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Prehospital Supraglottic Airway Was Associated With Good Neurologic Outcome in Cardiac Arrest Victims Especially Those Who Received Prolonged Cardiopulmonary Resuscitation
Author(s) -
Park Min Ji,
Kwon Woon Yong,
Kim Kyuseok,
Suh Gil Joon,
Shin Jonghwan,
Jo You Hwan,
Kim Kyung Su,
Lee Hui Jai,
Kim Joonghee,
Lee Se Jong,
Kim Jeong Yeon,
Cho Jun Hwi
Publication year - 2017
Publication title -
academic emergency medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.221
H-Index - 124
eISSN - 1553-2712
pISSN - 1069-6563
DOI - 10.1111/acem.13309
Subject(s) - medicine , cardiopulmonary resuscitation , return of spontaneous circulation , resuscitation , odds ratio , confidence interval , emergency medicine , intensive care unit , retrospective cohort study , airway , prospective cohort study , anesthesia
Objectives We performed this study to investigate the association of prehospital supraglottic airway ( SGA ) on neurologic outcome in cardiac arrest victims with adjustment of postresuscitation variables as well as prehospital and resuscitation variables. Methods This study was a retrospective study based on a multicenter prospective cohort registry from December 2013 to April 2016. According to the 28‐day cerebral performance categories ( CPC s) scale, patients were divided into the good‐outcome group ( CPC 1–2) and the poor‐outcome group ( CPC 3–5). We compared the two groups with respect to demographic variables, prehospital and in‐hospital resuscitation variables, and postresuscitation variables. Results A total of 869 cardiac arrest victims who received in‐progress cardiopulmonary resuscitation ( CPR ) were delivered to the emergency department of three hospitals, and 310 patients were admitted to the intensive care unit. The use of a prehospital SGA was independently associated with 28‐day good neurologic outcome (odds ratio [ OR ] = 7.88; 95% confidence interval [ CI ] = 1.33–46.53; p = 0.023] when postresuscitation variables were adjusted, although there were no significant association with the acquisition of sustained return of spontaneous circulation ( OR = 0.992; 95% CI = 0.591–1.666; p = 0.976). Furthermore, a prehospital SGA was significantly associated with good neurologic outcome, especially in patients who received prolonged CPR (low flow time > 15 minutes; OR = 3.41; 95% CI = 1.23–9.45; p = 0.018) rather than in patients with nonprolonged CPR ( OR = 4.50; 95% CI = 0.75–27.13; p = 0.101). Conclusions When postresuscitation variables were adjusted, the prehospital SGA was independently associated with 28‐day good neurologic outcome in cardiac arrest victims.