ArticleResuscitation2017
A comparison of pediatric airway management techniques during out-of-hospital cardiac arrest using the CARES database.
Article in Resuscitation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04275856 (Etiology, Incidence and Survival of Pediatric Out-of-hospital Cardiac Arrests), which is not on this map. Cited by 19 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Etiology, Incidence and Survival of Pediatric Out-of-hospital Cardiac Arrests: a Four-year Danish Analysis
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- 2025 Korean Guidelines for Cardiopulmonary Resuscitation: Part 9. Neonatal resuscitation.Clinical and experimental emergency medicine · 2026Guideline
- Contemporary issues in pediatric prehospital airway management.Expert review of respiratory medicine · 2026Review
- Survival outcomes following prehospital intubation in nontraumatic out of hospital cardiac arrest in Bangkok Thailand.Scientific reports · 2026Observational
- Advanced airway interventions for paediatric cardiac arrest: updated systematic review andResuscitation plus · 2025Review
- Article
- Is It Feasible to Perform Infant CPR during Transfer on a Stretcher until Cannulation for Extracorporeal CPR? A Randomization Simulation Study.Children (Basel, Switzerland) · 2024Article
- Out-of-hospital cardiac arrest in children: an epidemiological study based on the German Resuscitation Registry identifying modifiable factors for return of spontaneous circulation.Critical care (London, England) · 2023Article
- Changes in pre- and in-hospital management and outcomes among children with out-of-hospital cardiac arrest between 2012 and 2017 in Kanto, Japan.Scientific reports · 2023Article
- Multicentric validation of a prognostic tool for predicting brain death following out-of-hospital cardiac arrest in children.Resuscitation · 2023Article
- [Focus on emergency medicine 2021/2022-Summary of selected emergency medicine studies].Die Anaesthesiologie · 2023Article
- Pediatric out-of-hospital cardiac arrest in Denmark.Scandinavian journal of trauma, resuscitation and emergency medicine · 2022Article
- Association between time to advanced airway management and survival during pediatric out-of-hospital cardiac arrest.Resuscitation plus · 2022Article
- Evaluating pediatric advanced life support in emergency medical services with a performance and safety scoring tool.The American journal of emergency medicine · 2021Observational
- Endotracheal tube manipulation during cardiopulmonary resuscitation in the neonatal intensive care unit.Journal of perinatology : official journal of the California Perinatal Association · 2021Article
- Association Between Resuscitative Time on the Scene and Survival After Pediatric Out-of-Hospital Cardiac Arrest.Circulation reports · 2021Article
- Pediatric In-Hospital Cardiac Arrest and Cardiopulmonary Resuscitation in the United States: A Review.JAMA pediatrics · 2021Review
- Pre-hospital Prognostic Factors of Out-of-Hospital Cardiac Arrest: The Difference Between Pediatric and Adult.Frontiers in pediatrics · 2021Article
- Prospective evaluation of airway management in pediatric out-of-hospital cardiac arrest.Resuscitation · 2020Observational
- Evaluation of Airway Management Proficiency in Pre-Hospital Emergency Setting; a Simulation Study.Emergency (Tehran, Iran) · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
Abstract
objectiveTo compare odds of survival to hospital discharge among pediatric out-of-hospital cardiac arrest (OHCA) patients receiving either bag-valve-mask ventilation (BVM), supraglottic airway (SGA) or endotracheal intubation (ETI), after adjusting for the propensity to receive a given airway intervention.
methodsRetrospective cohort study using the Cardiac Arrest Registry to Enhance Survival (CARES) database from January 1 201-December 31, 2015. The CARES registry includes data on cardiac arrests from 17 statewide registries and approximately 55 additional US cities. We included patients less than18 years of age who suffered a non-traumatic OHCA and received a resuscitation attempt by Emergency Medical Services (EMS). The key exposure was the airway management strategy (BVM, ETI, or SGA). The primary outcome was survival to hospital discharge.
resultsOf the 3793 OHCA cases included from 405 EMS agencies, 1724 cases were analyzed after limiting the analysis to EMS agencies that used all 3 devices. Of the 1724, 781 (45.3%) were treated with BVM only, 727 (42.2%) ETI, and 215 (12.5%) SGA. Overall, 20.7% had ROSC and 10.9% survived to hospital discharge. After using a propensity score analysis, the odds ratio for survival to hospital discharge for ETI compared to BVM was 0.39 (95%CI 0.26-0.59) and for SGA compared to BVM was 0.32 (95% CI 0.12-0.84). These relationships were robust to the sensitivity analyses including complete case, EMS-agency matched, and age-stratified.
conclusionsBVM was associated with higher survival to hospital discharge compared to ETI and SGA. A large randomized clinical trial is needed to confirm these findings.
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