Cardiac arrest & resuscitation
Trends in use of intraosseous and intravenous access in out-of-hospital cardiac arrest across English ambulance services: A registry-based, cohort study
Authors' conclusion
In England, the use of intraosseous access in out-of-hospital cardiac arrest has progressively increased over time.
Study context
- Population
- Adults with OHCA treated by English EMS, 2015–2020 (UK OHCA Outcomes registry)
- Participants
- 75,343 adults
- Exposure
- Intraosseous vs intravenous access over time
- Outcome
- Any use of the intraosseous route during cardiac arrest
Methodological details7 English EMS systems
- 7 English EMS systems
Main finding
As reported in the abstract
Any intraosseous access
Intraosseous access in 2015
22.8%
Intraosseous access in 2020
42.5%
OR of any intraosseous access per study-month
1.019
95% CI 1.019 to 1.020p < 0.001
Observational data: associations, not effects.
Further findings
- Corresponding decrease in use of intravenous access
Original publication
Trends in use of intraosseous and intravenous access in out-of-hospital cardiac arrest across English ambulance services: A registry-based, cohort study. Resuscitation. Published 28 August 2023. doi:10.
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