a difficult airway.

Identifiers

PMID38803994
PMCPMC11129900

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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.