ArticleClinical and experimental emergency medicine2020
Variability in the effects of prehospital advanced airway management on outcomes of patients with out-of-hospital cardiac arrest.
Article in Clinical and experimental emergency medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 11 citations in OpenAlex.
- Factors influencing the prognosis of out-of-hospital cardiac arrest during the coronavirus disease 2019 pandemic: an analysis of the Utstein Registry in Aichi, Japan.BMC emergency medicine · 2026Observational
- The association of prehospital advanced airway management time and outcome in out-of hospital cardiac arrest patients.Scientific reports · 2026Article
- Effects of Initial Lactate Levels and 24-h Lactate Clearance on Mortality in Post-Cardiac Arrest Patients: Insights from the Multicenter TIMECARD Registry.International journal of medical sciences · 2026Article
- Association between endotracheal intubation and outcomes of nonshockable out-of-hospital cardiac arrest in Japan.BMC emergency medicine · 2025Article
- Prehospital factors associated with out-of-hospital cardiac arrest outcomes in a metropolitan city: a 4-year multicenter study.BMC emergency medicine · 2023Article
- Association of prehospital advanced airway and epinephrine with survival in patients with out-of-hospital cardiac arrest.Scientific reports · 2023Observational
- Nationwide population-based study of poisoning-induced out-of-hospital cardiac arrest in South Korea.BMJ open · 2022Article
- Effects of prehospital management in out-of-hospital cardiac arrest: advanced airway and adrenaline administration.BMC health services research · 2022Article
- Impact of different medical direction policies on prehospital advanced airway management for out-of hospital cardiac arrest patients: A retrospective cohort study.Resuscitation plus · 2022Article
- Effect of Advanced Airway Management by Paramedics During Out-of-Hospital Cardiac Arrest on Chest Compression Fraction and Return of Spontaneous Circulation.Open access emergency medicine : OAEM · 2021Article
Corrections and comments
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Authors and funding
10 authors at 8 institutions in 4 countries.
Funding
Abstract
objectiveTo investigate variations in the effects of prehospital advanced airway management (AAM) on outcomes of out-of-hospital cardiac arrest (OHCA) patients according to regional emergency medical service (EMS) systems in four Asian cities.
methodsWe enrolled adult patients with EMS-treated OHCA of presumed cardiac origin between 2012 and 2014 from Osaka (Japan), Seoul (Republic of Korea), Singapore (Singapore), and Taipei (Taiwan). The main exposure variable was prehospital AAM. The primary endpoint was neurological recovery. We compared outcomes between the prehospital AAM and non-AAM groups using multivariable logistic regression with an interaction term between prehospital AAM and the four Asian cities.
resultsA total of 16,510 patients were included in the final analyses. The rates of prehospital AAM varied among Osaka, Seoul, Singapore, and Taipei (65.0%, 19.2%, 84.9%, and 34.1%, respectively). The non-AAM group showed better outcomes than the AAM group (adjusted odds ratio [aOR] for neurological recovery 0.30; 95% confidence interval [CI], 0.24-0.38]). In the interaction model for neurological recovery, the aORs for AAM in Osaka and Singapore were 0.12 (95% CI, 0.06-0.26) and 0.21 (95% CI, 0.16-0.28), respectively. In Seoul and Taipei, the association between prehospital AAM and neurological recovery was not significant (aOR 0.58 [95% CI, 0.31-1.10] and 0.79 [95% CI, 0.52-1.20], respectively). The interaction between prehospital AAM and region was significant (P=0.01).
conclusionThe effects of prehospital AAM on outcomes of OHCA patients differed according to regional variability in the EMS systems.
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