Cardiac arrest due to food asphyxiation in adults: resuscitation profiles and outcomes

Resuscitation
Joji InamasuKenji Kobayashi

Abstract

Food asphyxiation is uncommon but unignorable cause of sudden death in the elderly. Several autopsy studies, which identified those at particular risk, have been conducted on the subject. Resuscitation profiles and outcomes of food asphyxiation victims presenting with out-of-hospital cardiac arrest (OHCA) to the emergency department, however, have rarely been reported. Data on adults (> or = 20 years) presenting with OHCA after witnessed food asphyxiation were retrieved from an institutional database. Clinical variables were evaluated to identify their demographic characteristics. Their outcomes, represented by return of spontaneous circulation (ROSC) and survival rate, were also investigated. Sixty-nine food asphyxiation victims presenting with OHCA were identified during the 4-year period. Food asphyxiation occurred most frequently in the age group of 71-80 years, followed by that of 81-90 years. The majority of victims had medical conditions that adversely affected mastication/swallowing, such as dementia. Bystander cardiopulmonary resuscitation (CPR) was performed only in 26%, although bystanders often attempted to clear the airway without performing CPR. Despite the high ROSC rate of 78%, only 7% survived to discharge. Asp...Continue Reading

References

Apr 26, 1979·The New England Journal of Medicine·A J Schwartz, N Ellison
Jan 1, 1992·Dysphagia·B JacobW Bonte
Mar 5, 1982·JAMA : the Journal of the American Medical Association·R E Mittleman, C V Wetli
Feb 22, 2002·The New England Journal of Medicine·UNKNOWN Hypothermia after Cardiac Arrest Study Group
Jul 11, 2003·Chest·Paul E Marik, Danielle Kaplan
Mar 1, 2005·Drugs & Aging·Masayuki KikawadaMasaru Takasaki
Sep 1, 2005·Resuscitation·Audun LanghelleUNKNOWN 2003 Utstein Consensus Symposium
Dec 17, 2005·Journal of Clinical Forensic Medicine·Regula WickRoger W Byard
Dec 16, 2006·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Arash SoroudiGary M Vilke

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Citations

Sep 4, 2014·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Tomohiko SakaiTakeshi Shimazu
Apr 7, 2015·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Rebecca M StarlingAlexis A Topjian
Sep 13, 2014·World Journal of Emergency Medicine·Toru HifumiYasuhiro Kuroda

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