@entity1 with cervical @entity1566 (CSCIs) often develop @entity1576 and require intubation. It is unknown if intubation should be offered preemptively in all CSCI @entity1 or selectively based on signs of @entity1576 . The purpose of this study was to evaluate the role of routine early intubation in CSCI @entity1 . The medical records of 68 @entity1 with CSCI were reviewed. Univariate and multivariate analyses were used to identify independent risk factors for the need of intubation. Statistical significance was considered at P < 0.05. Fifty @entity1 (74%) required intubation and 27 (40%) developed @entity55 . Of @entity1 with CSCI above C5, 87.5 per cent required intubation compared with 61 per cent of @entity1 with CSCI at C5-C8 (P = 0.026). Similarly, of @entity1 with complete @entity1688 , 90 per cent required intubation compared to 48.5 per cent of @entity1 with incomplete @entity1688 or @entity451 (P < 0.001). Of 31 @entity1 not presenting with overt signs of @entity1576 on admission, 13 (42%) decompensated later and were eventually intubated up to 53 hours after admission. Six of these 13 @entity1 had emergent intubation due to acute desaturation and developed @entity358 associated with emergent intubation. There were 3 independent risk factors for the need of intubation: Injury Severity Score > 16, CSCI higher than C5, and complete @entity1688 . The combination of the 2 latter risk factors resulted in intubation in 21 of 22 @entity1 (95%). The majority of @entity1 with CSCI require intubation. In @entity1 with CSCI above @entity2244 , intubation should be offered routinely and early because delays may cause preventable morbidity.

Intubation after cervical XXXX : to be done selectively or routinely?

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity1688 :: ('MESH:D011782', 'Disease') :: ['quadriplegia'] @entity2244 :: ('MESH:C537005', 'Disease') :: ['C5 and complete quadriplegia'] @entity55 :: ('MESH:D011014', 'Disease') :: ['pneumonia'] @entity358 :: ('MESH:D008171', 'Disease') :: ['pulmonary complications'] @entity1576 :: ('MESH:D012131', 'Disease') :: ['acute respiratory failure'] @entity1566 :: ('MESH:D013119', 'Disease') :: ['spinal cord injuries'] @entity451 :: ('MESH:C536857', 'Disease') :: ['paraplegia']
@entity1566 :: (MESH:D013119,Disease) :: ['spinal cord injury']
