Effectiveness of prehospital Magill forceps use for out-of-hospital cardiac arrest due to foreign body airway obstruction in Osaka City

Sakai, Tomohiko; Kitamura, Tetsuhisa; Iwami, Taku; Nishiyama, Chika; Tanigawa, Kayo; Hayashida, Sumito; Nishiuchi, Tatsuya; Kajino, Kentaro; Irisawa, Taro; Shiozaki, Tadahiko; Ogura, Hiroshi; Tasaki, Osamu; Kuwagata, Yasuyuki; Hiraide, Atsushi; Shimazu, Takeshi

doi:https://doi.org/10.1186/s13049-014-0053-3

Effectiveness of prehospital Magill forceps use for out-of-hospital cardiac arrest due to foreign body airway obstruction in Osaka City

Sakai, Tomohiko; Kitamura, Tetsuhisa; Iwami, Taku et al.

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 2014, 22, 53

アクセス数:1,657件（2025-10-24 15:49 集計）

固定URL: https://hdl.handle.net/11094/78411

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タイトル	Effectiveness of prehospital Magill forceps use for out-of-hospital cardiac arrest due to foreign body airway obstruction in Osaka City
著者	NRID 1000050456985 1000050456985 researchmap permalink sakaitomohiko sakaitomohiko Scopus Author ID 35746769000 35746769000 著者名 Sakai, Tomohiko
	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
	NRID 1000060437291 1000060437291 著者名 Iwami, Taku
	NRID 1000040584842 1000040584842 著者名 Nishiyama, Chika
	著者名 Tanigawa, Kayo 著者の別表記 Sugihara, Kayo
	著者名 Hayashida, Sumito
	NRID 1000060588804 1000060588804 著者名 Nishiuchi, Tatsuya
	著者名 Kajino, Kentaro
	NRID 1000050379202 1000050379202 researchmap permalink taroiri taroiri Scopus Author ID 7006596493 7006596493 著者名 Irisawa, Taro
	NRID 1000060278687 1000060278687 researchmap permalink read0054653 read0054653 Scopus Author ID 7006682458 7006682458 著者名 Shiozaki, Tadahiko
	NRID 1000070301265 1000070301265 researchmap permalink read0054647 read0054647 Scopus Author ID 7202495132 7202495132 著者名 Ogura, Hiroshi
	NRID 1000090346221 1000090346221 著者名 Tasaki, Osamu
	NRID 1000050273678 1000050273678 著者名 Kuwagata, Yasuyuki
	NRID 1000020199037 1000020199037 著者名 Hiraide, Atsushi
	NRID 1000050196474 1000050196474 著者名 Shimazu, Takeshi
キーワード等	Cardiac arrest
	Emergency medical service
	Foreign body airway obstruction
	Magill forceps
内容	Sakai, T., Kitamura, T., Iwami, T. et al. Effectiveness of prehospital Magill forceps use for out-of-hospital cardiac arrest due to foreign body airway obstruction in Osaka City. Scand J Trauma Resusc Emerg Med 22, 53 (2014). https://doi.org/10.1186/s13049-014-0053-3
抄録	Background: Although foreign body airway obstruction (FBAO) accounts for many preventable unintentional accidents, little is known about the epidemiology of FBAO patients and the effect of forceps use on those patients. This study aimed to assess characteristics of FBAO patients transported to hospitals by emergency medical service (EMS) personnel, and to verify the relationship between prehospital Magill forceps use and outcomes among out-of-hospital cardiac arrests (OHCA) patients with FBAO. Methods: We retrospectively reviewed ambulance records of all patients who suffered FBAO, and were treated by EMS in Osaka City from 2000 through 2007, and assessed the characteristics of those patients. We also performed a multivariate logistic-regression analysis to assess factors associated with neurologically favorable survival among bystander-witnessed OHCA patients with FBAO in larynx or pharynx. Results: A total of 2,354 patients suffered from FBAO during the study period. There was a bimodal distribution by age among infants and old adults. Among them, 466 (19.8%) had an OHCA when EMS arrived at the scene, and 344 were witnessed by bystanders. In the multivariate analysis, Magill forceps use for OHCA with FBAO in larynx or pharynx was an independent predictor of neurologically favorable survival (16.4% [24/146] in the Magill forceps use group versus 4.3% [4/94] in the non-use group; adjusted odds ratio, 3.96 [95% confidence interval, 1.21-13.00], p = 0.023).Conclusions: From this large registry in Osaka, we revealed that prehospital Magill forceps use was associated with the improved outcome of bystander-witnessed OHCA patients with FBAO.
出版者	BioMed Central Ltd.
収録物名	Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
巻(号)	22
ページ	53
刊行年月	2014-09-04
言語	英語
ハンドルURL	https://hdl.handle.net/11094/78411
eISSN	17577241
関連情報 (isIdenticalTo)	DOI (出版社版) https://doi.org/10.1186/s13049-014-0053-3
関連情報 (isIdenticalTo)	PMID 25182381
アクセス権	open access
権利情報	© 2014 Sakai et al.; licensee BioMed Central Ltd. This article is licensed under a Creative Commons Attribution 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	Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. 2014, 22, p. 53
DC.title	Effectiveness of prehospital Magill forceps use for out-of-hospital cardiac arrest due to foreign body airway obstruction in Osaka City
DC.creator	Sakai, Tomohiko
	Kitamura, Tetsuhisa
	Iwami, Taku
	Nishiyama, Chika
	Tanigawa, Kayo
	Hayashida, Sumito
	Nishiuchi, Tatsuya
	Kajino, Kentaro
	Irisawa, Taro
	Shiozaki, Tadahiko
	Ogura, Hiroshi
	Tasaki, Osamu
	Kuwagata, Yasuyuki
	Hiraide, Atsushi
	Shimazu, Takeshi
DC.creator	Sugihara, Kayo
DC.publisher	BioMed Central Ltd.
DC.language' scheme='DCTERMS.RFC1766	英語
DC.type' scheme='DCTERMS.DCMIType	text
DCTERMS.issued' scheme='DCTERMS.W3CDTF	2014-09-04
DC.identifier	https://doi.org/10.1186/s13049-014-0053-3
DC.subject	Cardiac arrest
	Emergency medical service
	Foreign body airway obstruction
	Magill forceps
DC.description	Sakai, T., Kitamura, T., Iwami, T. et al. Effectiveness of prehospital Magill forceps use for out-of-hospital cardiac arrest due to foreign body airway obstruction in Osaka City. Scand J Trauma Resusc Emerg Med 22, 53 (2014). https://doi.org/10.1186/s13049-014-0053-3
DCTERMS.abstract	Background: Although foreign body airway obstruction (FBAO) accounts for many preventable unintentional accidents, little is known about the epidemiology of FBAO patients and the effect of forceps use on those patients. This study aimed to assess characteristics of FBAO patients transported to hospitals by emergency medical service (EMS) personnel, and to verify the relationship between prehospital Magill forceps use and outcomes among out-of-hospital cardiac arrests (OHCA) patients with FBAO. Methods: We retrospectively reviewed ambulance records of all patients who suffered FBAO, and were treated by EMS in Osaka City from 2000 through 2007, and assessed the characteristics of those patients. We also performed a multivariate logistic-regression analysis to assess factors associated with neurologically favorable survival among bystander-witnessed OHCA patients with FBAO in larynx or pharynx. Results: A total of 2,354 patients suffered from FBAO during the study period. There was a bimodal distribution by age among infants and old adults. Among them, 466 (19.8%) had an OHCA when EMS arrived at the scene, and 344 were witnessed by bystanders. In the multivariate analysis, Magill forceps use for OHCA with FBAO in larynx or pharynx was an independent predictor of neurologically favorable survival (16.4% [24/146] in the Magill forceps use group versus 4.3% [4/94] in the non-use group; adjusted odds ratio, 3.96 [95% confidence interval, 1.21-13.00], p = 0.023).Conclusions: From this large registry in Osaka, we revealed that prehospital Magill forceps use was associated with the improved outcome of bystander-witnessed OHCA patients with FBAO.
DC.rights	© 2014 Sakai et al.; licensee BioMed Central Ltd. This article is licensed under a Creative Commons Attribution 4.0 International License.
DC.format	78411
citation_title	Effectiveness of prehospital Magill forceps use for out-of-hospital cardiac arrest due to foreign body airway obstruction in Osaka City
citation_author	Sakai, Tomohiko
	Kitamura, Tetsuhisa
	Iwami, Taku
	Nishiyama, Chika
	Tanigawa, Kayo
	Hayashida, Sumito
	Nishiuchi, Tatsuya
	Kajino, Kentaro
	Irisawa, Taro
	Shiozaki, Tadahiko
	Ogura, Hiroshi
	Tasaki, Osamu
	Kuwagata, Yasuyuki
	Hiraide, Atsushi
	Shimazu, Takeshi
citation_publisher	BioMed Central Ltd.
citation_language	英語
citation_date	2014-09-04
citation_journal_title	Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
citation_volume	22
citation_firstpage	53
citation_doi	https://doi.org/10.1186/s13049-014-0053-3
citation_pmid	25182381
citation_public_url	https://hdl.handle.net/11094/78411

Effectiveness of prehospital Magill forceps use for out-of-hospital cardiac arrest due to foreign body airway obstruction in Osaka City

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