OBJECTIVE: Overall survival from out-of-hospital @entity1167 (OHCA) is less than 10%. After initial bag-valve mask ventilation, 80% of @entity1 receive an advanced airway, either by endotracheal intubation (ETI) or placement of a supraglottic airway (SGA). The objective of this meta-analysis was to compare @entity1 outcomes for these two advanced airway methods in OHCA @entity1 treated by Emergency Medical Services (EMS). METHODS: A dual-reviewer search was conducted in PubMed, Scopus, and the Cochrane Database to identify all relevant peer-reviewed articles for inclusion in the meta-analysis. Exclusion criteria were traumatic arrests, pediatric @entity1 , physician/nurse intubators, rapid sequence intubation, video devices, and older airway devices. Outcomes were (1) return of spontaneous circulation (ROSC), (2) survival to hospital admission, (3) survival to hospital discharge, and (4) neurologically intact survival to hospital discharge. Results were adjusted for covariates when available and combined using the random effects model. RESULTS: From 3,454 titles, 10 observational studies fulfilled all criteria, representing 34,533 ETI @entity1 and 41,116 SGA @entity1 . Important covariates were similar between groups. @entity1 who received ETI had statistically significant higher odds of ROSC (odds ratio [OR] 1.28, 95% confidence interval [CI] 1.05-1.55), survival to hospital admission (OR 1.34, CI 1.03-1.75), and neurologically intact survival (OR 1.33, CI 1.09-1.61) compared to SGA. Survival to hospital discharge was not statistically different (OR 1.15, CI 0.97-1.37). CONCLUSIONS: @entity1 with OHCA who receive ETI by EMS are more likely to obtain ROSC, survive to hospital admission, and survive neurologically intact when compared to SGA.

Endotracheal intubation versus supraglottic airway placement in out-of-hospital XXXX : A meta-analysis.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'Patients'] @entity1167 :: ('MESH:D006323', 'Disease') :: ['cardiac arrest']
@entity1167 :: (MESH:D006323,Disease) :: ['cardiac arrest']
