Cardiac arrest & resuscitation
Effect of stomach inflation during cardiopulmonary resuscitation on return of spontaneous circulation in out-of-hospital cardiac arrest patients: A retrospective observational study
Main finding · ROSCResult — go to the resultAdjusted odds ratio 0.73 95% CI 0.42–1.29Authors' conclusion
We observed a median gastric volume of 400 ml in patients after OHCA resuscitation. In our setting, gastric distention did not prevent ROSC.
Study context
- Population
- Out-of-hospital cardiac arrest (OHCA) patients with computed tomography (CT) after return of spontaneous circulation (ROSC) or immediately after death
- Participants
- 446 patients
- Exposure
- Gastric distention vs no gastric distention during CPR
- Gastric distentionn = 112
- No gastric distentionn = 334reference
- Outcome
- ROSC
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
Adjusted odds ratio
0.73
95% CI 0.42–1.29
Gastric distention vs No gastric distention
adjusted OR 0.73 (95% CI 0.42–1.29)
Observational data: associations, not effects.
Further findings
Gastric volume
- Gastric volume — Median gastric volume, all OHCA subjects
- 400 ml
- Gastric volume — ROSC achieved overall
- 120 (27%)
Factors associated with gastric distention
- Increased gastric volume associated with longer EMS activity time
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Effect of stomach inflation during cardiopulmonary resuscitation on return of spontaneous circulation in out-of-hospital cardiac arrest patients: A retrospective observational study. Resuscitation. Published 7 October 2023. doi:10. 1016/ j. resuscitation. 2023. 109994
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