The impact of airway strategy on the patient outcome after out-of-hospital cardiac arrest: A propensity score matched analysis

Background: While guidelines mentioned supraglottic airway management in the case of out-of- hospital cardiac arrest, robust data of their impact on the patient outcome remain scare and results are inconclusive. Methods: To assess the impact of the airway strategy on the patient outcome we prospecti...

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Bibliographic Details
Published in:European heart journal. Acute cardiovascular care 2018-08, Vol.7 (5), p.423-431
Main Authors: Sulzgruber, Patrick, Datler, Philip, Sterz, Fritz, Poppe, Michael, Lobmeyr, Elisabeth, Keferböck, Markus, Zeiner, Sebastian, Nürnberger, Alexander, Schober, Andreas, Hubner, Pia, Stratil, Peter, Wallmueller, Christian, Weiser, Christoph, Warenits, Alexandra-Maria, Zajicek, Andreas, Ettl, Florian, Magnet, Ingrid, Uray, Thomas, Testori, Christoph, van Tulder, Raphael
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Airway Management - methods
Austria - epidemiology
Cardiopulmonary Resuscitation - methods
Emergency Medical Services
Female
Follow-Up Studies
Guideline Adherence
Humans
Male
Middle Aged
Odds Ratio
Out-of-Hospital Cardiac Arrest - mortality
Out-of-Hospital Cardiac Arrest - therapy
Propensity Score
Prospective Studies
Survival Rate - trends
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Summary:Background: While guidelines mentioned supraglottic airway management in the case of out-of- hospital cardiac arrest, robust data of their impact on the patient outcome remain scare and results are inconclusive. Methods: To assess the impact of the airway strategy on the patient outcome we prospectively enrolled 2224 individuals suffering cardiac arrest who were treated by the Viennese municipal emergency medical service. To control for potential confounders, propensity score matching was performed. Patients were matched in four groups with a 1:1:1:1 ratio (n=210/group) according to bag-mask-valve, laryngeal tube, endotracheal intubation and secondary endotracheal intubation after primary laryngeal tube ventilation. Results: The laryngeal tube subgroup showed the lowest 30-day survival rate among all tested devices (p
ISSN:2048-8726
2048-8734
DOI:10.1177/2048872617731894