Effectiveness of prehospital Magill forceps use for out-of-hospital cardiac arrest due to foreign body airway obstruction in Osaka City.
Effectiveness of prehospital Magill forceps use for out-of-hospital cardiac arrest due to foreign body airway obstruction in Osaka City.
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DOI：
10.1186/s13049-014-0053-3
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发表时间：
2014-09-04
期刊：
影响因子：
--
通讯作者：
Shimazu T
中科院分区：
文献类型：
--
作者：
Sakai T;Kitamura T;Iwami T;Nishiyama C;Tanigawa-Sugihara K;Hayashida S;Nishiuchi T;Kajino K;Irisawa T;Shiozaki T;Ogura H;Tasaki O;Kuwagata Y;Hiraide A;Shimazu T
虽然异物气道阻塞（FBAO）占许多可预防的意外事故，很少有人知道FBAO患者的流行病学和钳使用对这些患者的影响。本研究旨在评估由紧急医疗服务（EMS）人员运送到医院的FBAO患者的特征，并验证院前马吉尔钳使用与院外心脏骤停（OHCA）FBAO患者结局之间的关系。我们回顾性分析了2000年至2007年大坂市所有接受EMS治疗的FBAO患者的救护车记录，并评估了这些患者的特征。我们还进行了多变量逻辑回归分析，以评估与旁观者见证的OHCA患者喉或咽部FBAO的神经学有利生存相关的因素。在研究期间，共有2，354名患者患有FBAO。婴儿和老年人的年龄呈双峰分布。其中，466人（19.8%）在EMS到达现场时有OHCA，344人被旁观者目睹。在多变量分析中，使用马吉尔钳治疗OHCA伴喉或咽部FBAO是神经系统良好生存率的独立预测因素（使用马吉尔钳组为16.4% [24/146]，未使用组为4.3% [4/94];校正比值比为3.96 [95%置信区间，1.21-13.00]，p = 0.023）。从大坂的大型登记研究中，我们发现院前马吉尔钳的使用与旁观者见证的OHCA FBAO患者的结局改善相关。
Although foreign body airway obstruction (FBAO) accounts for many preventable unintentional accidents, little is known about the epidemiology of FBAO patients and the effect of forceps use on those patients. This study aimed to assess characteristics of FBAO patients transported to hospitals by emergency medical service (EMS) personnel, and to verify the relationship between prehospital Magill forceps use and outcomes among out-of-hospital cardiac arrests (OHCA) patients with FBAO. We retrospectively reviewed ambulance records of all patients who suffered FBAO, and were treated by EMS in Osaka City from 2000 through 2007, and assessed the characteristics of those patients. We also performed a multivariate logistic-regression analysis to assess factors associated with neurologically favorable survival among bystander-witnessed OHCA patients with FBAO in larynx or pharynx. A total of 2,354 patients suffered from FBAO during the study period. There was a bimodal distribution by age among infants and old adults. Among them, 466 (19.8%) had an OHCA when EMS arrived at the scene, and 344 were witnessed by bystanders. In the multivariate analysis, Magill forceps use for OHCA with FBAO in larynx or pharynx was an independent predictor of neurologically favorable survival (16.4% [24/146] in the Magill forceps use group versus 4.3% [4/94] in the non-use group; adjusted odds ratio, 3.96 [95% confidence interval, 1.21–13.00], p = 0.023). From this large registry in Osaka, we revealed that prehospital Magill forceps use was associated with the improved outcome of bystander-witnessed OHCA patients with FBAO.
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影响因子：
37.8
作者：
CUMMINS, RO;CHAMBERLAIN, DA;THIES, WH
通讯作者：
THIES, WH
DOI：
10.1080/10903129908958897
发表时间：
1999-01-01
期刊：
Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors
影响因子：
--
作者：
Andazola, J J;Sapien, R E
通讯作者：
Sapien, R E
影响因子：
6.5
作者：
Tanigawa, K;Tanaka, K
通讯作者：
Tanaka, K
影响因子：
2.4
作者：
Soroudi, Arash;Shipp, Holly E.;Vilke, Gary M.
通讯作者：
Vilke, Gary M.
影响因子：
2.5
作者：
Irisawa T;Iwami T;Kitamura T;Nishiyama C;Sakai T;Tanigawa-Sugihara K;Hayashida S;Nishiuchi T;Shiozaki T;Tasaki O;Kawamura T;Hiraide A;Shimazu T
通讯作者：
Shimazu T