[논문]Prevalence and outcomes of endotracheal intubation-related cardiac arrest in the ED

Ko, B.S.; Ahn, R.; Ryoo, S.M.; Ahn, S.; Sohn, C.H.; Seo, D.W.; Lim, K.S.; Kim, W.Y.

doi:10.1016/j.ajem.2015.07.083

Prevalence and outcomes of endotracheal intubation-related cardiac arrest in the ED

The American journal of emergency medicine, v.33 no.11, 2015년, pp.1642 - 1645

Ko, B.S. , Ahn, R. , Ryoo, S.M. , Ahn, S. , Sohn, C.H. , Seo, D.W. , Lim, K.S. , Kim, W.Y.

Abstract ▼ AI-Helper

Background: Emergency endotracheal intubation-related cardiac arrest (CA) is not well documented. This study compares the clinical features and outcomes of intubation-related CA and other causes of inhospital CA. Methods: All study patients were consecutive adults (≥18 years) who developed CA in the emergency department between January 2007 and December 2011. Emergent endotracheal intubation-related CA was defined as occurring within 20 minutes after successful intubation. Clinical variables were compared between patients with intubation-related CA and intubation-unrelated CA. The primary outcome was a good neurologic outcome defined as a Cerebral Performance Category score of 1 to 2. The secondary outcome was survival to hospital discharge. Results: Of the 251 patients who developed CA, 41 were excluded due to trauma-related CA or ''do-not-resuscitate'' protocols, thereby leaving 210 patients. The prevalence of intubation-related CA was 23.3%, and the median duration between successful intubation and CA was 5.0 minutes (interquartile range, 2.0-9.5). Pulseless electrical activity was more commonly noted as the first arrest rhythm in the intubation-related CA group (75.5% vs 59.0%; P = .03) compared with patients with other causes of CA. However, the rates of good neurologic outcomes (14.3% vs 21.1%) and survival to discharge (34.7% vs 35.4%) were not significantly higher in intubation-related CA group (both P > .05). Conclusion: Endotracheal intubation-related CA occurred higher than commonly recognized, and patient outcomes were not better than other causes of CA. These data highlight the importance of efforts to prevent intubation-related CA. However, further prospective larger study will be required to generalize this result.

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Prevalence and outcomes of endotracheal intubation-related cardiac arrest in the ED

Abstract ▼ AI-Helper

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