Prehospital and Emergency Feasibility of MACOCHA Score Assessment to Predict Difficult Tracheal Intubation

NCT03420027 | Completed

• 2 other identifiers: CHRO-2017- 142017-A02885-48 (IDRCB number)
• Study Type: observational
• Target: 168
• Locations: 1 country
• Sites: 1

Brief Summary

A seven-item simplified score (the MACOCHA score) has been validated to predict difficult tracheal intubation in intensive care unit patients. In the prehospital or in the emergency department settings, no such validated predictive score is available yet. The aim of the present study is to assess the feasibility the quick calculation of the MACOCHA score before emergent intubation, in the prehospital and emergency department contexts.

Conditions

Intubation, Intratracheal; Emergency Medicine

Keywords

predictive score; difficult intubation

Outcome Measures

Primary Outcomes (1)

• number of missing items of the MACOCHA score

  The MACOCHA score is a predictive score of difficult intubation in intensive care to anticipate and prepare the appropriate equipment, possibly use an alternative strategy of intubation and call for help to reduce the risk of morbidity and mortality. The MACOCHA score involves various simple assessment items: a Mallampati III or IV, a sleep apnea syndrome, a decrease in cervical mobility, a mouth opening \<3cm, a coma defined by a Glasgow score \<8, severe hypoxemia, and if the practitioner is not anesthetist. Missing items are defined as those for which relevant information cannot be collected before intubation.

  5 minutes

Secondary Outcomes (1)

• Adverse events

  30 min

Interventions

questionnaire to be filled in by investigators OTHER

A simple seven-item questionnaire will be filled in by the investigator before performing urgent tracheal intubation. This intubation, which will be performed as done in routine care, does not constitute a study specific intervention

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patients will be adult patients requiring emergent tracheal intubation for acute respiratory failure, coma, or shock, while cared for by an Emergency Physician either in the prehospital setting or in the hospital Emergency Department.

You may qualify if:

• Patient ≥ 18 yrs
• Patient who have to undergo rapid sequence tracheal intubation as judged by the Emergency Physician

You may not qualify if:

• Pregnancy
• Cardiac arrest of any cause as the indication for intubation
• Patient or next-of-kin declining participation

Sponsors & Collaborators

• Centre Hospitalier Régional d'Orléans: lead

Study Sites (1)

CHR d'Orléans

Orléans, 45067, France

Location

Related Publications (1)

• De Jong A, Molinari N, Terzi N, Mongardon N, Arnal JM, Guitton C, Allaouchiche B, Paugam-Burtz C, Constantin JM, Lefrant JY, Leone M, Papazian L, Asehnoune K, Maziers N, Azoulay E, Pradel G, Jung B, Jaber S; AzuRea Network for the Frida-Rea Study Group. Early identification of patients at risk for difficult intubation in the intensive care unit: development and validation of the MACOCHA score in a multicenter cohort study. Am J Respir Crit Care Med. 2013 Apr 15;187(8):832-9. doi: 10.1164/rccm.201210-1851OC.

  PMID: 23348979 BACKGROUND

Study Officials

• Mai-Anh Nay, MD

  Centre Hospitalier régional d'Orléans, Orléans, France

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: January 28, 2018
• First Posted: February 5, 2018
• Study Start: March 1, 2018
• Primary Completion: June 7, 2019
• Study Completion: June 7, 2019
• Last Updated: June 10, 2019

Record last verified: 2019-06

Data Sharing

• IPD Sharing: Will not share

Locations

FR (1)