Cardiac arrest & resuscitation

Effect of video laryngoscopy for non-trauma out-of-hospital cardiac arrest on clinical outcome: A registry-based analysis

ResuscitationPublished Retrospective registry-based cohort study

Main finding · CPC1/2 survivalResult — go to the resultOdds ratio 1.34 95% CI 1.12–1.61

Authors' 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

OutcomeOR (95% CI)P value
Hospital discharge/30-day survivalMultivariate regression1.26 (1.08–1.47)P = 0,004

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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