Acute cardiac care & resuscitation
Secular trends in airway management of out-of-hospital cardiac arrest in the National Emergency Medical Services Information System (National EMS Information System (NEMSIS)) dataset
Authors' conclusion
Over ten years, rates of advanced airway use have increased, with ETI remaining the predominant airway for adults in OHCA. Interestingly, ETI choice decreased as SGA increased over the study period. SGA use distinctly differed in urban settings, increasing concerns for disparities in care provision among communities.
Study context
- Population
- Adult out-of-hospital cardiac arrest (OHCA) in the United States (US), NEMSIS database, 2013–2022
- Participants
- 3,118,703 OHCA events
- Exposure
- Endotracheal intubation (ETI) vs supraglottic airway (SGA) use over time
- ETIn = 699,568
- SGAn = 337,458
- Outcome
- Secular trends in proportions of ETI and SGA use during OHCA
- Follow-up
- 2013-2022
Methodological detailsnational registry (NEMSIS), descriptive, 320,154,097 adult 9-1-1 events observed
- National registry (NEMSIS)
- Descriptive
- 320,154,097 adult 9-1-1 events observed
Main finding
As reported in the abstract
Airway device use in OHCA
ETI
699,568
events
SGA
337,458
events
Observational data: associations, not effects.
Further findings
SGA use by urbanicity · 2013 to 2022
- SGA use increased in urban settings; rural and suburban remained stable
Original publication
Secular trends in airway management of out-of-hospital cardiac arrest in the National Emergency Medical Services Information System (NEMSIS) dataset. Resuscitation. Published 27 October 2023. doi:10.
Summarised from the published abstract; every number is checked against it