Pre-hospital advanced airway management for adults with out-of-hospital cardiac arrest: nationwide cohort study

BMJ : British Medical Journal
Junichi IzawaTetsuhisa Kitamura

Abstract

To determine survival associated with advanced airway management (AAM) compared with no AAM for adults with out-of-hospital cardiac arrest. Cohort study between January 2014 and December 2016. Nationwide, population based registry in Japan (All-Japan Utstein Registry). Consecutive adult patients with out-of-hospital cardiac arrest, separated into two sub-cohorts by their first documented electrocardiographic rhythm: shockable (ventricular fibrillation or pulseless ventricular tachycardia) and non-shockable (pulseless electrical activity or asystole). Patients who received AAM during cardiopulmonary resuscitation were sequentially matched with patients at risk of AAM within the same minute on the basis of time dependent propensity scores. Survival at one month or at hospital discharge within one month. Of the 310 620 patients eligible, 8459 (41.2%) of 20 516 in the shockable cohort and 121 890 (42.0%) of 290 104 in the non-shockable cohort received AAM during cardiopulmonary resuscitation. After time dependent propensity score sequential matching, 16 114 patients in the shockable cohort and 236 042 in the non-shockable cohort were matched at the same minute. In the shockable cohort, survival did not differ between patients with ...Continue Reading

References

Mar 20, 2010·The New England Journal of Medicine·Tetsuhisa KitamuraUNKNOWN Implementation Working Group for the All-Japan Utstein Registry of the Fire and Disaster Management Agency
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Citations

Apr 6, 2019·British Journal of Hospital Medicine
Oct 28, 2019·Circulation Journal : Official Journal of the Japanese Circulation Society·Keisuke JinnoUNKNOWN Japanese Circulation Society Resuscitation Science Study (JCS-ReSS) Group
Jan 18, 2020·Journal of the American College of Cardiology·Tasuku MatsuyamaTetsuhisa Kitamura
Sep 8, 2020·Critical Care Clinics·Jestin N Carlson, Henry E Wang
Dec 11, 2020·Minerva anestesiologica·Jochen HinkelbeinEdoardo DE Robertis
Dec 22, 2019·Lancet·Takahiro NakashimaUNKNOWN Japanese Circulation Society with Resuscitation Science Study Group

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Software Mentioned

R ( R Foundation for Statistical Computing

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