Association between prehospital supraglottic airway compared with bag-mask ventilation and glasgow–pittsburgh cerebral performance category 1 in patients with out-of-hospital cardiac arrest

Persistent ID (NDL): info:ndljp/pid/12263390

Material type: 博士論文

Author: 神野, 敬祐

Publisher: -

Publication date: 2022-03-24

Material Format: Digital

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Name of awarding university/degree: 香川大学,博士（医学）

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Note (General)：: Background: This study examined the association between prehospital supraglottic airway (SGA) and/or epinephrine compared with bag-mask ventilation (B...

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Material Type: 博士論文
Title: Association between prehospital supraglottic airway compared with bag-mask ventilation and glasgow–pittsburgh cerebral performance category 1 in patients with out-of-hospital cardiac arrest
Author/Editor: 神野, 敬祐
Author Heading: 神野, 敬祐
Publication Date: 2022-03-24
Publication Date (W3CDTF): 2022-03-24
Alternative Title: 院外心停止患者における、病院前での声門上気道確保デバイスの使用と神経学的転帰との関連についての研究
Degree grantor/type: 香川大学
Date Granted: 2022-03-24
Date Granted (W3CDTF): 2022-03-24
Dissertation Number: 甲第800号
Degree Type: 博士（医学）
Conferring No. (Dissertation): 甲第800号
Text Language Code: eng
Alias of Author: Jinno, Keisuke
Subject Heading: Airway
Bag-mask ventilation
Out-of-hospital cardiac arrest
Target Audience: 一般
Note (General): Background: This study examined the association between prehospital supraglottic airway (SGA) and/or epinephrine compared with bag-mask ventilation (BMV) and Glasgow–Pittsburgh cerebral performance category (CPC) 1 status in patients with out-of-hospital cardiac arrest (OHCA) using a large, nationwide, population-based registry dataset.
Methods and Results: This was a post hoc analysis of the All-Japan Utstein Registry. We included patients with OHCA of cardiac origin aged ≥18 years with resuscitation performed by emergency medical services (EMS) between January 2011 and December 2015. The primary endpoint was favorable neurological outcome (CPC 1). The patients were divided into 4 groups according to the prehospital management performed by EMS: BMV group received only basic life support (BLS); epinephrine group received BLS plus epinephrine; SGA group received BLS plus SGA; and combined group received BLS plus epinephrine and SGA. Univariate and multivariable logistic regression analyses were performed for the primary endpoint. Among the 106,434 patients with OHCA, 48,847 received only BMV, 8,958 received BLS+epinephrine, 25,467 received BLS+SGA, and 15,551 received BLS+epinephrine+SGA. Using the BMV group as the reference, multivariable analysis showed that the epinephrine, SGA, and combined groups were independently associated with a reduced incidence of favorable neurological outcomes.
Conclusions: Our results indicated that compared with BLS, patients in the prehospital SGA and/or epinephrine groups had a significantly reduced incidence of CPC 1 status.
DOI: info:doi/10.1253/circj.CJ-19-0553
https://doi.org/info:doi/10.1253/circj.CJ-19-0553
Persistent ID (NDL): info:ndljp/pid/12263390
https://dl.ndl.go.jp/pid/12263390
Collection (particular): 国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文
https://dl.ndl.go.jp/collections/A00014
Acquisition Basis: 博士論文（自動収集）
Date Accepted (W3CDTF): 2022-05-09T11:57:37+09:00
Date Created (W3CDTF): 2022-04-21
Format (IMT): PDF
Access Restrictions: 国立国会図書館内限定公開
Service for the Digitized Contents Transmission Service: 図書館・個人送信対象外
Availability of remote photoduplication service: 可
Periodical Title (URI): https://kagawa-u.repo.nii.ac.jp/records/9551
Data Provider (Database): 国立国会図書館 : 国立国会図書館デジタルコレクション
https://dl.ndl.go.jp