首页|Pre-hospital airway management and survival outcomes after paediatric out-of-hospital cardiac arrests

Pre-hospital airway management and survival outcomes after paediatric out-of-hospital cardiac arrests

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  • NSTL
  • Elsevier
Background: Paediatric out-of-hospital cardiac arrest (OHCA) results in high mortality and poor neurological outcomes. We conducted this study to describe and compare the effects of pre-hospital airway management on survival outcomes for paediatric OHCA in the Asia-pacific region. Methods: We performed a retrospective analysis of the Pan Asian Resuscitation Outcomes Study (PAROS) data from January 2009 to June 2018. PAROS is a prospective, observational, multi-centre cohort study from eleven countries. The primary outcomes were one-month survival and survival with favourable neurological status, defined as Cerebral Performance Category1 or 2. We performed multivariate analyses of the unmatched and propensity matched cohort. Results: We included 3131 patients less than 18 years in the study. 2679 (85.6%) children received bag-valve-mask (BVM) ventilations, 81 (2.6%) endotracheal intubations (ETI) and 371 (11.8%) supraglottic airways (SGA). 792 patients underwent propensity score matching. In the matched cohort, advanced airway management (AAM: SGA and ETI) when compared with BVM group was associated with decreased one-month survival [AAM: 28/396 (7.1%) versus BVM: 55/396 (13.9%); adjusted odds ratio (aOR), 0.46 (95% CI, 0.29 - 0.75); p = 0.002] and survival with favourable neurological status [AAM: 8/396 (2.0%) versus BVM: 31/396 (7.8%); aOR, 0.22 (95% CI, 0.10- 0.50); p < 0.001]. For SGA group, we observed less 1-month survival [SGA: 24/337 (7.1%) versus BVM: 52/337 (15.4%); aOR, 0.41 (95 %CI, 0.25-0.69), p = 0.001] and survival with favourable neurological status. Conclusion: In children with OHCA in the Asia-Pacific region, pre-hospital AAM was associated with decreased one-month survival and less favourable neurological status.

PaediatricOut-of-hospital cardiac arrestsPrehospitalAdvanced airwayAdvanced airway managementBag-valve-mask ventilationSupraglottic airwayEndotracheal intubationPrehospital airway managementEmergency Medical ServiceSurvival outcomesASIAN RESUSCITATION OUTCOMESCARDIOVASCULAR CARE SCIENCEMEDICAL-SERVICES SYSTEMSCARDIOPULMONARY-RESUSCITATIONINTERNATIONAL CONSENSUSENDOTRACHEAL INTUBATIONEPIDEMIOLOGYCOUNTRIES

Lai Peng Tham、Fook-Chong, Stephanie、Ahmad, Nur Shahidah Binte、Ho, Andrew Fu-Wah、Tanaka, Hideharu、Shin, Sang Do、Ko, Patrick Chow-In、Wong, Kwanhathai Darin、Jirapong, Supasaowapak、Rao, G. V. Ramana、Cai, Wenwei、Al Qahtani, Saad、Ong, Marcus Eng Hock、Pan-Asian Resuscitation Outcomes S

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Dept Emergency Med,KK Womens & Childrens Hosp

Prehosp Emergency & Res Ctr,Duke NUS Med Sch

Dept Emergency Med,Singapore Gen Hosp

Grad Sch,Kokushikan Univ

Coll Med,Seoul Natl Univ

Natl Taiwan Univ Hosp,Natl Taiwan Univ

Emergency Dept,Hosp Pulau Pinang

Dept Emergency Med,Rajavithi Hosp

GVK Emergency Management & Res Inst GVK EMRI

Dept Emergency Med,Zhejiang Prov Peoples Hosp

Natl Ambulance

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2022

10.1016/j.resuscitation.2022.04.018

Resuscitation.

Resuscitation.

ISSN：0300-9572
年,卷(期)：2022.176
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