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Not yet recruiting NCT07574450

Taiwan ED Airway Quality Surveillance Registry (TEAR)

— Observational Airway Management Tracheal Intubation Emergency Department Peri-intubation Adverse Events

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
This is an observational study: the protocol does not assign a study treatment.
Who it may be relevant to
Registry conditions: Airway Management, Tracheal Intubation, Emergency Department, Peri-intubation Adverse Events. Basic parameters: from 18 years · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
Taiwan
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →

Unsure about the terms? Read our patient guide →

Official title

The Taiwan ED Airway Quality Surveillance Registry (TEAR): A Prospective Multicenter Observational Study

Overview

This prospective, multicenter observational registry systematically captures all emergency department tracheal intubations across participating hospitals in Taiwan. The registry focuses on process quality indicators, including first-pass success, and patient-safety outcomes, including hypoxemia, hypotension, and peri-intubation cardiac arrest within 30 minutes of intubation. Routinely generated laboratory and physiologic variables are also collected to improve risk stratification and identify predictors of major adverse events. The study is non-interventional and does not alter clinical care.

Primary outcome measures

  • Incidence of major adverse peri-intubation events within 30 minutes after the start of intubation [Time frame: Periprocedural, through 30 minutes after the start of intubation]
Secondary outcome measures (2)
  • First-pass success [Time frame: Periprocedural]
  • In-hospital mortality [Time frame: From intubation to hospital discharge, assessed up to 90 days]

Eligibility criteria

Inclusion criteria

  • Undergoing tracheal intubation in the emergency department during the study period

Exclusion criteria

  • Prehospital intubation; intubation performed solely for elective anesthesia/procedural sedation outside emergency indications

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Observational model
Cohort

Study locations

Taiwan · 1 center
  • New Taipei Municipal Tucheng Hospital, New Taipei City, Taiwan — New Taipei City

Publications

  • Garcia SI, Smischney NJ, Sandefur BJ, D'Andria Ursoleo J, Kelm DJ, Wieruszewski PM. Peri-intubation Cardiovascular Collapse During Emergency Airway Management. Pulm Ther. 2025 Dec;11(4):569-585. doi: 10.1007/s41030-025-00326-x. Epub 2025 Oct 16. PMID 41094343
  • Hasegawa K, Hagiwara Y, Chiba T, Watase H, Walls RM, Brown DF, Brown CA 3rd; Japanese Emergency Medicine Research Alliance. Emergency airway management in Japan: Interim analysis of a multi-center prospective observational study. Resuscitation. 2012 Apr;83(4):428-33. doi: 10.1016/j.resuscitation.2011.11.027. Epub 2011 Dec 8. PMID 22155701
  • Maia IWA, Besen BAMP, Silva LOJE, von Hellmann R, Hajjar LA, Sandefur BJ, Pedrollo DF, Nogueira CG, Figueiredo NMP, Miranda CH, Martins D, Baumgratz TD, Bergesch B, Costa D, Colleoni O, Zanettini J, Freitas AP, Moreira NP, Gaspar PL, Tambelli R, Costa MC, Silveira S, Correia W, de Maria RG, Filho UAV, Weber AP, da Silva Castro V, Dornelles CFD, Tabach BS, Guimaraes HP, Stanzani G, Gava TF, Mullan PMID 40247381
  • Cho J, Cho YS, You JS, Lee HS, Kim H, Chung HS; Korean Emergency Airway Management Society. Current status of emergency airway management for elderly patients in Korea: Multicentre study using the Korean Emergency Airway Management Registry. Emerg Med Australas. 2013 Oct;25(5):439-44. doi: 10.1111/1742-6723.12122. Epub 2013 Sep 9. PMID 24099373
  • April MD, Arana A, Reynolds JC, Carlson JN, Davis WT, Schauer SG, Oliver JJ, Summers SM, Long B, Walls RM, Brown CA 3rd; NEAR Investigators. Peri-intubation cardiac arrest in the Emergency Department: A National Emergency Airway Registry (NEAR) study. Resuscitation. 2021 May;162:403-411. doi: 10.1016/j.resuscitation.2021.02.039. Epub 2021 Mar 5. PMID 33684505
  • Alkhouri H, Vassiliadis J, Murray M, Mackenzie J, Tzannes A, McCarthy S, Fogg T. Emergency airway management in Australian and New Zealand emergency departments: A multicentre descriptive study of 3710 emergency intubations. Emerg Med Australas. 2017 Oct;29(5):499-508. doi: 10.1111/1742-6723.12815. Epub 2017 Jun 5. PMID 28582801
  • Russotto V, Myatra SN, Laffey JG, Tassistro E, Antolini L, Bauer P, Lascarrou JB, Szuldrzynski K, Camporota L, Pelosi P, Sorbello M, Higgs A, Greif R, Putensen C, Agvald-Ohman C, Chalkias A, Bokums K, Brewster D, Rossi E, Fumagalli R, Pesenti A, Foti G, Bellani G; INTUBE Study Investigators. Intubation Practices and Adverse Peri-intubation Events in Critically Ill Patients From 29 Countries. JAMA. PMID 33755076

Identifiers

NCT: NCT07574450 · 202501836B0

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗