Early-Onset Pneumonia in Non-Traumatic Out-of-Hospital Cardiac Arrest Patients with Special Focus on Prehospital Airway Management

BACKGROUND More than half of all non-traumatic out-of-hospital cardiac arrest (OHCA) patients die in the hospital. Early-onset pneumonia (EOP) has been described as one of the most common complications after successful cardiopulmonary resuscitation. However, the expanded use of alternative airway de...

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Bibliographic Details
Published in:Medical science monitor 2016-06, Vol.22, p.2013-2020
Main Authors: Christ, Martin, von Auenmueller, Katharina Isabel, Amirie, Scharbanu, Sasko, Benjamin Michel, Brand, Michael, Trappe, Hans-Joachim
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Airway Management - methods
Cardiopulmonary Resuscitation
Clinical Research
Female
Hospitalization
Humans
Incidence
Intubation, Intratracheal - methods
Male
Middle Aged
Out-of-Hospital Cardiac Arrest - microbiology
Out-of-Hospital Cardiac Arrest - therapy
Pneumonia - microbiology
Pneumonia - therapy
Survival Rate
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Summary:BACKGROUND More than half of all non-traumatic out-of-hospital cardiac arrest (OHCA) patients die in the hospital. Early-onset pneumonia (EOP) has been described as one of the most common complications after successful cardiopulmonary resuscitation. However, the expanded use of alternative airway devices (AAD) might influence the incidence of EOP following OHCA. MATERIAL AND METHODS We analyzed data from all OHCA patients admitted to our hospital between 1 January 2008 and 31 December 2014. EOP was defined as proof of the presence of a pathogenic microorganism in samples of respiratory secretions within the first 5 days after hospital admission. RESULTS There were 252 patients admitted: 155 men (61.5%) and 97 women (38.5%), with a mean age of 69.1±13.8 years. Of these, 164 patients (77.6%) were admitted with an endotracheal tube (ET) and 62 (27.4%) with an AAD. We found that 36 out of a total of 80 respiratory secretion samples (45.0%) contained pathogenic microorganisms, with Staphylococcus aureus as the most common bacteria. Neither bacterial detection (p=0.765) nor survival rates (p=0.538) differed between patients admitted with ET and those with AAD. CONCLUSIONS Irrespective of increasing use of AAD, the incidence of EOP remains high.
ISSN:1643-3750
1234-1010
1643-3750
DOI:10.12659/MSM.896867