Evidence map›Paper›PMID 34992885›Full record

ArticleEmergency medicine international2021

Outcomes of Early versus Late Endotracheal Intubation in Patients with Initial Non-Shockable Rhythm Cardiopulmonary Arrest in the Emergency Department.

Kiattichai Daorattanachai, Winchana Srivilaithon, Vitchapon Phakawan, Intanon Imsuwan

Abstract read
In one paragraph

Article in Emergency medicine international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

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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

2 citing papers in PubMed.

  1. Article
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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

4 authors.

Kiattichai DaorattanachaiDepartment of Emergency Medicine, Faculty of Medicine, Thammasat University, Pathum Thani 12120, Thailand.ORCID https://orcid.org/0000-0001-6057-256X
Winchana SrivilaithonDepartment of Emergency Medicine, Faculty of Medicine, Thammasat University, Pathum Thani 12120, Thailand.ORCID https://orcid.org/0000-0003-3056-7473
Vitchapon PhakawanDepartment of Emergency Medicine, Faculty of Medicine, Thammasat University, Pathum Thani 12120, Thailand.
Intanon ImsuwanDepartment of Emergency Medicine, Faculty of Medicine, Thammasat University, Pathum Thani 12120, Thailand.ORCID https://orcid.org/0000-0001-8748-9360

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSudden cardiac arrest is a critical condition in the emergency department (ED). Currently, there is no considerable evidence supporting the best time to complete advanced airway management (AAM) with endotracheal intubation in cardiac arrest patients presented with initial non-shockable cardiac rhythm.

objectivesTo compare survival to hospital discharge and discharge with favorable neurological outcome between the ED cardiac arrest patients who have received AAM with endotracheal intubation within 2 minutes (early AAM group) and those over 2 minutes (late AAM group) after the start of chest compression in ED.

methodsWe conducted a retrospective cohort study involving the ED cardiac arrest patients who presented with initial non-shockable rhythm in ED. Multivariable logistic regression analysis was used to evaluate the independent effect of early AAM on outcomes. The outcomes included the survival to hospital discharge and discharge with favorable neurological outcome.

resultsThere were 416 eligible participants: 209 in the early AAM group and 207 participants in the late AAM group. The early AAM group showed higher survival to hospital discharge compared with the late AAM group, but no statistically significant difference (adjusted odds ratio (aOR): 1.28, 95% confidence interval (CI): 0.59 -2.76,

conclusionThis study did not demonstrate a significant improvement of survival to hospital discharge and discharge with favorable neurological outcome in the ED cardiac arrest patients with initial non-shockable cardiac arrest who underwent early AAM within two minutes. More research is needed on the timing of AAM and on airway management strategies to improve survival.

Identifiers

PMID34992885
PMCPMC8727158

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