Acute cardiac care & resuscitation
Prehospital emergency cricothyroidotomy in Denmark: a nationwide cohort study, 2016–2023
Authors' conclusion
Prehospital emergency cricothyroidotomy was an exceedingly rare procedure but demonstrated high procedural success in this nationwide physician-staffed Emergency Medical Services system. Survival among patients with OHCA was relatively low, reflecting the critical condition of patients requiring emergency cricothyroidotomy.
Study context
- Population
- All patients undergoing prehospital emergency cricothyroidotomy in Denmark between 2016 and 2023validated prehospital emergency cricothyroidotomy cases
- Participants
- 71 patients
- Exposure
- Out-of-hospital cardiac arrest (OHCA) vs without OHCA
- OHCAn = 48
- Without OHCAn = 23
- Outcome
- Procedural success
Methodological detailsiterative free-text searches and manual validation, linkage with the Danish Cardiac Arrest Register
- Iterative free-text searches and manual validation
- Linkage with the Danish Cardiac Arrest Register
Main finding
As reported in the abstract
- Overall procedural success
- 87.3%
Observational data: associations, not effects.
Further findings
Indications
- Aspiration
- 32.4%
- Oropharyngeal bleeding
- 33.8%
- Most frequent indications
Outcomes among the 48 patients with OHCA
- Return of spontaneous circulation
- 25.0%
- 30-day survival
- 4.5%
- One-year survival
- 2.3%
Emergency cricothyroidotomy among nationwide OHCA patients
- Performed in 48 of 39,885 nationwide OHCA patients
- 0.12%
Original publication
Prehospital emergency cricothyroidotomy in Denmark: a nationwide cohort study, 2016–2023. Resuscitation. Published 24 August 2026. doi:10. 1016/ j. resuscitation. 2026. 111276
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