Comparing the neurologic outcomes of patients with out-of-hospital cardiac arrest according to prehospital advanced airway management method and transport time interval
Objective The incidences of prehospital advanced airway management by emergency medical technicians in South Korea are increasing; however, whether this procedure improves the survival outcomes of patients experiencing out-of-hospital cardiac arrest remains unclear. The present study aimed to invest...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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The Korean Society of Emergency Medicine
2020-03-01
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| Series: | Clinical and Experimental Emergency Medicine |
| Subjects: | |
| Online Access: | http://www.ceemjournal.org/upload/pdf/ceem-19-002.pdf |
| _version_ | 1797895584958382080 |
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| author | Sol Kim Dong Eun Lee Sungbae Moon Jae Yun Ahn Won Kee Lee Jong Kun Kim Jungbae Park Hyun Wook Ryoo |
| author_facet | Sol Kim Dong Eun Lee Sungbae Moon Jae Yun Ahn Won Kee Lee Jong Kun Kim Jungbae Park Hyun Wook Ryoo |
| author_sort | Sol Kim |
| collection | DOAJ |
| description | Objective The incidences of prehospital advanced airway management by emergency medical technicians in South Korea are increasing; however, whether this procedure improves the survival outcomes of patients experiencing out-of-hospital cardiac arrest remains unclear. The present study aimed to investigate the association between prehospital advanced airway management and neurologic outcomes according to a transport time interval (TTI) using the Korean Cardiac Arrest Research Consortium database. Methods We retrospectively analyzed the favorable database entries that were prospectively collected between October 2015 and December 2016. Patients aged 18 years or older who experienced cardiac arrest that was presumed to be of a medical etiology and that occurred prior to the arrival of emergency medical service personnel were included. The exposure variable was the type of prehospital airway management provided by emergency medical technicians. The primary endpoint was a favorable neurologic outcome. Results Of 1,871 patients who experienced out-of-hospital cardiac arrest, 785 (42.0%), 121 (6.5%), and 965 (51.6%) were managed with bag-valve-mask ventilation, endotracheal intubation (ETI), and supraglottic airway (SGA) devices, respectively. SGAs and ETI provided no advantage in terms of favorable neurologic outcome in patients with TTIs ≥12 minutes (odds ratio [OR], 1.37; confidence interval [CI], 0.65–2.87 for SGAs; OR, 1.31; CI, 0.30–5.81 for ETI) or in patients with TTI <12 minutes (OR, 0.57; CI, 0.31–1.07 for SGAs; OR, 0.63; CI, 0.12–3.26 for ETI). Conclusion Neither the prehospital use of SGA nor administration of ETI was associated with superior neurologic outcomes compared with bag-valve-mask ventilation. |
| first_indexed | 2024-04-10T07:29:20Z |
| format | Article |
| id | doaj.art-f56d0e4aa6c8491784dc34e87444b3e0 |
| institution | Directory Open Access Journal |
| issn | 2383-4625 |
| language | English |
| last_indexed | 2024-04-10T07:29:20Z |
| publishDate | 2020-03-01 |
| publisher | The Korean Society of Emergency Medicine |
| record_format | Article |
| series | Clinical and Experimental Emergency Medicine |
| spelling | doaj.art-f56d0e4aa6c8491784dc34e87444b3e02023-02-24T04:27:15ZengThe Korean Society of Emergency MedicineClinical and Experimental Emergency Medicine2383-46252020-03-0171212910.15441/ceem.19.002263Comparing the neurologic outcomes of patients with out-of-hospital cardiac arrest according to prehospital advanced airway management method and transport time intervalSol Kim0Dong Eun Lee1Sungbae Moon2Jae Yun Ahn3Won Kee Lee4Jong Kun Kim5Jungbae Park6Hyun Wook Ryoo7 Department of Emergency Medicine, Kyungpook National University School of Medicine, Daegu, Korea Department of Emergency Medicine, Kyungpook National University School of Medicine, Daegu, Korea Department of Emergency Medicine, Kyungpook National University School of Medicine, Daegu, Korea Department of Emergency Medicine, Kyungpook National University School of Medicine, Daegu, Korea Medical Research Collaboration Center in Kyungpook National University Hospital, Kyungpook National University School of Medicine, Daegu, Korea Department of Emergency Medicine, Kyungpook National University School of Medicine, Daegu, Korea Department of Emergency Medicine, Kyungpook National University School of Medicine, Daegu, Korea Department of Emergency Medicine, Kyungpook National University School of Medicine, Daegu, KoreaObjective The incidences of prehospital advanced airway management by emergency medical technicians in South Korea are increasing; however, whether this procedure improves the survival outcomes of patients experiencing out-of-hospital cardiac arrest remains unclear. The present study aimed to investigate the association between prehospital advanced airway management and neurologic outcomes according to a transport time interval (TTI) using the Korean Cardiac Arrest Research Consortium database. Methods We retrospectively analyzed the favorable database entries that were prospectively collected between October 2015 and December 2016. Patients aged 18 years or older who experienced cardiac arrest that was presumed to be of a medical etiology and that occurred prior to the arrival of emergency medical service personnel were included. The exposure variable was the type of prehospital airway management provided by emergency medical technicians. The primary endpoint was a favorable neurologic outcome. Results Of 1,871 patients who experienced out-of-hospital cardiac arrest, 785 (42.0%), 121 (6.5%), and 965 (51.6%) were managed with bag-valve-mask ventilation, endotracheal intubation (ETI), and supraglottic airway (SGA) devices, respectively. SGAs and ETI provided no advantage in terms of favorable neurologic outcome in patients with TTIs ≥12 minutes (odds ratio [OR], 1.37; confidence interval [CI], 0.65–2.87 for SGAs; OR, 1.31; CI, 0.30–5.81 for ETI) or in patients with TTI <12 minutes (OR, 0.57; CI, 0.31–1.07 for SGAs; OR, 0.63; CI, 0.12–3.26 for ETI). Conclusion Neither the prehospital use of SGA nor administration of ETI was associated with superior neurologic outcomes compared with bag-valve-mask ventilation.http://www.ceemjournal.org/upload/pdf/ceem-19-002.pdfairway managementemergency medical servicesintubation, intratrachealout-ofhospital cardiac arrest |
| spellingShingle | Sol Kim Dong Eun Lee Sungbae Moon Jae Yun Ahn Won Kee Lee Jong Kun Kim Jungbae Park Hyun Wook Ryoo Comparing the neurologic outcomes of patients with out-of-hospital cardiac arrest according to prehospital advanced airway management method and transport time interval Clinical and Experimental Emergency Medicine airway management emergency medical services intubation, intratracheal out-ofhospital cardiac arrest |
| title | Comparing the neurologic outcomes of patients with out-of-hospital cardiac arrest according to prehospital advanced airway management method and transport time interval |
| title_full | Comparing the neurologic outcomes of patients with out-of-hospital cardiac arrest according to prehospital advanced airway management method and transport time interval |
| title_fullStr | Comparing the neurologic outcomes of patients with out-of-hospital cardiac arrest according to prehospital advanced airway management method and transport time interval |
| title_full_unstemmed | Comparing the neurologic outcomes of patients with out-of-hospital cardiac arrest according to prehospital advanced airway management method and transport time interval |
| title_short | Comparing the neurologic outcomes of patients with out-of-hospital cardiac arrest according to prehospital advanced airway management method and transport time interval |
| title_sort | comparing the neurologic outcomes of patients with out of hospital cardiac arrest according to prehospital advanced airway management method and transport time interval |
| topic | airway management emergency medical services intubation, intratracheal out-ofhospital cardiac arrest |
| url | http://www.ceemjournal.org/upload/pdf/ceem-19-002.pdf |
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