Procedure Type: Intubation Only

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Description

This phenotype is used to determine if the primary procedure of a case was placement of an endotracheal tube.

Limitation

This phenotype is limiting by accuracy of procedure text and variable mappings. May also include cancelled cases.

Data quality is limited to individual site documentation accuracy, completeness, and variable mapping, which is performed by each site, independently. MPOG, as the coordinating center, reviews data quality at each data upload and monthly via Data Diagnostics and Case Validation tools. This review, while thorough, may not contain all data elements relevant to this phenotype and thus should be carefully reviewed by the user.

Value Type

Enumeration

Value	Value Code	Definition

Return Columns

Name	Data Type

Granularity

Logic

This phenotype is used to determine if the case was primarily placement of an endotracheal tube and the patient was not extubated before Anesthesia End. Both scheduled and emergent intubation cases are included.

Step 1: Extubation Time Check

Determine whether the case has an Extubation Times recorded between Anesthesia Start and Anesthesia End.
- If an extubation time is present, return No.
- If an extubation time is not present, proceed to Step 2.

Step 2: Evidence of Intubation

Evaluate whether the case contains any partial or exact text matches.

If any are found, proceed to Step 3.
If none are found, return No.

Partial Text Matches
- The case matches on text such as (SQL-like wildcards shown with %)
  - 'emergen%intub'
  - 'intub%emergen'
  - 'awake%intub'
  - 'intub%awake'
  - 'intub%endotrach'
  - 'endotrach%intub'
  - 'intub%elective'
  - 'elective%intub'
  - 'anes%intub'
  - 'intub%anes'
  - 'fiber%intub'
  - 'or intub'
  - 'o.r. intubation'
  - 'intubation%neck'
  - 'intubation%throat'
  - 'intubation%mouth'
  - 'intubation fiberoptic'
Exact Procedure Text Matches
- The case matches exactly on any of the following procedure texts:
  - '(Actual)intubation in or'
  - '(Actual)floor intubation'
  - '(Actual)icu intubation'
  - '(Actual)FLOOR/ICU INTUBATION'
  - '(Actual)floor/icu/emergent intubation'
  - '(Actual)intubation'
  - '(Actual)intubation only'
  - '(Actual)Intubation out of OR'
  - '(Actual)Intubation Non-OR/CPR'
  - '(Actual)Intubation (N/A)'
  - '(Actual)Airway'
  - '(Actual)Airway, ETT
  - starts with '(Actual)Airway Management'
    - And not include MPOG Concept: 50006 (AACD Procedure Start Date/Time) or MPOG Concept: 50007 (AACD Procedure Finish Date/Time)

Step 3. Disqualifying Text Check

Check for any of the following text
- If any of the below text is present, return No.
- If none are present, return Yes.

Disqualifying Text

'%oscopy%'
'%ostomy%'
'%ostoma%'
'%otomy%'
'%ectomy%'
'%ectomies%'
'%mri%'
'%difficult%'
'%tongue%'
'%wound%'
'%mandib%'
'%debridement%'
'%right%'
'%left%'
'%liver%'
'%drain%'
'%intraop%'
'%cerebral%'
'%fracture%'
'%fusion%'
'%spine%'
'%incision%'