ArticleAnnals of medicine and surgery (2012)2026
Post-intubation hypotension and its associated factors among geriatric patients who undergo surgery at Eastern Ethiopia referral hospitals: multi-center cross-sectional study.
Article in Annals of medicine and surgery (2012), 2026. 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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Abstract
Background: Post-intubation hypotension refers to a marked drop in blood pressure after endotracheal intubation, which can result in serious complications, especially in elderly patients. The precise magnitude and contributing factors of post-intubation hypotension in geriatric anesthesia practice remain unclear. Therefore, further investigation is required. Objective: To determine the magnitude and factors associated with post-intubation hypotension among geriatric patients who underwent surgery under general anesthesia at the Eastern Ethiopia Referral Hospital in 2023. Method: A multi-center cross-sectional study was conducted on geriatric patients who underwent surgery under general anesthesia with endotracheal intubation. A systematic random sampling technique was used to select participants. Data were collected using semi-structured questionnaires that included sociodemographic information, clinical conditions, surgical factors, and anesthesia-related factors. Associations between baseline characteristics and outcome variables were assessed using binary logistic regression. Variables with Results: The magnitude of post-intubation hypotension in our study was 36.1%. Being extremely old age (AOR = 3.1, CI = 1.30-7.29), having a higher American Society of Anesthesiologists (ASA) physical status (AOR = 5.5, CI = 2.57-11.70), low baseline blood pressure (AOR = 4.8, CI = 2.56-8.95), and absence of fluid administration before induction (AOR = 2.9, CI = 1.41-6.29) were independently associated with post-intubation hypotension. Conclusion and recommendations: Based on our data, the magnitude of post-intubation hypotension in geriatric surgical patients is notably high. Anesthetists must be aware that endotracheal intubation of an extremely old age, ASA class III patient, pre-existing hypotension, and intubating the patient without preloading fluid were associated with post-intubation hypotension.
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