Observational studyScandinavian journal of trauma, resuscitation and emergency medicine2022
Intubation first-pass success in a high performing pre-hospital critical care system is not associated with 30-day mortality: a registry study of 4496 intubation attempts.
Observational study in Scandinavian journal of trauma, resuscitation and emergency medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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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.
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Who cites it
14 citing papers in PubMed.
- Reality matters: in-field validation of fresh frozen cadaver-based airway training in HEMS - the BOAH Initiative: a prospective observational cohort study.BMC emergency medicine · 2026Observational
- Intubation exposure associated with first-pass success - understanding practitioner-related characteristics in South African EMS.International journal of emergency medicine · 2026Article
- Indications, techniques, success rates and complications of emergency airway management in Thuringian emergency departments: a prospective registry analysis.World journal of emergency medicine · 2026Article
- Association of Cerebral Oxygenation During Prehospital Anaesthesia and Functional Outcome: A Prospective, Observational Multi-Centre Cohort Study of 1014 Patients.Acta anaesthesiologica Scandinavica · 2026Observational
- First-attempt success and associated factors among emergency tracheal intubations in two addis Ababa hospitals.BMC emergency medicine · 2025Observational
- The impact of airway assistants on prehospital endotracheal intubations - a subgroup analysis of data from anaesthesiologist-staffed helicopter critical care teams.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
- Comparison of Esketamine and Propofol for Prehospital Emergency Anaesthesia in Patients With Traumatic Brain Injury-A Retrospective Observational Study.Acta anaesthesiologica Scandinavica · 2025Observational
- Review
- Association of prehospital invasive blood pressure measurement and treatment times of intubated patients with suspected stroke - a retrospective study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
- Non-invasive ventilation for preoxygenation during prehospital anaesthesia - a prospective observational study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Observational
- Outcomes in patients with out-of-hospital cardiac arrest according to prehospital advanced airway management timing: a retrospective observational study.Journal of Yeungnam medical science · 2024Article
- The i-gelJournal of the American College of Emergency Physicians open · 2024Article
- Emergency airway management in resource limited setting.International journal of emergency medicine · 2024Review
- Predictors of first-pass success intubations in the emergency departments in Germany: analysis of the German Airway Registry between 2015 and 2022.World journal of emergency medicine · 2024Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundLower intubation first-pass success (FPS) rate is associated with physiological deterioration, and FPS is widely used as a quality indicator of the airway management of a critically ill patient. However, data on FPS's association with survival is limited. We aimed to investigate if the FPS rate is associated with 30-day mortality or physiological complications in a pre-hospital setting. Furthermore, we wanted to describe the FPS rate in Finnish helicopter emergency medical services.
methodsThis was a retrospective observational study. Data on drug-facilitated intubation attempts by helicopter emergency medical services were gathered from a national database and analysed. Multivariate logistic regression, including known prognostic factors, was performed to assess the association between FPS and 30-day mortality, collected from population registry data.
resultsOf 4496 intubation attempts, 4082 (91%) succeeded on the first attempt. The mortality rates in FPS and non-FPS patients were 34% and 38% (P = 0.21), respectively. The adjusted odds ratio of FPS for 30-day mortality was 0.88 (95% CI 0.66-1.16). Hypoxia after intubation and at the time of handover was more frequent in the non-FPS group (12% vs. 5%, P < 0.001, and 5% vs. 3%, P = 0.01, respectively), but no significant differences were observed regarding other complications.
conclusionFPS is not associated with 30-day mortality in pre-hospital critical care delivered by advanced providers. It should therefore be seen more as a process quality indicator instead of a risk factor of poor outcome, at least considering the current limitations of the parameter.
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