Out-of-hospital cardiac arrests: The effectiveness of prehospital epinephrine use and ventilation management on the short-term survival of patients

Gökdemir, Mehmet Tahir; ALBAYRAK, LEVENT

doi:10.5455/annalsmedres.2019.05.299

Out-of-hospital cardiac arrests: The effectiveness of prehospital epinephrine use and ventilation management on the short-term survival of patients

Mehmet Tahir GÖKDEMİR, (Sağlık Bilimleri Üniversitesi, Gazi Yaşargil Eğitim ve Araştırma Hastanesi, Acil Servis, Diyarbakır, Türkiye)

Levent ALBAYRAK (Bozok Üniversitesi, Tıp Fakültesi, Acil Anabilim Dalı, Yozgat, Türkiye)

Annals of Medical Research

1 0

Yıl: 2019 Cilt: 26 Sayı: 12 Sayfa Aralığı: 2738 - 2742 Metin Dili: İngilizce DOI: 10.5455/annalsmedres.2019.05.299 İndeks Tarihi: 25-09-2020

Out-of-hospital cardiac arrests: The effectiveness of prehospital epinephrine use and ventilation management on the short-term survival of patients

Öz:

Aim: The purpose of this study was to determine the effects of using a bag-valve-mask (BVM) or endotracheal intubation (EI), andadministering epinephrine during the transfer of Out-of-hospital Cardiac Arrests (OHCA) cases, and to show the effects of BVM or EI,and epinephrine use on discharge from the hospital and patient survival.Material and Methods: Totally 109 OHCA patients were included in the study. Group 1 included patients in whom return of spontaneouscirculation was achieved after Cardiopulmonary resuscitation (CPR) and who were then discharged from the hospital within 30 days.Group 2 included patients who died after emergency CPR or hospitalization. A Student’s t-test was used for normally distributedcontinuous values, and a Chi-square (χ2) test was used for numerical data.Results: Sixteen (14.7%) of the OHCA cases survived and were discharged within 30 days, and 93 (85.3%) died. The outcomes weresimilar between those who received endotracheal intubation (EI) and BVM during hospital transfer (p = 0.569). Epinephrine wasadministered to 15 (19.2%) patients in group 2 and 5 (45.4%) patients in group 1 during the transfer period, but this difference was notsignificant (p = 0.167). Logistic regression modelling did not find an association between type of airway management, epinephrineuse and 30-day discharge survival.Conclusion: The results of this study show that epinephrine had no effect on patient survival or hospital discharge in OHCA patients.Additionally, the effects of EI and BVM on 30-day survival and hospital discharge were similar.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Gökdemir M, ALBAYRAK L (2019). Out-of-hospital cardiac arrests: The effectiveness of prehospital epinephrine use and ventilation management on the short-term survival of patients. , 2738 - 2742. 10.5455/annalsmedres.2019.05.299
Chicago	Gökdemir Mehmet Tahir,ALBAYRAK LEVENT Out-of-hospital cardiac arrests: The effectiveness of prehospital epinephrine use and ventilation management on the short-term survival of patients. (2019): 2738 - 2742. 10.5455/annalsmedres.2019.05.299
MLA	Gökdemir Mehmet Tahir,ALBAYRAK LEVENT Out-of-hospital cardiac arrests: The effectiveness of prehospital epinephrine use and ventilation management on the short-term survival of patients. , 2019, ss.2738 - 2742. 10.5455/annalsmedres.2019.05.299
AMA	Gökdemir M,ALBAYRAK L Out-of-hospital cardiac arrests: The effectiveness of prehospital epinephrine use and ventilation management on the short-term survival of patients. . 2019; 2738 - 2742. 10.5455/annalsmedres.2019.05.299
Vancouver	Gökdemir M,ALBAYRAK L Out-of-hospital cardiac arrests: The effectiveness of prehospital epinephrine use and ventilation management on the short-term survival of patients. . 2019; 2738 - 2742. 10.5455/annalsmedres.2019.05.299
IEEE	Gökdemir M,ALBAYRAK L "Out-of-hospital cardiac arrests: The effectiveness of prehospital epinephrine use and ventilation management on the short-term survival of patients." , ss.2738 - 2742, 2019. 10.5455/annalsmedres.2019.05.299
ISNAD	Gökdemir, Mehmet Tahir - ALBAYRAK, LEVENT. "Out-of-hospital cardiac arrests: The effectiveness of prehospital epinephrine use and ventilation management on the short-term survival of patients". (2019), 2738-2742. https://doi.org/10.5455/annalsmedres.2019.05.299

APA	Gökdemir M, ALBAYRAK L (2019). Out-of-hospital cardiac arrests: The effectiveness of prehospital epinephrine use and ventilation management on the short-term survival of patients. Annals of Medical Research, 26(12), 2738 - 2742. 10.5455/annalsmedres.2019.05.299
Chicago	Gökdemir Mehmet Tahir,ALBAYRAK LEVENT Out-of-hospital cardiac arrests: The effectiveness of prehospital epinephrine use and ventilation management on the short-term survival of patients. Annals of Medical Research 26, no.12 (2019): 2738 - 2742. 10.5455/annalsmedres.2019.05.299
MLA	Gökdemir Mehmet Tahir,ALBAYRAK LEVENT Out-of-hospital cardiac arrests: The effectiveness of prehospital epinephrine use and ventilation management on the short-term survival of patients. Annals of Medical Research, vol.26, no.12, 2019, ss.2738 - 2742. 10.5455/annalsmedres.2019.05.299
AMA	Gökdemir M,ALBAYRAK L Out-of-hospital cardiac arrests: The effectiveness of prehospital epinephrine use and ventilation management on the short-term survival of patients. Annals of Medical Research. 2019; 26(12): 2738 - 2742. 10.5455/annalsmedres.2019.05.299
Vancouver	Gökdemir M,ALBAYRAK L Out-of-hospital cardiac arrests: The effectiveness of prehospital epinephrine use and ventilation management on the short-term survival of patients. Annals of Medical Research. 2019; 26(12): 2738 - 2742. 10.5455/annalsmedres.2019.05.299
IEEE	Gökdemir M,ALBAYRAK L "Out-of-hospital cardiac arrests: The effectiveness of prehospital epinephrine use and ventilation management on the short-term survival of patients." Annals of Medical Research, 26, ss.2738 - 2742, 2019. 10.5455/annalsmedres.2019.05.299
ISNAD	Gökdemir, Mehmet Tahir - ALBAYRAK, LEVENT. "Out-of-hospital cardiac arrests: The effectiveness of prehospital epinephrine use and ventilation management on the short-term survival of patients". Annals of Medical Research 26/12 (2019), 2738-2742. https://doi.org/10.5455/annalsmedres.2019.05.299