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- W2040378045 abstract "Background: Supraglottic airway devices (SGA) are often used for out-of-hospital cardiac arrest (OHCA) patients. However it remains unclear whether a use of SGA improves survival outcomes of OHCA compared with bag-valve-mask (BVM) alone.1Morimura N. Comparison of arterial blood gases of laryngeal mask airway and bag-valve-mask ventilation in out-of-hospital cardiac arrests.Circ J. 2009; 73: 490-562Crossref PubMed Scopus (36) Google Scholar, 2Rumball C.J. MacDonald D. The PTL, Combitube, laryngeal mask, and oral airway: a randomized prehospital comparative study of ventilatory device effectiveness and cost-effectiveness in 470 cases of cardiorespiratory arrest.Prehos Emerg Care. 1997; 1: 1-10Crossref PubMed Scopus (191) Google Scholar Material and method: Data of OHCA patients from January 1, 2007 through December 31, 2008 were extracted from the nationwide Utstein-style registry of Japan. We excluded patients younger than 18 and older than 75 of age. Also excluded are cardiac arrest witnessed by EMS personnel, trauma- or malignancy-related cardiac arrest and patients for whom resuscitation was not attempted. The primary outcome measure was 1-month survival with minimal neurologic impairment (CPC 1 or 2) and secondary outcome was return of spontaneous circulation (ROSC) before arriving at hospital. One to one matching based on a propensity score and conditional logistic regression modeling technique were used to calculate the relative risk (RR) of SGA over BVM, adjusting for potential confounders including witness status of the arrest, bystander cardiopulmonary resuscitation, AED use, initial ECG rhythm, and call-response interval. Results: Out of a total of 21,582 eligible patients, the propensity score matching yielded 6816 matched pairs.. A RR (95%CI) of SGA for the CPC score at 1-month post-arrest was 0.38 (0.31–0.47) and a RR (95%CI) of SGA for the ROSC was 0.40 (0.34–0.47). There was not significant dose-response relationship between the ambulance call to hospital arrival at hospital interval and those two Relative Risks. Conclusion: Our large-scale database analysis has revealed that a use of SGA is negatively associated with both the immediate outcome and neurological outcome. The results appear to warrant prospective, interventional trial concerning the effectiveness of the use of SGA over BVM." @default.
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- W2040378045 date "2010-12-01" @default.
- W2040378045 modified "2023-09-27" @default.
- W2040378045 title "Does the use of supraglottic airway devices compared with bag-valve-mask alone improve any outcome? Propensity-adjusted analysis of Japan Utstein registry" @default.
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- W2040378045 doi "https://doi.org/10.1016/j.resuscitation.2010.09.238" @default.
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