Cardiac arrest & resuscitation
Effect of video laryngoscopy for non-trauma out-of-hospital cardiac arrest on clinical outcome: A registry-based analysis
Main finding · CPC1/2 survivalResult — go to the resultOdds ratio 1.34 95% CI 1.12–1.61Authors' conclusion
VL for endotracheal intubation (ETI) at OHCA was associated with better neurological outcome in patients with ROSC.
Study context
- Population
- Non-traumatic Out-of-hospital Cardiac Arrest (OHCA) patients, German Resuscitation Registry, 1 January 2018–31 December 2021
- Participants
- 14,387 patients
- Exposure
- Videolaryngoscopy (VL) vs direct laryngoscopy (DL) for airway management during cardiopulmonary resuscitation (CPR)
- VLn = 2,201
- DLn = 12,186reference
- Outcome
- Discharge with cerebral performance categories 1 and 2 (CPC1/2)
Methodological detailsGerman Resuscitation Registry, multivariate binary logistic regression
- German Resuscitation Registry
- Multivariate binary logistic regression
Main finding
CPC1/2 survival
Odds ratio
1.34
95% CI 1.12–1.61
P = 0.002
VL vs DL
OR 1.34 (95% CI 1.12–1.61); P = 0.002
As reported in the abstract
Observational data: associations, not effects.
Secondary outcomes
| Outcome | OR (95% CI) | P value | |
|---|---|---|---|
| Hospital discharge/30-day survivalMultivariate regression | 1.26 (1.08–1.47) | P = 0,004 | |
| 0.512Odds ratio (log scale) |
Original publication
Effect of video laryngoscopy for non-trauma out-of-hospital cardiac arrest on clinical outcome: A registry-based analysis. Resuscitation. Published 5 January 2023. doi:10. 1016/ j. resuscitation. 2023. 109688
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