ArticleJournal of emergencies, trauma, and shock
Outcomes of Prehospital versus Emergency Department Intubation in Patients Managed by Emergency Medical Services.
Article in Journal of emergencies, trauma, and shock. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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Who cites it
1 citing paper in PubMed.
- What's New in Emergencies Trauma and Shock - Timing of Definitive Airway Management in Emergency Medical Services Patients: Is Earlier Better?Journal of emergencies, trauma, and shockArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Prehospital endotracheal intubation (ETI) is a critical intervention in emergency care; however, its benefit compared to ETI performed in the emergency department (ED) remains uncertain. This study aims to compare survival to hospital discharge between patients who underwent ETI in the prehospital setting versus those intubated in the ED, all managed by a single emergency medical services (EMS) system. Methods: This retrospective cohort study included adult patients treated by the EMS team of Thammasat University Hospital from January 2019 to June 2021 who received ETI either at the scene or within 1 h of ED arrival. Both prehospital and ED ETIs were performed by physicians. The primary outcome was survival to hospital discharge. The secondary outcome was length of hospital stay. Multivariable and propensity score-matched analyses were performed. Results: Of 219 included patients, 106 underwent prehospital intubation, and 113 underwent ED intubation. Survival to hospital discharge was higher in the ED group than in the prehospital group (65% vs. 26%; Conclusion: Among EMS-managed patients requiring ETI, ED intubation was associated with higher crude and adjusted survival; however, this association did not persist after propensity score matching. These findings suggest that baseline differences may partly explain the observed effect and underscore the need for prospective studies to clarify the comparative effectiveness of prehospital airway strategies.
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