Evidence map›Paper›PMID 40110238›Full record

ArticleIndian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine2025

Validity of MACOCHA Score in Predicting First-pass Success of Endotracheal Intubation in Emergency Department: An Observational Study.

Krishna Shukla, Bharat B Bhardwaj, Ankita Kabi, Santosh Galagali, Harsimran Manchanda, Shrirang Joshi, Alok Raj

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Article in Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Krishna ShuklaDepartment of Emergency Medicine, White Lotus International Hospital and Research Center, Navi Mumbai, Maharashtra, India.ORCID https://orcid.org/0000-0001-7731-0099
Bharat B BhardwajDepartment of Emergency Medicine, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.ORCID https://orcid.org/0000-0002-7918-8901
Ankita KabiDepartment of Anesthesiology and Critical Care, All India Institute of Medical Sciences, Gorakhpur, Uttar Pradesh, India.ORCID https://orcid.org/0000-0001-5958-3966
Santosh GalagaliDepartment of Emergency Medicine, Shri BM Patil Medical College, Hospital and Research Centre, Vijayapura, Karnataka, India.ORCID https://orcid.org/0000-0002-7131-9014
Harsimran ManchandaDepartment of Anesthesiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.ORCID https://orcid.org/0009-0005-7493-3422
Shrirang JoshiDepartment of Emergency Medicine, All India Institute of Medical Sciences, Delhi, India.ORCID https://orcid.org/0000-0002-0913-852X
Alok RajDepartment of Emergency Medicine, King George's Medical University, Lucknow, Uttar Pradesh, India.ORCID https://orcid.org/0000-0003-1522-9660

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim and background: In the emergency department (ED), endotracheal intubation (ETI) is a critical, life-saving procedure. The MACOCHA score predicts difficult intubations in intensive care units (ICUs), but it has not been validated in the ED setting. This study aimed to validate the MACOCHA score for predicting first-pass success of ETI performed in the ED. Materials and methods: This prospective observational study was performed in the ED of a tertiary care institute, over a period of 18 months (September 2020 to February 2022). The study included 74 adult patients who underwent emergency ETI performed by emergency medicine residents. Number of ETI attempts, first-pass success rate, and complications were noted. The MACOCHA score was calculated, and its predictive performance was evaluated. Results: The first-pass success rate was 54.1%, and 54.1% of patients experienced complications, with hypoxia (18.9%) and hypotension (17.6%) being the most common. Four ETI attempts ( Conclusion: MACOCHA score demonstrated limited performance in predicting the first-pass success rate of ETI in the ED. How to cite this article: Shukla K, Bhardwaj BB, Kabi A, Galagali S, Manchanda H, Joshi S,

Indexed as

Airway managementCritical careEmergency departmentEndotracheal tubeIntubationMACOCHA score

Identifiers

PMID40110238
PMCPMC11915389

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