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Table 2 Multivariate Cox regression of IRE based on period of anesthesia (n = 42,055)

From: Risk over time and risk factors of intraoperative respiratory events: a historical cohort study of 14,153 children

Variable

All periods (315)

Induction (123)

Maintenance (158)

Emergence (34)

Adjusted hazard ratio (95% CI) p-value

Adjusted hazard ratio (95% CI) p-value

Adjusted hazard ratio (95% CI) p-value

Adjusted hazard ratio (95% CI) p-value

Age (ref= > 6)

_

1a 0.004

1a < 0.001

1a 0.048

1-6

 

1.5 (0.94, 2.3)a

2.3 (1.6, 3.4)b

2.0 (1.0, 4.1)a

< 1

 

2.5 (1.5, 4.2)b

3.0 (1.8, 4.8)b

3.1 (1.2, 8.2)b

Respiratory disease (ref = no)

_

1a < 0.001

1a 0.008

1a 0.2

URI

 

1.4 (0.67, 2.9)a

2.2 (1.3, 3.7)b

2.1 (0.72, 6.3)a

Pulmonary disease

 

3.5 (2.3, 5.5)b

1.6 (0.9, 2.8)a

2.1 (0.81, 5.7)a

Site of operation (ref = superficial)

1a < 0.001

_

_

_

Broncho/laryngoscopy

3.6 (2.0, 6.6)b

   

Ear-nose-throat

1.6 (0.86, 2.8)a

   

Eye

1.0 (0.55, 1.8)a

   

Thoracic

1.1 (0.59, 2.2)a

   

Abdomen

1.4 (0.83, 2.4)a

   

Spine & extremity

1.3 (0.74, 2.3)a

   

Remote*

1.3 (0.48, 2.8)a

   

Position (ref = supine)

1a 0.009

_

_

_

Lateral

2.0 (1.3, 3.1)b

   

Lithotomy

0.50 (0.23, 1.1)a

   

Prone

1.1 (0.51, 2.2)a b

   

ASA classification (ref = 1)

 

1a < 0.001

1a 0.83

1a 0.75

2

_

1.7 (0.96, 3.1)a

1.0 (0.66,1.5)a

1.3 (0.64, 2.7)a

3

 

4.0 (2.1, 7.8)b

1.1 (0.66, 2.0)a

1.2 (0.38, 3.8)a

Airway device (ref = ETT-C)

1a < 0.001

   

Jet ventilation-C

2.4 (1.1, 5.1)b

_

_

_

Facemask-A

2.4 (1.4, 4.0)b

   

LMA-A

2.0 (1.2, 3.3)b

   

Intubating agent (ref = NDMR)

1a < 0.001

   

Succinylcholine

1.7 (1.2, 2.2)b

_

_

_

Sevoflurane

1.6 (0.9, 2.7)ab

   

Inhalation agent (ref = sevoflurane)

1a 0.0013

   

Isoflurane

0.77 (0.58, 1.0)a

   

Halothane

0.82 (0.26, 2.6)a

_

_

_

Desflurane

3.9 (2.1, 7.2)b

   
  1. p-value from likelihood ratio test, ASA: American Society of Anesthesiologist; CI: Confidence interval; ETT-C: Endotracheal tube with controlled ventilation; LMA-A: Laryngeal mask airway with assisted ventilation; NDMR: Non-depolarizing muscle relaxant; URI: Upper respiratory tract infection, *remote sites including radiology service and cardiac catheterization, hazard ratios within columns and variables that have no superscript (a b) in common differ significantly at p < 0.05 (Wald test).