Factors associated with the intubation of patients with acute respiratory failure and their impact on mortality: a retrospective cohort study.

Publication date: Jul 03, 2025

Severe respiratory failure often requires invasive mechanical ventilation, identifying the factors that lead to this need is crucial. This study aims to identify risk factors for invasive mechanical ventilation and clinical outcomes in patients with acute respiratory failure from the time of onset of symptoms to respiratory failure. This retrospective cohort included adults with confirmed COVID-19 admitted to Intermediate or Intensive Care Units between May 1, 2020, and May 1, 2021. Inclusion required chest computed tomography (CT) and inflammatory markers (CRP, D-dimer, ferritin, IL-6) within 72 h of admission. The primary outcome was the need for orotracheal intubation and its association with mortality. Multivariate Cox regression and time-stratified analyses were performed. Of 550 patients, 346 (63%) required intubation. The overall in-hospital mortality rate was 21. 6%. Intubated patients had higher BMI (p = 0. 02), SAPS-3 scores (p 

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Concepts Keywords
Cox Acute respiratory failure
Ct Aged
Invasive C-Reactive Protein
Mortality C-Reactive Protein
COVID-19
COVID-19
Female
fibrin fragment D
Hospital Mortality
Humans
Inflammatory markers
Interleukin-6
Interleukin-6
Intubation
Intubation, Intratracheal
Male
Mechanical ventilation
Middle Aged
Respiration, Artificial
Respiratory Insufficiency
Retrospective Studies
Risk Factors
SARS-CoV-2
SARS-CoV-2
Tomography, X-Ray Computed

Semantics

Type Source Name
disease MESH respiratory failure
disease MESH COVID-19
pathway REACTOME Reproduction
drug DRUGBANK Trestolone
disease IDO process
drug DRUGBANK Esomeprazole

Original Article

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