Abstract 14988: Prehospital Endotracheal Intubation Increases Survival of Patients With Out of Hospital Cardiac Arrest
Introduction: Prehospital endotracheal intubation (PETI) is a prominent intervention for out-of-hospital cardiac arrest (OHCA) patients. However, its effect remained controversial. Besides, how paramedic experiences influence the success of PETI remained unclear.
Hypothesis: For non-traumatic OHCA patients, receiving PETI comparing to other airway management have better survival to hospital discharge.
Methods: We analyzed a 5-year Utstein-based registry of OHCA in Taipei. Enrollees were adult, non-traumatic OHCAs. Intervention was PETI vs. non-PETI. Outcomes were sustained return of spontaneous circulation (ROSC) and survival to discharge. Analysis of paramedic experiences of previous PETI to predict the success of next PETI were conducted by the area under curve (AUC).
Results: From 2008 to 2013, total 10853 cases were enrolled. Prehospital endotracheal intubation was successful in 1541 cases out of 2000 attempts. The PETI versus non-PETI had higher rates of sustained ROSC (31.0% vs. 22.5%, p < 0.01) and survival to discharge (9.2% vs. 6.3%, p < 0.01). The adjusted odds ratios of PETI were 1.54 (95% confidence interval (CI) 1.33-1.78) on sustained ROSC and 2.01 (95% CI 1.62-2.50) on survival to discharge. Annual experience of twice successful intubations in seniority of 1 to 3 years and once successful intubation in seniority longer than 3 years predict next success with AUC 0.75 and 0.76.
Conclusions: Among adult OHCAs in asian city, prehospital endotracheal intubation have better ROSC and survival to discharge. Experience of successful intubation twice a year in the junior paramedics and once a year in the senior paramedics predict next success of intubation. <!--EndFragment-->
Author Disclosures: S. Hsu: None. W. Chiang: None. M. Ma: None.
- © 2016 by American Heart Association, Inc.