Evidence map›Paper›PMID 27071823›Full record

ArticleScandinavian journal of trauma, resuscitation and emergency medicine2016

Airway management in out-of-hospital cardiac arrest in Finland: current practices and outcomes.

Pamela Hiltunen, Helena Jäntti, Tom Silfvast, Markku Kuisma, Jouni Kurola, FINNRESUSCI Prehospital study group

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.9field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. The accuracy of preliminary diagnoses made by paramedics - a cross-sectional comparative study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2020
    Article
  3. Article
  4. Review
  5. Article
  6. Physician presence at out-of-hospital cardiac arrest is not necessarily the cause of improved survival.Scandinavian journal of trauma, resuscitation and emergency medicine · 2016
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Pamela HiltunenCentre for Prehospital Emergency Care, Kuopio University Hospital, PO Box 1777, FIN-70210, Kuopio, Finland. pamela.hiltunen@kuh.fi.
Helena JänttiCentre for Prehospital Emergency Care, Kuopio University Hospital, PO Box 1777, FIN-70210, Kuopio, Finland.
Tom SilfvastEMS, Department of Emergency Care, Helsinki University Hospital, Stenbäckinkatu 9, 000209 HUS, Helsinki, Finland.
Markku KuismaEMS, Department of Emergency Care, Helsinki University Hospital, Stenbäckinkatu 9, 000209 HUS, Helsinki, Finland.
Jouni KurolaCentre for Prehospital Emergency Care, Kuopio University Hospital, PO Box 1777, FIN-70210, Kuopio, Finland.
FINNRESUSCI Prehospital study group
Kuopio University Hospital · FIHelsinki University Hospital · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThough airway management methods during out-of-hospital cardiac arrest (OHCA) remain controversial, no studies on the topic from Finland have examined adherence to OHCA recommendations in real life. In response, the aim of this study was to document the interventions, success rates, and adverse events in airway management processes in OHCA, as well as to analyse survival at hospital discharge and at follow-up a year later.

methodsDuring a 6-month study period in 2010, data regarding all patients with OHCA and attempted resuscitation in southern and eastern Finland were prospectively collected. Emergency medical services (EMS) documented the airway techniques used and all adverse events related to the process. Study endpoints included the frequency of different techniques used, their success rates, methods used to verify the correct placement of the endotracheal tube, overall adverse events, and survival at hospital discharge and at follow-up a year later.

resultsA total of 614 patients were included in the study. The incidence of EMS-attempted resuscitation was determined to be 51/100,000 inhabitants per year. The final airway technique was endotracheal intubation (ETI) in 413 patients (67.3%) and supraglottic airway device (SAD) in 188 patients (30.2%). The overall success rate of ETI was 92.5%, whereas that of SAD was 85.0%. Adverse events were reported in 167 of the patients (27.2%). Having a prehospital EMS physician on the scene (p < .001, OR 5.05, 95% CI 2.94-8.68), having a primary shockable rhythm (p < .001, OR 5.23, 95% CI 3.05-8.98), and being male (p = .049, OR 1.80, 95% CI 1.00-3.22) were predictors for survival at hospital discharge.

conclusionsThis study showed acceptable ETI and SAD success rates among Finnish patients with OHCA. Adverse events related to airway management were observed in more than 25% of patients, and overall survival was 17.8% at hospital discharge and 14.0% after 1 year.

Indexed as

Clinical ProtocolsOutcome Assessment, Health CareOut-of-Hospital Cardiac ArrestAgedAirway ManagementEmergency Medical ServicesFinlandHumansMaleMiddle AgedProspective StudiesRegistriesAirway managementOut-of-hospital cardiac arrestPrehospital cardiac arrest

Identifiers

PMID27071823
PMCPMC4830072
OpenAlexW2337101915

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.