library(readr)
df <- read_csv("C:/Users/user/Downloads/data - Sheet1.csv")
library(gtsummary)
library(dplyr)
names(df)
 [1] "Code"                       
 [2] "patient_id"                 
 [3] "age"                        
 [4] "gender"                     
 [5] "icu_reason"                 
 [6] "diagnosis"                  
 [7] "complications"              
 [8] "intubation_reason"          
 [9] "intubation_length"          
[10] "intubation_result"          
[11] "intubation_complication"    
[12] "extubation_complication"    
[13] "extubation_result"          
[14] "physician_name"             
[15] "physician_credential"       
[16] "icu_experience"             
[17] "icu_speciality"             
[18] "visit_frequency"            
[19] "procedure_performed"        
[20] "patient_outcome"            
[21] "physician_engagement"       
[22] "disease_duration"           
[23] "mortality_risk"             
[24] "daily_life_effect"          
[25] "comorbidities"              
[26] "intubation_success"         
[27] "intubation_method"          
[28] "sterilization"              
[29] "assessment_compliance"      
[30] "preoxygenation_quality"     
[31] "intubation_length2"         
[32] "tube_size_adult"            
[33] "tube_size_pediatric"        
[34] "patient_position"           
[35] "complication_tracking"      
[36] "environment_factor"         
[37] "nurse_count"                
[38] "assistant_presence"         
[39] "expert_support"             
[40] "training_program"           
[41] "regular_training"           
[42] "equipment_failure"          
[43] "eti_protocol"               
[44] "checklist_compliance"       
[45] "equipment_availability"     
[46] "postintubation_guideline"   
[47] "postintubation_debrief"     
[48] "team_involvement"           
[49] "icu_mortality"              
[50] "psychological_effect"       
[51] "tracheostomy"               
[52] "postextubation_complication"
[53] "recovery_status"            
[54] "icu_readmission"            
[55] "functional_recovery"        
[56] "ambu_ventilation"           
[57] "cpr_requirement"            
[58] "tertiary_transfer"          
[59] "cardiac_arrest"             
[60] "arrest_count"               
[61] "sedation"                   
[62] "rapid_recov"                
[63] "equipment_effect"           
[64] "firstpass_recovery"         
df1 <-  df %>% 
  select(age,
gender,
icu_reason,
diagnosis,
complications,
intubation_reason,
intubation_length,
intubation_result,
intubation_complication,
extubation_complication,
extubation_result,
physician_name,
physician_credential,
icu_experience,
icu_speciality,
visit_frequency,
procedure_performed,
patient_outcome,
physician_engagement,
disease_duration,
mortality_risk,
daily_life_effect,
comorbidities,
intubation_success,
intubation_method,
sterilization,
assessment_compliance,
preoxygenation_quality,
intubation_length2,
tube_size_adult,
tube_size_pediatric,
patient_position,
complication_tracking,
environment_factor,
nurse_count,
assistant_presence,
expert_support,
training_program,
regular_training,
equipment_failure,
eti_protocol,
checklist_compliance,
equipment_availability,
postintubation_guideline,
postintubation_debrief,
team_involvement,
icu_mortality,
psychological_effect,
tracheostomy,
postextubation_complication,
recovery_status,
icu_readmission,
functional_recovery,
ambu_ventilation,
cpr_requirement,
tertiary_transfer,
cardiac_arrest,
arrest_count,
sedation,
rapid_recov,
equipment_effect,
firstpass_recovery)
df1 %>% 
  tbl_summary()
Characteristic N = 4071
age
    1. Newborn (0–30 days) 15 (3.7%)
    2. Infant one month to one year 29 (7.1%)
    3. Child (one to twelve years old) 1 (0.2%)
    4. Adult between 13 and 50 years of age 2 (0.5%)
    5. People over 50 years old 71 (17%)
    6. Please indicate the age. 12 (2.9%)
    Infant, one month to one year 89 (22%)
    Newborn (0–30 days) 29 (7.1%)
    People over 50 years old 148 (36%)
    Please indicate the age. 11 (2.7%)
gender
    Female 189 (46%)
    Male 218 (54%)
icu_reason
    Cardiac arrest and after surgery recovery 104 (26%)
    Failure of respiratory systems 87 (21%)
    neurological disability 52 (13%)
    neurological disability; Other (please indicate) 1 (0.2%)
    Sepsis 45 (11%)
    Trauma—such as multiple injuries or cerebral damage 118 (29%)
diagnosis
    Acute respiratory distress syndrome (ARDS) 152 (37%)
    Cardiovascular illness, including arrhythmia and myocardial infarction 39 (9.6%)
    Sepsis sometimes known as Septic Shock 12 (2.9%)
    Sepsis, sometimes known as Septic Shock 107 (26%)
    Stroke (Ischemic Hemorrhagic); COPD/Asthma aggravation; Other (please state) 1 (0.2%)
    Stroke (Ischemic, Hemorrhagic); COPD/Asthma aggravation; Other (please state) 22 (5.4%)
    Trauma-associated—that is, traumatic brain damage, chest trauma 74 (18%)
complications
    Cancer, neurological diseases (e.g., epilepsy, stroke), immunocompromised condition (e.g., HIV, chemotherapy), other (please define) 38 (9.3%)
    High blood pressure 141 (35%)
    Mellitus from diabetes; cardiac disease 125 (31%)
    Pathology of pulmonary breathing 58 (14%)
    Renal pathogenesis 45 (11%)
intubation_reason
    other (please explain) 31 (7.6%)
    other (please explain). 2 (0.5%)
    Respiratory failure (hypoxia/hypercapnia) accompanied by airway blockage such as a foreign body edema 5 (1.2%)
    Respiratory failure (hypoxia/hypercapnia) accompanied by airway blockage such as a foreign body edema 12 (2.9%)
    Respiratory failure (hypoxia/hypercapnia) accompanied by airway blockage, such as a foreign body, edema 219 (54%)
    Trauma (e.g. cranial or spinal injury); sepsis followed by respiratory failure; cardiac arrest; neurological dysfunction; post-operative respiratory assistance 2 (0.5%)
    Trauma (e.g. cranial or spinal injury); sepsis followed by respiratory failure; cardiac arrest; neurological dysfunction; post-operative respiratory assistance; 3 (0.7%)
    Trauma (e.g., cranial or spinal injury); sepsis followed by respiratory failure; cardiac arrest; neurological dysfunction; post-operative respiratory assistance 133 (33%)
intubation_length
    12 to 24 hours or 113 (28%)
    24 to 48 hours or 95 (23%)
    over 48 hours 85 (21%)
    Under 12 hours or 114 (28%)
intubation_result
    Failed intubation calling for reintubation 1 (10%)
    First-pass success 9 (90%)
    Unknown 397
intubation_complication
    Airway trauma (e.g. vocal cord damage lacerations) 8 (2.0%)
    Airway trauma (e.g., vocal cord damage, lacerations) 128 (31%)
    Desaturation during the process; o Cardiac arrest during intubation; other (please describe) 51 (13%)
    Esophageal intubation 60 (15%)
    Hemodynamic instability (e.g., hypotension, arrhythmia) 71 (17%)
    Hypoxia 89 (22%)
extubation_complication
    Aspiration 1 (10%)
    Persistent dysphonia 1 (10%)
    pneumonia (ventilator-associated); 7 (70%)
    post-extubation stridor. 1 (10%)
    Unknown 397
extubation_result
    Death 25 (6.1%)
    Death; 2 (0.5%)
    Partial recovery requiring ongoing treatment 176 (43%)
    Partial recovery requiring ongoing treatment; 8 (2.0%)
    Permanent disability (e.g. neurological pulmonary) 1 (0.2%)
    Permanent disability (e.g., neurological, pulmonary) 155 (38%)
    Tracheostomy requirement 40 (9.8%)
physician_name 0 (NA%)
    Unknown 407
physician_credential
    MD or MBBS 248 (61%)
    Other or Fellowship in Critical Care; kindly indicate 159 (39%)
icu_experience
    five to ten years 143 (35%)
    less than five years 125 (31%)
    ten years or more 139 (34%)
icu_speciality
    Anesthesiologist 138 (34%)
    Critical Care Physician 88 (22%)
    Intensivist 130 (32%)
    Junior Physician 51 (13%)
visit_frequency
    Daily 137 (34%)
    Daily; 10 (2.5%)
    once weekly 83 (20%)
    two to three times weekly 177 (43%)
procedure_performed
    1-50 81 (20%)
    101-200 91 (22%)
    201+ intubations. 84 (21%)
    51-100 151 (37%)
patient_outcome
    Complete or partial recovery 7 (70%)
    Death 2 (20%)
    Post-extubation problems 1 (10%)
    Unknown 397
physician_engagement
    Directly executes intubation 8 (80%)
    Not engaged in intubation 1 (10%)
    Usually helps in intubation 1 (10%)
    Unknown 397
disease_duration
    acute (0–7 days) 258 (63%)
    acute (0–7 days); 8 (2.0%)
    chronic (>30 days) 47 (12%)
    subacute (7–30 days) 94 (23%)
mortality_risk
    High (>50%) risk 109 (27%)
    Low risk (<20%) 101 (25%)
    Moderate (>20–50%) risk 197 (48%)
daily_life_effect
    Mild impact (with little restrictions) 83 (20%)
    Moderate impact (requiring significant help) 121 (30%)
    Moderate impact (requiring significant help); 2 (0.5%)
    No impact 46 (11%)
    Severe impact incapable of doing daily tasks 155 (38%)
comorbidities
    Cardiovascular diseases include arrhythmia and heart failure 198 (49%)
    Complications related to malignancy 10 (2.5%)
    Neurological dysfunction (e.g., cerebrovascular accident,unconsciousness) 31 (7.6%)
    o Other ( please describe) 3 (0.7%)
    Other ( please describe) 6 (1.5%)
    Renal insufficiency either acute or chronic 5 (1.2%)
    Renal insufficiency, either acute or chronic 92 (23%)
    Sepsis accompanied by multiple organ failure 62 (15%)
intubation_success
    85% or more first-pass intubation success rate 9 (90%)
    Less than 50% 1 (10%)
    Unknown 397
intubation_method
    Blind Intubation 50 (12%)
    Direct Laryngoscopy 296 (73%)
    Other. 2 (0.5%)
    Video Laryngoscopy 59 (14%)
sterilization
    Absence of a methodical sterilizing plan 169 (42%)
    Absence of a methodical sterilizing plan; 1 (0.2%)
    Periodically cleaned 110 (27%)
    Strict compliance—autoclave after each usage 127 (31%)
assessment_compliance
    Consistently followed 7 (70%)
    Intermittently adhered to 2 (20%)
    Seldom adhered to 1 (10%)
    Unknown 397
preoxygenation_quality
    Adequate in the most of cases 136 (33%)
    Adequate pre-oxygenation in 100% of cases 170 (42%)
    Insufficient or inconsistent 101 (25%)
intubation_length2
    five to ten minutes 1 (10%)
    Less than five minutes 9 (90%)
    Unknown 397
tube_size_adult
    7.0 mm 155 (38%)
    7.5 mm 97 (24%)
    8.0 mm 59 (15%)
    Other ( please state) 95 (23%)
    Unknown 1
tube_size_pediatric
    2.5 mm 96 (24%)
    3.0 mm 74 (19%)
    3.5 mm 46 (12%)
    Not applicable 159 (40%)
    Other ( please note) 24 (6.0%)
    Unknown 8
patient_position
    Supine or Semi-sitting 8 (100%)
    Unknown 399
complication_tracking
    Lack of methodical monitoring 43 (11%)
    Occasional or when required 102 (25%)
    Standard vital signs and oxygenation monitoring 260 (64%)
    Unknown 2
environment_factor
    Chaotic or unprepared environment 41 (10%)
    Controlled (enough personnel light tools) 18 (4.4%)
    Controlled (enough personnel, light, tools) 196 (48%)
    High-stress emergency situation 1 (0.2%)
    High-stress emergency situation; 1 (0.2%)
    High-stress, emergency situation 102 (25%)
    Mixture of junior and senior people 12 (3.0%)
    Novice or trainee personnel 12 (3.0%)
    Senior intensivist solely 22 (5.4%)
    Unknown 2
nurse_count
    1 171 (42%)
    2 136 (33%)
    3 67 (16%)
    4 33 (8.1%)
assistant_presence
    1 164 (40%)
    2 124 (30%)
    3 79 (19%)
    4 40 (9.8%)
expert_support
    No just junior staff 1 (10%)
    Yes competent airway manager 9 (90%)
    Unknown 397
training_program
    Absence of official training programs; 10 (100%)
    Unknown 397
regular_training
    No no simulation programs given; 1 (10%)
    Yes although sporadic 8 (80%)
    Yes for ICU personnel 1 (10%)
    Unknown 397
equipment_failure
    Always 52 (13%)
    Never 206 (51%)
    Often 149 (37%)
eti_protocol
    Fully established and followed 151 (37%)
    fully established and followed; 2 (0.5%)
    inconsistently adhered to 1 (0.2%)
    No official process 194 (48%)
    No official process; 6 (1.5%)
    somewhat established 1 (0.2%)
    Somewhat established 52 (13%)
checklist_compliance
    Absence of a systematic procedure 29 (7.1%)
    Adherence to procedures 35 (8.6%)
    Consistently adhered to 113 (28%)
    o. Consistently adhered to 6 (1.5%)
    o. Occasionally adhered to 2 (0.5%)
    o. Seldom or never adhered to 1 (0.2%)
    Occasionally adhered to 143 (35%)
    Seldom or never adhered to 77 (19%)
    Unknown 1
equipment_availability
    Consistently available 8 (80%)
    Sometimes unavailable or faulty 2 (20%)
    Unknown 397
postintubation_guideline
    Always followed 205 (50%)
    Always followed; 6 (1.5%)
    Not standardized 51 (13%)
    Sometimes followed 141 (35%)
    Sometimes followed; 3 (0.7%)
    Unknown 1
postintubation_debrief
    Constant debriefing sessions 159 (39%)
    Intermittent debriefing 133 (33%)
    No debriefing at all 115 (28%)
team_involvement
    Continually active 209 (52%)
    Periodically engaged 147 (36%)
    Seldom involved 49 (12%)
    Unknown 2
icu_mortality
    High—more than fifty percent 300 (74%)
    Low (less than 20%) 33 (8.1%)
    Low (less than twenty%) 4 (1.0%)
    Moderate—20–50% 70 (17%)
psychological_effect
    Extreme psychological trauma (e.g. PTSD) 1 (0.2%)
    extreme psychological trauma (e.g. PTSD); 1 (0.2%)
    Extreme psychological trauma (e.g., PTSD) 177 (44%)
    Mild suffering (e.g. anxiety post-traumatic stress) 13 (3.2%)
    Mild suffering (e.g. anxiety post-traumatic stress); 4 (1.0%)
    Mild suffering (e.g., anxiety, post-traumatic stress) 136 (34%)
    No psychological harm 69 (17%)
    no psychological harm. 4 (1.0%)
    Unknown 2
tracheostomy
    No 183 (45%)
    No; 9 (2.2%)
    Yes 215 (53%)
postextubation_complication
    Dental Trauma 29 (7.1%)
    Hoarseness 34 (8.4%)
    Other (please specify). 19 (4.7%)
    Stridor 103 (25%)
    Subglottic Stenosis 84 (21%)
    Ventilator-associated Pneumonia (VAP) 138 (34%)
recovery_status
    Complete restoration to baseline function 246 (61%)
    No restoration calling for long-term care 4 (1.0%)
    No restoration, calling for long-term care 53 (13%)
    Partial restoration requiring ongoing support 4 (1.0%)
    Partial restoration, requiring ongoing support 98 (24%)
    Unknown 2
icu_readmission
    No total recovery 15 (3.7%)
    No, total recovery 177 (43%)
    Yes depending on issues 9 (2.2%)
    Yes, depending on issues 206 (51%)
functional_recovery
    No return to pre-intubation functioning 6 (67%)
    partial recovery with deficits 3 (33%)
    Unknown 398
ambu_ventilation
    No no need for Ambu bag ventilation 15 (3.7%)
    No, no need for Ambu bag ventilation 233 (57%)
    Yes immediate need 9 (2.2%)
    Yes, immediate need 150 (37%)
cpr_requirement
    No CPR unnecessary 12 (3.0%)
    No, CPR unnecessary 223 (55%)
    Yes CPR given 12 (3.0%)
    Yes, CPR given 158 (39%)
    Unknown 2
tertiary_transfer
    No well controlled at the current facility 3 (30%)
    Yes due to issues 7 (70%)
    Unknown 397
cardiac_arrest
    No cardiac arrest did not happen 18 (4.4%)
    No, cardiac arrest did not happen 295 (72%)
    Yes 94 (23%)
arrest_count
    0 209 (52%)
    1 123 (30%)
    2-3 71 (18%)
    3 2 (0.5%)
    Unknown 2
sedation
    fentanyl 2 (0.5%)
    Fentanyl 38 (9.3%)
    ketamine 2 (0.5%)
    Ketamine 119 (29%)
    midazolam; 2 (0.5%)
    Midazolam; 79 (19%)
    Other ( please specify) 11 (2.7%)
    Propofol 154 (38%)
rapid_recov
    (1–3 days) 4 (44%)
    Moderate recovery (4–7 days) 4 (44%)
    Prolonged recovery (>7 days) following intubation 1 (11%)
    Unknown 398
equipment_effect
    Frequently 61 (15%)
    Never 196 (48%)
    Occasionally 150 (37%)
firstpass_recovery
    Complete recovery 157 (39%)
    First-pass success directly influences 185 (46%)
    Incomplete recovery 64 (16%)
    Unknown 1
1 n (%)
NA
df1 %>%
  tbl_summary(
    by = environment_factor)
Characteristic Chaotic or unprepared environment
N = 41
1
Controlled (enough personnel light tools)
N = 18
1
Controlled (enough personnel, light, tools)
N = 196
1
High-stress emergency situation
N = 1
1
High-stress emergency situation;
N = 1
1
High-stress, emergency situation
N = 102
1
Mixture of junior and senior people
N = 12
1
Novice or trainee personnel
N = 12
1
Senior intensivist solely
N = 22
1
age








    1. Newborn (0–30 days) 1 (2.4%) 0 (0%) 8 (4.1%) 0 (0%) 0 (0%) 4 (3.9%) 1 (8.3%) 0 (0%) 0 (0%)
    2. Infant one month to one year 6 (15%) 2 (11%) 8 (4.1%) 0 (0%) 0 (0%) 11 (11%) 1 (8.3%) 0 (0%) 1 (4.5%)
    3. Child (one to twelve years old) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 1 (8.3%) 0 (0%)
    4. Adult between 13 and 50 years of age 0 (0%) 2 (11%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%)
    5. People over 50 years old 9 (22%) 14 (78%) 23 (12%) 1 (100%) 1 (100%) 15 (15%) 2 (17%) 1 (8.3%) 4 (18%)
    6. Please indicate the age. 0 (0%) 0 (0%) 6 (3.1%) 0 (0%) 0 (0%) 5 (4.9%) 0 (0%) 1 (8.3%) 0 (0%)
    Infant, one month to one year 8 (20%) 0 (0%) 44 (22%) 0 (0%) 0 (0%) 23 (23%) 3 (25%) 3 (25%) 8 (36%)
    Newborn (0–30 days) 3 (7.3%) 0 (0%) 16 (8.2%) 0 (0%) 0 (0%) 8 (7.8%) 0 (0%) 2 (17%) 0 (0%)
    People over 50 years old 14 (34%) 0 (0%) 87 (44%) 0 (0%) 0 (0%) 30 (29%) 4 (33%) 4 (33%) 9 (41%)
    Please indicate the age. 0 (0%) 0 (0%) 4 (2.0%) 0 (0%) 0 (0%) 6 (5.9%) 1 (8.3%) 0 (0%) 0 (0%)
gender








    Female 17 (41%) 7 (39%) 91 (46%) 0 (0%) 0 (0%) 47 (46%) 7 (58%) 8 (67%) 12 (55%)
    Male 24 (59%) 11 (61%) 105 (54%) 1 (100%) 1 (100%) 55 (54%) 5 (42%) 4 (33%) 10 (45%)
icu_reason








    Cardiac arrest and after surgery recovery 13 (32%) 2 (11%) 61 (31%) 0 (0%) 0 (0%) 19 (19%) 0 (0%) 2 (17%) 7 (32%)
    Failure of respiratory systems 8 (20%) 7 (39%) 38 (19%) 1 (100%) 0 (0%) 23 (23%) 3 (25%) 3 (25%) 2 (9.1%)
    neurological disability 7 (17%) 0 (0%) 18 (9.2%) 0 (0%) 0 (0%) 12 (12%) 4 (33%) 2 (17%) 9 (41%)
    neurological disability; Other (please indicate) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 1 (100%) 0 (0%) 0 (0%) 0 (0%) 0 (0%)
    Sepsis 4 (9.8%) 4 (22%) 19 (9.7%) 0 (0%) 0 (0%) 12 (12%) 2 (17%) 2 (17%) 2 (9.1%)
    Trauma—such as multiple injuries or cerebral damage 9 (22%) 5 (28%) 60 (31%) 0 (0%) 0 (0%) 36 (35%) 3 (25%) 3 (25%) 2 (9.1%)
diagnosis








    Acute respiratory distress syndrome (ARDS) 16 (39%) 8 (44%) 74 (38%) 0 (0%) 0 (0%) 35 (34%) 4 (33%) 4 (33%) 10 (45%)
    Cardiovascular illness, including arrhythmia and myocardial infarction 3 (7.3%) 0 (0%) 19 (9.7%) 0 (0%) 0 (0%) 9 (8.8%) 0 (0%) 2 (17%) 6 (27%)
    Sepsis sometimes known as Septic Shock 0 (0%) 9 (50%) 0 (0%) 1 (100%) 1 (100%) 0 (0%) 0 (0%) 1 (8.3%) 0 (0%)
    Sepsis, sometimes known as Septic Shock 12 (29%) 0 (0%) 55 (28%) 0 (0%) 0 (0%) 33 (32%) 3 (25%) 1 (8.3%) 2 (9.1%)
    Stroke (Ischemic Hemorrhagic); COPD/Asthma aggravation; Other (please state) 0 (0%) 1 (5.6%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%)
    Stroke (Ischemic, Hemorrhagic); COPD/Asthma aggravation; Other (please state) 3 (7.3%) 0 (0%) 8 (4.1%) 0 (0%) 0 (0%) 10 (9.8%) 1 (8.3%) 0 (0%) 0 (0%)
    Trauma-associated—that is, traumatic brain damage, chest trauma 7 (17%) 0 (0%) 40 (20%) 0 (0%) 0 (0%) 15 (15%) 4 (33%) 4 (33%) 4 (18%)
complications








    Cancer, neurological diseases (e.g., epilepsy, stroke), immunocompromised condition (e.g., HIV, chemotherapy), other (please define) 6 (15%) 0 (0%) 14 (7.1%) 0 (0%) 0 (0%) 12 (12%) 3 (25%) 1 (8.3%) 2 (9.1%)
    High blood pressure 12 (29%) 9 (50%) 81 (41%) 0 (0%) 1 (100%) 28 (27%) 0 (0%) 3 (25%) 6 (27%)
    Mellitus from diabetes; cardiac disease 7 (17%) 5 (28%) 58 (30%) 0 (0%) 0 (0%) 35 (34%) 5 (42%) 5 (42%) 9 (41%)
    Pathology of pulmonary breathing 7 (17%) 3 (17%) 23 (12%) 0 (0%) 0 (0%) 17 (17%) 2 (17%) 3 (25%) 3 (14%)
    Renal pathogenesis 9 (22%) 1 (5.6%) 20 (10%) 1 (100%) 0 (0%) 10 (9.8%) 2 (17%) 0 (0%) 2 (9.1%)
intubation_reason








    other (please explain) 2 (4.9%) 0 (0%) 17 (8.7%) 0 (0%) 0 (0%) 6 (5.9%) 2 (17%) 0 (0%) 3 (14%)
    other (please explain). 0 (0%) 1 (5.6%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 1 (8.3%) 0 (0%)
    Respiratory failure (hypoxia/hypercapnia) accompanied by airway blockage such as a foreign body edema 0 (0%) 4 (22%) 0 (0%) 0 (0%) 1 (100%) 0 (0%) 0 (0%) 0 (0%) 0 (0%)
    Respiratory failure (hypoxia/hypercapnia) accompanied by airway blockage such as a foreign body edema 0 (0%) 11 (61%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 1 (8.3%) 0 (0%)
    Respiratory failure (hypoxia/hypercapnia) accompanied by airway blockage, such as a foreign body, edema 27 (66%) 0 (0%) 109 (56%) 0 (0%) 0 (0%) 63 (62%) 5 (42%) 4 (33%) 11 (50%)
    Trauma (e.g. cranial or spinal injury); sepsis followed by respiratory failure; cardiac arrest; neurological dysfunction; post-operative respiratory assistance 1 (2.4%) 0 (0%) 0 (0%) 1 (100%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%)
    Trauma (e.g. cranial or spinal injury); sepsis followed by respiratory failure; cardiac arrest; neurological dysfunction; post-operative respiratory assistance; 0 (0%) 2 (11%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%)
    Trauma (e.g., cranial or spinal injury); sepsis followed by respiratory failure; cardiac arrest; neurological dysfunction; post-operative respiratory assistance 11 (27%) 0 (0%) 70 (36%) 0 (0%) 0 (0%) 33 (32%) 5 (42%) 6 (50%) 8 (36%)
intubation_length








    12 to 24 hours or 11 (27%) 4 (22%) 64 (33%) 0 (0%) 0 (0%) 26 (25%) 3 (25%) 1 (8.3%) 4 (18%)
    24 to 48 hours or 11 (27%) 4 (22%) 41 (21%) 0 (0%) 0 (0%) 27 (26%) 2 (17%) 4 (33%) 6 (27%)
    over 48 hours 8 (20%) 10 (56%) 32 (16%) 1 (100%) 1 (100%) 21 (21%) 3 (25%) 4 (33%) 5 (23%)
    Under 12 hours or 11 (27%) 0 (0%) 59 (30%) 0 (0%) 0 (0%) 28 (27%) 4 (33%) 3 (25%) 7 (32%)
intubation_result








    Failed intubation calling for reintubation 0 (NA%) 1 (14%) 0 (NA%) 0 (NA%) 0 (0%) 0 (NA%) 0 (NA%) 0 (0%) 0 (NA%)
    First-pass success 0 (NA%) 6 (86%) 0 (NA%) 0 (NA%) 1 (100%) 0 (NA%) 0 (NA%) 1 (100%) 0 (NA%)
    Unknown 41 11 196 1 0 102 12 11 22
intubation_complication








    Airway trauma (e.g. vocal cord damage lacerations) 0 (0%) 6 (33%) 0 (0%) 0 (0%) 1 (100%) 0 (0%) 0 (0%) 1 (8.3%) 0 (0%)
    Airway trauma (e.g., vocal cord damage, lacerations) 15 (37%) 0 (0%) 68 (35%) 0 (0%) 0 (0%) 30 (29%) 4 (33%) 3 (25%) 7 (32%)
    Desaturation during the process; o Cardiac arrest during intubation; other (please describe) 11 (27%) 0 (0%) 22 (11%) 0 (0%) 0 (0%) 11 (11%) 1 (8.3%) 2 (17%) 4 (18%)
    Esophageal intubation 2 (4.9%) 0 (0%) 30 (15%) 1 (100%) 0 (0%) 20 (20%) 2 (17%) 2 (17%) 3 (14%)
    Hemodynamic instability (e.g., hypotension, arrhythmia) 4 (9.8%) 0 (0%) 36 (18%) 0 (0%) 0 (0%) 25 (25%) 2 (17%) 0 (0%) 4 (18%)
    Hypoxia 9 (22%) 12 (67%) 40 (20%) 0 (0%) 0 (0%) 16 (16%) 3 (25%) 4 (33%) 4 (18%)
extubation_complication








    Aspiration 0 (NA%) 0 (0%) 0 (NA%) 0 (NA%) 1 (100%) 0 (NA%) 0 (NA%) 0 (0%) 0 (NA%)
    pneumonia (ventilator-associated); 0 (NA%) 6 (86%) 0 (NA%) 0 (NA%) 0 (0%) 0 (NA%) 0 (NA%) 1 (100%) 0 (NA%)
    post-extubation stridor. 0 (NA%) 1 (14%) 0 (NA%) 0 (NA%) 0 (0%) 0 (NA%) 0 (NA%) 0 (0%) 0 (NA%)
    Unknown 41 11 196 1 0 102 12 11 22
extubation_result








    Death 4 (9.8%) 1 (5.6%) 9 (4.6%) 0 (0%) 0 (0%) 10 (9.8%) 0 (0%) 0 (0%) 1 (4.5%)
    Death; 0 (0%) 0 (0%) 0 (0%) 0 (0%) 1 (100%) 0 (0%) 0 (0%) 1 (8.3%) 0 (0%)
    Partial recovery requiring ongoing treatment 25 (61%) 9 (50%) 82 (42%) 1 (100%) 0 (0%) 37 (36%) 6 (50%) 6 (50%) 10 (45%)
    Partial recovery requiring ongoing treatment; 0 (0%) 7 (39%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%)
    Permanent disability (e.g. neurological pulmonary) 0 (0%) 1 (5.6%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%)
    Permanent disability (e.g., neurological, pulmonary) 8 (20%) 0 (0%) 87 (44%) 0 (0%) 0 (0%) 43 (42%) 3 (25%) 4 (33%) 9 (41%)
    Tracheostomy requirement 4 (9.8%) 0 (0%) 18 (9.2%) 0 (0%) 0 (0%) 12 (12%) 3 (25%) 1 (8.3%) 2 (9.1%)
physician_name 0 (NA%) 0 (NA%) 0 (NA%) 0 (NA%) 0 (NA%) 0 (NA%) 0 (NA%) 0 (NA%) 0 (NA%)
    Unknown 41 18 196 1 1 102 12 12 22
physician_credential








    MD or MBBS 19 (46%) 11 (61%) 126 (64%) 0 (0%) 1 (100%) 59 (58%) 8 (67%) 10 (83%) 13 (59%)
    Other or Fellowship in Critical Care; kindly indicate 22 (54%) 7 (39%) 70 (36%) 1 (100%) 0 (0%) 43 (42%) 4 (33%) 2 (17%) 9 (41%)
icu_experience








    five to ten years 13 (32%) 4 (22%) 71 (36%) 0 (0%) 0 (0%) 40 (39%) 3 (25%) 3 (25%) 9 (41%)
    less than five years 13 (32%) 5 (28%) 62 (32%) 1 (100%) 1 (100%) 30 (29%) 4 (33%) 5 (42%) 4 (18%)
    ten years or more 15 (37%) 9 (50%) 63 (32%) 0 (0%) 0 (0%) 32 (31%) 5 (42%) 4 (33%) 9 (41%)
icu_speciality








    Anesthesiologist 7 (17%) 4 (22%) 66 (34%) 0 (0%) 0 (0%) 45 (44%) 5 (42%) 2 (17%) 9 (41%)
    Critical Care Physician 11 (27%) 4 (22%) 38 (19%) 0 (0%) 1 (100%) 25 (25%) 2 (17%) 2 (17%) 4 (18%)
    Intensivist 12 (29%) 9 (50%) 68 (35%) 1 (100%) 0 (0%) 22 (22%) 4 (33%) 6 (50%) 8 (36%)
    Junior Physician 11 (27%) 1 (5.6%) 24 (12%) 0 (0%) 0 (0%) 10 (9.8%) 1 (8.3%) 2 (17%) 1 (4.5%)
visit_frequency








    Daily 16 (39%) 8 (44%) 70 (36%) 1 (100%) 0 (0%) 29 (28%) 3 (25%) 6 (50%) 4 (18%)
    Daily; 0 (0%) 7 (39%) 0 (0%) 0 (0%) 1 (100%) 0 (0%) 0 (0%) 1 (8.3%) 0 (0%)
    once weekly 15 (37%) 1 (5.6%) 32 (16%) 0 (0%) 0 (0%) 24 (24%) 2 (17%) 2 (17%) 6 (27%)
    two to three times weekly 10 (24%) 2 (11%) 94 (48%) 0 (0%) 0 (0%) 49 (48%) 7 (58%) 3 (25%) 12 (55%)
procedure_performed








    1-50 12 (29%) 1 (5.6%) 40 (20%) 0 (0%) 0 (0%) 23 (23%) 1 (8.3%) 1 (8.3%) 2 (9.1%)
    101-200 5 (12%) 4 (22%) 46 (23%) 0 (0%) 0 (0%) 23 (23%) 2 (17%) 5 (42%) 6 (27%)
    201+ intubations. 10 (24%) 12 (67%) 29 (15%) 1 (100%) 1 (100%) 15 (15%) 4 (33%) 4 (33%) 7 (32%)
    51-100 14 (34%) 1 (5.6%) 81 (41%) 0 (0%) 0 (0%) 41 (40%) 5 (42%) 2 (17%) 7 (32%)
patient_outcome








    Complete or partial recovery 0 (NA%) 6 (86%) 0 (NA%) 0 (NA%) 0 (0%) 0 (NA%) 0 (NA%) 0 (0%) 0 (NA%)
    Death 0 (NA%) 1 (14%) 0 (NA%) 0 (NA%) 0 (0%) 0 (NA%) 0 (NA%) 1 (100%) 0 (NA%)
    Post-extubation problems 0 (NA%) 0 (0%) 0 (NA%) 0 (NA%) 1 (100%) 0 (NA%) 0 (NA%) 0 (0%) 0 (NA%)
    Unknown 41 11 196 1 0 102 12 11 22
physician_engagement








    Directly executes intubation 0 (NA%) 5 (71%) 0 (NA%) 0 (NA%) 1 (100%) 0 (NA%) 0 (NA%) 1 (100%) 0 (NA%)
    Not engaged in intubation 0 (NA%) 1 (14%) 0 (NA%) 0 (NA%) 0 (0%) 0 (NA%) 0 (NA%) 0 (0%) 0 (NA%)
    Usually helps in intubation 0 (NA%) 1 (14%) 0 (NA%) 0 (NA%) 0 (0%) 0 (NA%) 0 (NA%) 0 (0%) 0 (NA%)
    Unknown 41 11 196 1 0 102 12 11 22
disease_duration








    acute (0–7 days) 21 (51%) 6 (33%) 137 (70%) 1 (100%) 0 (0%) 64 (63%) 9 (75%) 8 (67%) 11 (50%)
    acute (0–7 days); 0 (0%) 6 (33%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 1 (8.3%) 0 (0%)
    chronic (>30 days) 8 (20%) 3 (17%) 16 (8.2%) 0 (0%) 1 (100%) 10 (9.8%) 3 (25%) 1 (8.3%) 5 (23%)
    subacute (7–30 days) 12 (29%) 3 (17%) 43 (22%) 0 (0%) 0 (0%) 28 (27%) 0 (0%) 2 (17%) 6 (27%)
mortality_risk








    High (>50%) risk 8 (20%) 5 (28%) 46 (23%) 1 (100%) 1 (100%) 34 (33%) 3 (25%) 6 (50%) 4 (18%)
    Low risk (<20%) 18 (44%) 7 (39%) 49 (25%) 0 (0%) 0 (0%) 19 (19%) 0 (0%) 2 (17%) 5 (23%)
    Moderate (>20–50%) risk 15 (37%) 6 (33%) 101 (52%) 0 (0%) 0 (0%) 49 (48%) 9 (75%) 4 (33%) 13 (59%)
daily_life_effect








    Mild impact (with little restrictions) 10 (24%) 1 (5.6%) 32 (16%) 0 (0%) 0 (0%) 23 (23%) 8 (67%) 2 (17%) 7 (32%)
    Moderate impact (requiring significant help) 18 (44%) 4 (22%) 61 (31%) 1 (100%) 0 (0%) 26 (25%) 4 (33%) 2 (17%) 5 (23%)
    Moderate impact (requiring significant help); 0 (0%) 2 (11%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%)
    No impact 5 (12%) 4 (22%) 25 (13%) 0 (0%) 0 (0%) 9 (8.8%) 0 (0%) 1 (8.3%) 1 (4.5%)
    Severe impact incapable of doing daily tasks 8 (20%) 7 (39%) 78 (40%) 0 (0%) 1 (100%) 44 (43%) 0 (0%) 7 (58%) 9 (41%)
comorbidities








    Cardiovascular diseases include arrhythmia and heart failure 17 (41%) 12 (67%) 101 (52%) 0 (0%) 0 (0%) 46 (45%) 4 (33%) 6 (50%) 11 (50%)
    Complications related to malignancy 1 (2.4%) 0 (0%) 4 (2.0%) 0 (0%) 0 (0%) 5 (4.9%) 0 (0%) 0 (0%) 0 (0%)
    Neurological dysfunction (e.g., cerebrovascular accident,unconsciousness) 4 (9.8%) 0 (0%) 15 (7.7%) 0 (0%) 0 (0%) 9 (8.8%) 0 (0%) 2 (17%) 1 (4.5%)
    o Other ( please describe) 0 (0%) 3 (17%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%)
    Other ( please describe) 2 (4.9%) 0 (0%) 2 (1.0%) 0 (0%) 0 (0%) 1 (1.0%) 0 (0%) 0 (0%) 1 (4.5%)
    Renal insufficiency either acute or chronic 0 (0%) 3 (17%) 0 (0%) 1 (100%) 1 (100%) 0 (0%) 0 (0%) 0 (0%) 0 (0%)
    Renal insufficiency, either acute or chronic 12 (29%) 0 (0%) 45 (23%) 0 (0%) 0 (0%) 27 (26%) 2 (17%) 3 (25%) 3 (14%)
    Sepsis accompanied by multiple organ failure 5 (12%) 0 (0%) 29 (15%) 0 (0%) 0 (0%) 14 (14%) 6 (50%) 1 (8.3%) 6 (27%)
intubation_success








    85% or more first-pass intubation success rate 0 (NA%) 7 (100%) 0 (NA%) 0 (NA%) 1 (100%) 0 (NA%) 0 (NA%) 0 (0%) 0 (NA%)
    Less than 50% 0 (NA%) 0 (0%) 0 (NA%) 0 (NA%) 0 (0%) 0 (NA%) 0 (NA%) 1 (100%) 0 (NA%)
    Unknown 41 11 196 1 0 102 12 11 22
intubation_method








    Blind Intubation 4 (9.8%) 0 (0%) 22 (11%) 0 (0%) 0 (0%) 14 (14%) 3 (25%) 2 (17%) 5 (23%)
    Direct Laryngoscopy 33 (80%) 16 (89%) 143 (73%) 1 (100%) 0 (0%) 73 (72%) 7 (58%) 9 (75%) 12 (55%)
    Other. 0 (0%) 1 (5.6%) 0 (0%) 0 (0%) 1 (100%) 0 (0%) 0 (0%) 0 (0%) 0 (0%)
    Video Laryngoscopy 4 (9.8%) 1 (5.6%) 31 (16%) 0 (0%) 0 (0%) 15 (15%) 2 (17%) 1 (8.3%) 5 (23%)
sterilization








    Absence of a methodical sterilizing plan 17 (41%) 1 (5.6%) 94 (48%) 0 (0%) 0 (0%) 39 (38%) 5 (42%) 4 (33%) 9 (41%)
    Absence of a methodical sterilizing plan; 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 1 (8.3%) 0 (0%)
    Periodically cleaned 10 (24%) 15 (83%) 43 (22%) 1 (100%) 1 (100%) 31 (30%) 1 (8.3%) 2 (17%) 4 (18%)
    Strict compliance—autoclave after each usage 14 (34%) 2 (11%) 59 (30%) 0 (0%) 0 (0%) 32 (31%) 6 (50%) 5 (42%) 9 (41%)
assessment_compliance








    Consistently followed 0 (NA%) 5 (71%) 0 (NA%) 0 (NA%) 1 (100%) 0 (NA%) 0 (NA%) 0 (0%) 0 (NA%)
    Intermittently adhered to 0 (NA%) 1 (14%) 0 (NA%) 0 (NA%) 0 (0%) 0 (NA%) 0 (NA%) 1 (100%) 0 (NA%)
    Seldom adhered to 0 (NA%) 1 (14%) 0 (NA%) 0 (NA%) 0 (0%) 0 (NA%) 0 (NA%) 0 (0%) 0 (NA%)
    Unknown 41 11 196 1 0 102 12 11 22
preoxygenation_quality








    Adequate in the most of cases 12 (29%) 5 (28%) 68 (35%) 0 (0%) 0 (0%) 43 (42%) 3 (25%) 0 (0%) 4 (18%)
    Adequate pre-oxygenation in 100% of cases 12 (29%) 11 (61%) 84 (43%) 1 (100%) 1 (100%) 38 (37%) 5 (42%) 7 (58%) 10 (45%)
    Insufficient or inconsistent 17 (41%) 2 (11%) 44 (22%) 0 (0%) 0 (0%) 21 (21%) 4 (33%) 5 (42%) 8 (36%)
intubation_length2








    five to ten minutes 0 (NA%) 1 (14%) 0 (NA%) 0 (NA%) 0 (0%) 0 (NA%) 0 (NA%) 0 (0%) 0 (NA%)
    Less than five minutes 0 (NA%) 6 (86%) 0 (NA%) 0 (NA%) 1 (100%) 0 (NA%) 0 (NA%) 1 (100%) 0 (NA%)
    Unknown 41 11 196 1 0 102 12 11 22
tube_size_adult








    7.0 mm 19 (46%) 10 (56%) 73 (37%) 1 (100%) 0 (0%) 32 (31%) 4 (33%) 7 (64%) 8 (36%)
    7.5 mm 8 (20%) 6 (33%) 46 (23%) 0 (0%) 1 (100%) 25 (25%) 4 (33%) 2 (18%) 4 (18%)
    8.0 mm 3 (7.3%) 0 (0%) 29 (15%) 0 (0%) 0 (0%) 23 (23%) 1 (8.3%) 0 (0%) 3 (14%)
    Other ( please state) 11 (27%) 2 (11%) 48 (24%) 0 (0%) 0 (0%) 22 (22%) 3 (25%) 2 (18%) 7 (32%)
    Unknown 0 0 0 0 0 0 0 1 0
tube_size_pediatric








    2.5 mm 12 (29%) 0 (0%) 48 (24%) 0 (0%) 0 (NA%) 26 (25%) 1 (8.3%) 4 (33%) 4 (18%)
    3.0 mm 3 (7.3%) 0 (0%) 39 (20%) 0 (0%) 0 (NA%) 22 (22%) 6 (50%) 0 (0%) 4 (18%)
    3.5 mm 2 (4.9%) 0 (0%) 24 (12%) 0 (0%) 0 (NA%) 15 (15%) 0 (0%) 2 (17%) 3 (14%)
    Not applicable 22 (54%) 10 (83%) 75 (38%) 1 (100%) 0 (NA%) 33 (32%) 5 (42%) 3 (25%) 10 (45%)
    Other ( please note) 2 (4.9%) 2 (17%) 10 (5.1%) 0 (0%) 0 (NA%) 6 (5.9%) 0 (0%) 3 (25%) 1 (4.5%)
    Unknown 0 6 0 0 1 0 0 0 0
patient_position








    Supine or Semi-sitting 0 (NA%) 7 (100%) 0 (NA%) 0 (NA%) 1 (100%) 0 (NA%) 0 (NA%) 0 (NA%) 0 (NA%)
    Unknown 41 11 196 1 0 102 12 12 22
complication_tracking








    Lack of methodical monitoring 4 (9.8%) 1 (5.9%) 14 (7.1%) 0 (0%) 0 (0%) 12 (12%) 2 (17%) 3 (25%) 7 (32%)
    Occasional or when required 11 (27%) 1 (5.9%) 59 (30%) 0 (0%) 0 (0%) 24 (24%) 0 (0%) 1 (8.3%) 6 (27%)
    Standard vital signs and oxygenation monitoring 26 (63%) 15 (88%) 123 (63%) 1 (100%) 1 (100%) 65 (64%) 10 (83%) 8 (67%) 9 (41%)
    Unknown 0 1 0 0 0 1 0 0 0
nurse_count








    1 20 (49%) 8 (44%) 79 (40%) 0 (0%) 0 (0%) 38 (37%) 2 (17%) 9 (75%) 13 (59%)
    2 13 (32%) 4 (22%) 64 (33%) 1 (100%) 0 (0%) 43 (42%) 5 (42%) 3 (25%) 3 (14%)
    3 6 (15%) 5 (28%) 34 (17%) 0 (0%) 0 (0%) 16 (16%) 3 (25%) 0 (0%) 3 (14%)
    4 2 (4.9%) 1 (5.6%) 19 (9.7%) 0 (0%) 1 (100%) 5 (4.9%) 2 (17%) 0 (0%) 3 (14%)
assistant_presence








    1 16 (39%) 8 (44%) 78 (40%) 0 (0%) 1 (100%) 42 (41%) 6 (50%) 5 (42%) 7 (32%)
    2 11 (27%) 3 (17%) 59 (30%) 0 (0%) 0 (0%) 36 (35%) 3 (25%) 3 (25%) 9 (41%)
    3 7 (17%) 3 (17%) 41 (21%) 1 (100%) 0 (0%) 18 (18%) 3 (25%) 1 (8.3%) 4 (18%)
    4 7 (17%) 4 (22%) 18 (9.2%) 0 (0%) 0 (0%) 6 (5.9%) 0 (0%) 3 (25%) 2 (9.1%)
expert_support








    No just junior staff 0 (NA%) 0 (0%) 0 (NA%) 0 (NA%) 0 (0%) 0 (NA%) 0 (NA%) 1 (100%) 0 (NA%)
    Yes competent airway manager 0 (NA%) 7 (100%) 0 (NA%) 0 (NA%) 1 (100%) 0 (NA%) 0 (NA%) 0 (0%) 0 (NA%)
    Unknown 41 11 196 1 0 102 12 11 22
training_program








    Absence of official training programs; 0 (NA%) 7 (100%) 0 (NA%) 0 (NA%) 1 (100%) 0 (NA%) 0 (NA%) 1 (100%) 0 (NA%)
    Unknown 41 11 196 1 0 102 12 11 22
regular_training








    No no simulation programs given; 0 (NA%) 0 (0%) 0 (NA%) 0 (NA%) 0 (0%) 0 (NA%) 0 (NA%) 1 (100%) 0 (NA%)
    Yes although sporadic 0 (NA%) 6 (86%) 0 (NA%) 0 (NA%) 1 (100%) 0 (NA%) 0 (NA%) 0 (0%) 0 (NA%)
    Yes for ICU personnel 0 (NA%) 1 (14%) 0 (NA%) 0 (NA%) 0 (0%) 0 (NA%) 0 (NA%) 0 (0%) 0 (NA%)
    Unknown 41 11 196 1 0 102 12 11 22
equipment_failure








    Always 4 (9.8%) 2 (11%) 31 (16%) 0 (0%) 0 (0%) 9 (8.8%) 0 (0%) 2 (17%) 4 (18%)
    Never 19 (46%) 14 (78%) 95 (48%) 0 (0%) 1 (100%) 53 (52%) 5 (42%) 7 (58%) 10 (45%)
    Often 18 (44%) 2 (11%) 70 (36%) 1 (100%) 0 (0%) 40 (39%) 7 (58%) 3 (25%) 8 (36%)
eti_protocol








    Fully established and followed 18 (44%) 1 (5.6%) 72 (37%) 0 (0%) 0 (0%) 45 (44%) 3 (25%) 5 (42%) 7 (32%)
    fully established and followed; 0 (0%) 2 (11%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%)
    inconsistently adhered to 0 (0%) 1 (5.6%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%)
    No official process 12 (29%) 9 (50%) 111 (57%) 1 (100%) 0 (0%) 43 (42%) 5 (42%) 4 (33%) 8 (36%)
    No official process; 0 (0%) 3 (17%) 0 (0%) 0 (0%) 1 (100%) 0 (0%) 0 (0%) 1 (8.3%) 0 (0%)
    somewhat established 0 (0%) 1 (5.6%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%)
    Somewhat established 11 (27%) 1 (5.6%) 13 (6.6%) 0 (0%) 0 (0%) 14 (14%) 4 (33%) 2 (17%) 7 (32%)
checklist_compliance








    Absence of a systematic procedure 2 (4.9%) 0 (0%) 13 (6.6%) 0 (0%) 0 (0%) 10 (9.8%) 2 (17%) 0 (0%) 2 (9.1%)
    Adherence to procedures 4 (9.8%) 0 (0%) 19 (9.7%) 0 (0%) 0 (0%) 6 (5.9%) 1 (8.3%) 2 (17%) 3 (14%)
    Consistently adhered to 9 (22%) 7 (41%) 54 (28%) 1 (100%) 0 (0%) 32 (31%) 3 (25%) 3 (25%) 3 (14%)
    o. Consistently adhered to 0 (0%) 4 (24%) 0 (0%) 0 (0%) 1 (100%) 0 (0%) 0 (0%) 0 (0%) 0 (0%)
    o. Occasionally adhered to 0 (0%) 1 (5.9%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 1 (8.3%) 0 (0%)
    o. Seldom or never adhered to 0 (0%) 1 (5.9%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%)
    Occasionally adhered to 17 (41%) 2 (12%) 72 (37%) 0 (0%) 0 (0%) 35 (34%) 6 (50%) 4 (33%) 7 (32%)
    Seldom or never adhered to 9 (22%) 2 (12%) 38 (19%) 0 (0%) 0 (0%) 19 (19%) 0 (0%) 2 (17%) 7 (32%)
    Unknown 0 1 0 0 0 0 0 0 0
equipment_availability








    Consistently available 0 (NA%) 6 (86%) 0 (NA%) 0 (NA%) 1 (100%) 0 (NA%) 0 (NA%) 0 (0%) 0 (NA%)
    Sometimes unavailable or faulty 0 (NA%) 1 (14%) 0 (NA%) 0 (NA%) 0 (0%) 0 (NA%) 0 (NA%) 1 (100%) 0 (NA%)
    Unknown 41 11 196 1 0 102 12 11 22
postintubation_guideline








    Always followed 17 (41%) 11 (65%) 103 (53%) 0 (0%) 0 (0%) 50 (49%) 9 (75%) 7 (58%) 8 (36%)
    Always followed; 0 (0%) 5 (29%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%)
    Not standardized 7 (17%) 0 (0%) 25 (13%) 0 (0%) 0 (0%) 12 (12%) 0 (0%) 1 (8.3%) 6 (27%)
    Sometimes followed 17 (41%) 0 (0%) 68 (35%) 1 (100%) 0 (0%) 40 (39%) 3 (25%) 3 (25%) 8 (36%)
    Sometimes followed; 0 (0%) 1 (5.9%) 0 (0%) 0 (0%) 1 (100%) 0 (0%) 0 (0%) 1 (8.3%) 0 (0%)
    Unknown 0 1 0 0 0 0 0 0 0
postintubation_debrief








    Constant debriefing sessions 19 (46%) 13 (72%) 68 (35%) 0 (0%) 1 (100%) 41 (40%) 3 (25%) 4 (33%) 9 (41%)
    Intermittent debriefing 14 (34%) 4 (22%) 67 (34%) 1 (100%) 0 (0%) 34 (33%) 4 (33%) 2 (17%) 6 (27%)
    No debriefing at all 8 (20%) 1 (5.6%) 61 (31%) 0 (0%) 0 (0%) 27 (26%) 5 (42%) 6 (50%) 7 (32%)
team_involvement








    Continually active 20 (49%) 16 (94%) 104 (53%) 0 (0%) 1 (100%) 48 (48%) 4 (33%) 5 (42%) 10 (45%)
    Periodically engaged 18 (44%) 1 (5.9%) 66 (34%) 1 (100%) 0 (0%) 38 (38%) 8 (67%) 6 (50%) 8 (36%)
    Seldom involved 3 (7.3%) 0 (0%) 26 (13%) 0 (0%) 0 (0%) 15 (15%) 0 (0%) 1 (8.3%) 4 (18%)
    Unknown 0 1 0 0 0 1 0 0 0
icu_mortality








    High—more than fifty percent 29 (71%) 15 (83%) 141 (72%) 1 (100%) 1 (100%) 80 (78%) 6 (50%) 11 (92%) 15 (68%)
    Low (less than 20%) 3 (7.3%) 0 (0%) 19 (9.7%) 0 (0%) 0 (0%) 5 (4.9%) 3 (25%) 0 (0%) 3 (14%)
    Low (less than twenty%) 0 (0%) 3 (17%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%)
    Moderate—20–50% 9 (22%) 0 (0%) 36 (18%) 0 (0%) 0 (0%) 17 (17%) 3 (25%) 1 (8.3%) 4 (18%)
psychological_effect








    Extreme psychological trauma (e.g. PTSD) 0 (0%) 1 (5.9%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%)
    extreme psychological trauma (e.g. PTSD); 0 (0%) 1 (5.9%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%)
    Extreme psychological trauma (e.g., PTSD) 17 (41%) 0 (0%) 95 (49%) 0 (0%) 0 (0%) 43 (42%) 5 (42%) 5 (42%) 12 (55%)
    Mild suffering (e.g. anxiety post-traumatic stress) 1 (2.4%) 10 (59%) 0 (0%) 1 (100%) 0 (0%) 0 (0%) 0 (0%) 1 (8.3%) 0 (0%)
    Mild suffering (e.g. anxiety post-traumatic stress); 0 (0%) 3 (18%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 1 (8.3%) 0 (0%)
    Mild suffering (e.g., anxiety, post-traumatic stress) 18 (44%) 0 (0%) 68 (35%) 0 (0%) 0 (0%) 38 (37%) 3 (25%) 2 (17%) 6 (27%)
    No psychological harm 5 (12%) 0 (0%) 32 (16%) 0 (0%) 0 (0%) 21 (21%) 4 (33%) 3 (25%) 4 (18%)
    no psychological harm. 0 (0%) 2 (12%) 0 (0%) 0 (0%) 1 (100%) 0 (0%) 0 (0%) 0 (0%) 0 (0%)
    Unknown 0 1 1 0 0 0 0 0 0
tracheostomy








    No 17 (41%) 2 (11%) 93 (47%) 0 (0%) 0 (0%) 49 (48%) 7 (58%) 3 (25%) 11 (50%)
    No; 0 (0%) 6 (33%) 0 (0%) 0 (0%) 1 (100%) 0 (0%) 0 (0%) 1 (8.3%) 0 (0%)
    Yes 24 (59%) 10 (56%) 103 (53%) 1 (100%) 0 (0%) 53 (52%) 5 (42%) 8 (67%) 11 (50%)
postextubation_complication








    Dental Trauma 4 (9.8%) 0 (0%) 13 (6.6%) 0 (0%) 0 (0%) 9 (8.8%) 0 (0%) 1 (8.3%) 2 (9.1%)
    Hoarseness 2 (4.9%) 3 (17%) 14 (7.1%) 0 (0%) 0 (0%) 10 (9.8%) 0 (0%) 0 (0%) 4 (18%)
    Other (please specify). 1 (2.4%) 1 (5.6%) 10 (5.1%) 0 (0%) 0 (0%) 2 (2.0%) 2 (17%) 1 (8.3%) 1 (4.5%)
    Stridor 8 (20%) 6 (33%) 55 (28%) 0 (0%) 1 (100%) 26 (25%) 1 (8.3%) 2 (17%) 4 (18%)
    Subglottic Stenosis 12 (29%) 2 (11%) 39 (20%) 1 (100%) 0 (0%) 23 (23%) 2 (17%) 1 (8.3%) 4 (18%)
    Ventilator-associated Pneumonia (VAP) 14 (34%) 6 (33%) 65 (33%) 0 (0%) 0 (0%) 32 (31%) 7 (58%) 7 (58%) 7 (32%)
recovery_status








    Complete restoration to baseline function 26 (63%) 12 (71%) 122 (62%) 0 (0%) 1 (100%) 59 (58%) 6 (50%) 7 (58%) 13 (59%)
    No restoration calling for long-term care 0 (0%) 1 (5.9%) 0 (0%) 1 (100%) 0 (0%) 0 (0%) 0 (0%) 1 (8.3%) 0 (0%)
    No restoration, calling for long-term care 4 (9.8%) 0 (0%) 31 (16%) 0 (0%) 0 (0%) 15 (15%) 1 (8.3%) 1 (8.3%) 1 (4.5%)
    Partial restoration requiring ongoing support 0 (0%) 4 (24%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%)
    Partial restoration, requiring ongoing support 11 (27%) 0 (0%) 43 (22%) 0 (0%) 0 (0%) 27 (27%) 5 (42%) 3 (25%) 8 (36%)
    Unknown 0 1 0 0 0 1 0 0 0
icu_readmission








    No total recovery 1 (2.4%) 12 (67%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 1 (8.3%) 0 (0%)
    No, total recovery 21 (51%) 0 (0%) 86 (44%) 0 (0%) 0 (0%) 50 (49%) 7 (58%) 1 (8.3%) 11 (50%)
    Yes depending on issues 0 (0%) 6 (33%) 0 (0%) 1 (100%) 1 (100%) 0 (0%) 0 (0%) 1 (8.3%) 0 (0%)
    Yes, depending on issues 19 (46%) 0 (0%) 110 (56%) 0 (0%) 0 (0%) 52 (51%) 5 (42%) 9 (75%) 11 (50%)
functional_recovery








    No return to pre-intubation functioning 0 (NA%) 4 (67%) 0 (NA%) 0 (NA%) 1 (100%) 0 (NA%) 0 (NA%) 0 (0%) 0 (NA%)
    partial recovery with deficits 0 (NA%) 2 (33%) 0 (NA%) 0 (NA%) 0 (0%) 0 (NA%) 0 (NA%) 1 (100%) 0 (NA%)
    Unknown 41 12 196 1 0 102 12 11 22
ambu_ventilation








    No no need for Ambu bag ventilation 1 (2.4%) 13 (72%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 1 (8.3%) 0 (0%)
    No, no need for Ambu bag ventilation 31 (76%) 0 (0%) 114 (58%) 0 (0%) 0 (0%) 59 (58%) 6 (50%) 7 (58%) 16 (73%)
    Yes immediate need 0 (0%) 5 (28%) 0 (0%) 1 (100%) 1 (100%) 0 (0%) 0 (0%) 1 (8.3%) 0 (0%)
    Yes, immediate need 9 (22%) 0 (0%) 82 (42%) 0 (0%) 0 (0%) 43 (42%) 6 (50%) 3 (25%) 6 (27%)
cpr_requirement








    No CPR unnecessary 0 (0%) 11 (61%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%)
    No, CPR unnecessary 28 (68%) 0 (0%) 112 (57%) 0 (0%) 0 (0%) 56 (55%) 8 (67%) 4 (33%) 15 (71%)
    Yes CPR given 1 (2.4%) 7 (39%) 0 (0%) 1 (100%) 1 (100%) 0 (0%) 0 (0%) 2 (17%) 0 (0%)
    Yes, CPR given 12 (29%) 0 (0%) 83 (43%) 0 (0%) 0 (0%) 46 (45%) 4 (33%) 6 (50%) 6 (29%)
    Unknown 0 0 1 0 0 0 0 0 1
tertiary_transfer








    No well controlled at the current facility 0 (NA%) 3 (43%) 0 (NA%) 0 (NA%) 0 (0%) 0 (NA%) 0 (NA%) 0 (0%) 0 (NA%)
    Yes due to issues 0 (NA%) 4 (57%) 0 (NA%) 0 (NA%) 1 (100%) 0 (NA%) 0 (NA%) 1 (100%) 0 (NA%)
    Unknown 41 11 196 1 0 102 12 11 22
cardiac_arrest








    No cardiac arrest did not happen 1 (2.4%) 15 (83%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 1 (8.3%) 0 (0%)
    No, cardiac arrest did not happen 32 (78%) 0 (0%) 149 (76%) 0 (0%) 0 (0%) 75 (74%) 12 (100%) 8 (67%) 18 (82%)
    Yes 8 (20%) 3 (17%) 47 (24%) 1 (100%) 1 (100%) 27 (26%) 0 (0%) 3 (25%) 4 (18%)
arrest_count








    0 24 (59%) 13 (72%) 90 (46%) 0 (0%) 0 (0%) 55 (54%) 8 (67%) 9 (75%) 9 (41%)
    1 9 (22%) 4 (22%) 68 (35%) 1 (100%) 0 (0%) 31 (30%) 4 (33%) 0 (0%) 6 (27%)
    2-3 8 (20%) 1 (5.6%) 37 (19%) 0 (0%) 0 (0%) 16 (16%) 0 (0%) 2 (17%) 7 (32%)
    3 0 (0%) 0 (0%) 0 (0%) 0 (0%) 1 (100%) 0 (0%) 0 (0%) 1 (8.3%) 0 (0%)
    Unknown 0 0 1 0 0 0 0 0 0
sedation








    fentanyl 0 (0%) 1 (5.6%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 1 (8.3%) 0 (0%)
    Fentanyl 6 (15%) 0 (0%) 19 (9.7%) 1 (100%) 0 (0%) 10 (9.8%) 1 (8.3%) 0 (0%) 1 (4.5%)
    ketamine 0 (0%) 2 (11%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%)
    Ketamine 13 (32%) 5 (28%) 44 (22%) 0 (0%) 0 (0%) 43 (42%) 4 (33%) 1 (8.3%) 9 (41%)
    midazolam; 0 (0%) 2 (11%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%) 0 (0%)
    Midazolam; 6 (15%) 2 (11%) 49 (25%) 0 (0%) 0 (0%) 17 (17%) 2 (17%) 1 (8.3%) 2 (9.1%)
    Other ( please specify) 3 (7.3%) 0 (0%) 6 (3.1%) 0 (0%) 0 (0%) 1 (1.0%) 0 (0%) 0 (0%) 1 (4.5%)
    Propofol 13 (32%) 6 (33%) 78 (40%) 0 (0%) 1 (100%) 31 (30%) 5 (42%) 9 (75%) 9 (41%)
rapid_recov








    (1–3 days) 0 (NA%) 4 (57%) 0 (NA%) 0 (NA%) 0 (NA%) 0 (NA%) 0 (NA%) 0 (0%) 0 (NA%)
    Moderate recovery (4–7 days) 0 (NA%) 3 (43%) 0 (NA%) 0 (NA%) 0 (NA%) 0 (NA%) 0 (NA%) 0 (0%) 0 (NA%)
    Prolonged recovery (>7 days) following intubation 0 (NA%) 0 (0%) 0 (NA%) 0 (NA%) 0 (NA%) 0 (NA%) 0 (NA%) 1 (100%) 0 (NA%)
    Unknown 41 11 196 1 1 102 12 11 22
equipment_effect








    Frequently 8 (20%) 0 (0%) 27 (14%) 0 (0%) 0 (0%) 18 (18%) 1 (8.3%) 2 (17%) 5 (23%)
    Never 19 (46%) 16 (89%) 90 (46%) 1 (100%) 1 (100%) 48 (47%) 7 (58%) 5 (42%) 7 (32%)
    Occasionally 14 (34%) 2 (11%) 79 (40%) 0 (0%) 0 (0%) 36 (35%) 4 (33%) 5 (42%) 10 (45%)
firstpass_recovery








    Complete recovery 17 (41%) 5 (28%) 85 (43%) 0 (0%) 0 (0%) 34 (33%) 3 (25%) 6 (50%) 6 (29%)
    First-pass success directly influences 17 (41%) 11 (61%) 85 (43%) 0 (0%) 1 (100%) 53 (52%) 4 (33%) 4 (33%) 9 (43%)
    Incomplete recovery 7 (17%) 2 (11%) 26 (13%) 1 (100%) 0 (0%) 15 (15%) 5 (42%) 2 (17%) 6 (29%)
    Unknown 0 0 0 0 0 0 0 0 1
1 n (%)
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