Pre-hospital advanced airway management for adults with out-of-hospital cardiac arrest: Nationwide cohort study

Izawa, Junichi; Komukai, Sho; Gibo, Koichiro; Okubo, Masashi; Kiyohara, Kosuke; Nishiyama, Chika; Kiguchi, Takeyuki; Matsuyama, Tasuku; Kawamura, Takashi; Iwami, Taku; Callaway, Clifton W.; Kitamura, Tetsuhisa

doi:https://doi.org/10.1136/bmj.l430

Pre-hospital advanced airway management for adults with out-of-hospital cardiac arrest: Nationwide cohort study

Izawa, Junichi; Komukai, Sho; Gibo, Koichiro et al.

BMJ (Online), 2019, 364

アクセス数:1,104件（2025-12-10 09:01 集計）

固定URL: https://hdl.handle.net/11094/78389

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タイトル	Pre-hospital advanced airway management for adults with out-of-hospital cardiac arrest: Nationwide cohort study
著者	著者名 Izawa, Junichi
	NRID 1000070794543 1000070794543 ORCID 0000-0002-4329-2520 0000-0002-4329-2520 researchmap permalink sho.komukai sho.komukai Scopus Author ID 57200127087 57200127087 著者名 Komukai, Sho
	著者名 Gibo, Koichiro
	著者名 Okubo, Masashi
	NRID 1000080581834 1000080581834 著者名 Kiyohara, Kosuke
	NRID 1000040584842 1000040584842 著者名 Nishiyama, Chika
	NRID 1000030724380 1000030724380 著者名 Kiguchi, Takeyuki
	NRID 1000050829025 1000050829025 著者名 Matsuyama, Tasuku
	NRID 1000010252230 1000010252230 著者名 Kawamura, Takashi
	NRID 1000060437291 1000060437291 著者名 Iwami, Taku
	著者名 Callaway, Clifton W.
	NRID 1000030639810 1000030639810 ORCID 0000-0003-0107-0580 0000-0003-0107-0580 researchmap permalink Kitamura_T Kitamura_T Scopus Author ID 22234282700 22234282700 著者名 Kitamura, Tetsuhisa
内容	Izawa Junichi, Komukai Sho, Gibo Koichiro, Okubo Masashi, Kiyohara Kosuke, Nishiyama Chika et al. Pre-hospital advanced airway management for adults with out-of-hospital cardiac arrest: nationwide cohort study. BMJ 2019; 364 :l430
抄録	Objective To determine survival associated with advanced airway management (AAM) compared with no AAM for adults with out-of-hospital cardiac arrest. Design Cohort study between January 2014 and December 2016. Setting Nationwide, population based registry in Japan (All-Japan Utstein Registry). Participants Consecutive adult patients with out-of-hospital cardiac arrest, separated into two sub-cohorts by their first documented electrocardiographic rhythm: shockable (ventricular fibrillation or pulseless ventricular tachycardia) and non-shockable (pulseless electrical activity or asystole). Patients who received AAM during cardiopulmonary resuscitation were sequentially matched with patients at risk of AAM within the same minute on the basis of time dependent propensity scores. Main outcome measures Survival at one month or at hospital discharge within one month. Results Of the 310 620 patients eligible, 8459 (41.2%) of 20 516 in the shockable cohort and 121 890 (42.0%) of 290 104 in the non-shockable cohort received AAM during cardiopulmonary resuscitation. After time dependent propensity score sequential matching, 16 114 patients in the shockable cohort and 236 042 in the non-shockable cohort were matched at the same minute. In the shockable cohort, survival did not differ between patients with AAM and those with no AAM: 1546/8057 (19.2%) versus 1500/8057 (18.6%) (adjusted risk ratio 1.00, 95% confidence interval 0.93 to 1.07). In the non-shockable cohort, patients with AAM had better survival than those with no AAM: 2696/118 021 (2.3%) versus 2127/118 021 (1.8%) (adjusted risk ratio 1.27, 1.20 to 1.35). Conclusions In the time dependent propensity score sequential matching for out-of-hospital cardiac arrest in adults, AAM was not associated with survival among patients with shockable rhythm, whereas AAM was associated with better survival among patients with non-shockable rhythm.
出版者	BMJ Publishing Group
収録物名	BMJ (Online)
巻(号)	364
刊行年月	2019-02-28
言語	英語
ハンドルURL	https://hdl.handle.net/11094/78389
PISSN	09598146
eISSN	17561833
関連情報 (isIdenticalTo)	DOI (出版社版) https://doi.org/10.1136/bmj.l430
関連情報 (isIdenticalTo)	PMID 30819685
アクセス権	open access
権利情報	© 2019 BMJ Publishing Group Ltd. This article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
出版タイプ	Version of Record
カテゴリ	学術雑誌論文 Journal Article

資源タイプ	学術雑誌論文
ローカル資源タイプ	学術雑誌論文
DCMI資源タイプ	text
DCTERMS.bibliographicCitation	BMJ (Online). 2019, 364
DC.title	Pre-hospital advanced airway management for adults with out-of-hospital cardiac arrest: Nationwide cohort study
DC.creator	Izawa, Junichi
	Komukai, Sho
	Gibo, Koichiro
	Okubo, Masashi
	Kiyohara, Kosuke
	Nishiyama, Chika
	Kiguchi, Takeyuki
	Matsuyama, Tasuku
	Kawamura, Takashi
	Iwami, Taku
	Callaway, Clifton W.
	Kitamura, Tetsuhisa
DC.publisher	BMJ Publishing Group
DC.language' scheme='DCTERMS.RFC1766	英語
DC.type' scheme='DCTERMS.DCMIType	text
DCTERMS.issued' scheme='DCTERMS.W3CDTF	2019-02-28
DC.identifier	https://doi.org/10.1136/bmj.l430
DC.description	Izawa Junichi, Komukai Sho, Gibo Koichiro, Okubo Masashi, Kiyohara Kosuke, Nishiyama Chika et al. Pre-hospital advanced airway management for adults with out-of-hospital cardiac arrest: nationwide cohort study. BMJ 2019; 364 :l430
DCTERMS.abstract	Objective To determine survival associated with advanced airway management (AAM) compared with no AAM for adults with out-of-hospital cardiac arrest. Design Cohort study between January 2014 and December 2016. Setting Nationwide, population based registry in Japan (All-Japan Utstein Registry). Participants Consecutive adult patients with out-of-hospital cardiac arrest, separated into two sub-cohorts by their first documented electrocardiographic rhythm: shockable (ventricular fibrillation or pulseless ventricular tachycardia) and non-shockable (pulseless electrical activity or asystole). Patients who received AAM during cardiopulmonary resuscitation were sequentially matched with patients at risk of AAM within the same minute on the basis of time dependent propensity scores. Main outcome measures Survival at one month or at hospital discharge within one month. Results Of the 310 620 patients eligible, 8459 (41.2%) of 20 516 in the shockable cohort and 121 890 (42.0%) of 290 104 in the non-shockable cohort received AAM during cardiopulmonary resuscitation. After time dependent propensity score sequential matching, 16 114 patients in the shockable cohort and 236 042 in the non-shockable cohort were matched at the same minute. In the shockable cohort, survival did not differ between patients with AAM and those with no AAM: 1546/8057 (19.2%) versus 1500/8057 (18.6%) (adjusted risk ratio 1.00, 95% confidence interval 0.93 to 1.07). In the non-shockable cohort, patients with AAM had better survival than those with no AAM: 2696/118 021 (2.3%) versus 2127/118 021 (1.8%) (adjusted risk ratio 1.27, 1.20 to 1.35). Conclusions In the time dependent propensity score sequential matching for out-of-hospital cardiac arrest in adults, AAM was not associated with survival among patients with shockable rhythm, whereas AAM was associated with better survival among patients with non-shockable rhythm.
DC.rights	© 2019 BMJ Publishing Group Ltd. This article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
DC.format	78389
citation_title	Pre-hospital advanced airway management for adults with out-of-hospital cardiac arrest: Nationwide cohort study
citation_author	Izawa, Junichi
	Komukai, Sho
	Gibo, Koichiro
	Okubo, Masashi
	Kiyohara, Kosuke
	Nishiyama, Chika
	Kiguchi, Takeyuki
	Matsuyama, Tasuku
	Kawamura, Takashi
	Iwami, Taku
	Callaway, Clifton W.
	Kitamura, Tetsuhisa
citation_publisher	BMJ Publishing Group
citation_language	英語
citation_date	2019-02-28
citation_journal_title	BMJ (Online)
citation_volume	364
citation_doi	https://doi.org/10.1136/bmj.l430
citation_pmid	30819685
citation_public_url	https://hdl.handle.net/11094/78389

Pre-hospital advanced airway management for adults with out-of-hospital cardiac arrest: Nationwide cohort study

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