Evidence map›Paper›PMID 40148572›Full record

ArticleScientific reports2025

Effects of prehospital advanced airway management on cardiac arrest patients who underwent extracorporeal cardiopulmonary resuscitation.

Naoki Kawahara, Wataru Takayama, Koji Morishita, Yasuhiro Otomo, Akihiko Inoue, Toru Hifumi, Tetsuya Sakamoto, Yasuhiro Kuroda

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Naoki KawaharaTrauma and Acute Critical Care Centre, Tokyo Medical and Dental University Hospital, 1-5-45 Yushima, Bunkyo-ku, Tokyo, Japan. naokaccm@tmd.ac.jp.
Wataru TakayamaTrauma and Acute Critical Care Centre, Tokyo Medical and Dental University Hospital, 1-5-45 Yushima, Bunkyo-ku, Tokyo, Japan.
Koji MorishitaTrauma and Acute Critical Care Centre, Tokyo Medical and Dental University Hospital, 1-5-45 Yushima, Bunkyo-ku, Tokyo, Japan.
Yasuhiro OtomoNational Hospital Organization (NHO) Disaster Medical Centre, Midoricho, Tachikawa City, 3256, Tokyo, Japan.
Akihiko InoueDepartment of Emergency and Critical Care Medicine, Hyogo Emergency Medical Centre, 1-3-1 Wakihamakaigandori, Chuo-ku, Kobe, Japan.
Toru HifumiDepartment of Emergency and Critical Care Medicine, St. Luke's International Hospital, 9-1 Akashi-cho, Chuo-ku, Tokyo, Japan.
Tetsuya SakamotoDepartment of Emergency Medicine, Teikyo University School of Medicine, 2-11-1 Kaga, Itabashi-ku, Tokyo, Japan.
Yasuhiro KurodaDepartment of Emergency, Disaster and Critical Care Medicine, Kagawa University Hospital, 1750 Ikenobe, Miki-cho, Kita-gun, Kagawa, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The effect of prehospital advanced airway management (AAM) in patients with out-of-hospital cardiac arrest requiring extracorporeal cardiopulmonary resuscitation remains unclear. In this retrospective study, we analysed data from the Study of Advanced Cardiac Life Support for Ventricular Fibrillation with Extracorporeal Circulation in Japan II, encompassing 36 institutions in Japan (2013-2018). Patients were divided into two groups: those who received prehospital AAM and those who did not. The primary outcome was a favourable neurological outcome at discharge, and secondary outcomes included 30-day survival, estimated low-flow time, duration of mechanical ventilation, and length of stay in the intensive care unit. A generalised estimating equation model adjusted for prehospital confounders was used for between-group comparisons. Sensitivity analysis was performed using propensity score matching. Among 1,789 patients, those who received prehospital AAM had significantly lower favourable neurological outcomes at discharge, lower 30-day survival, longer low-flow time, shorter mechanical ventilation days, and shorter intensive care unit stay days than those who did not receive prehospital AAM. Propensity score-matched analysis confirmed these findings. Prehospital AAM in patients with out-of-hospital cardiac arrest undergoing extracorporeal cardiopulmonary resuscitation was associated with poorer clinical outcomes. Further studies are needed to optimise prehospital care for these patients.

Indexed as

Airway ManagementCardiopulmonary ResuscitationEmergency Medical ServicesExtracorporeal Membrane OxygenationOut-of-Hospital Cardiac ArrestAgedFemaleHumansIntensive Care UnitsJapanLength of StayMaleMiddle AgedPropensity ScoreRespiration, ArtificialRetrospective StudiesAdvanced air way managementEndotracheal intubationExtracorporeal cardiopulmonary resuscitationOut-of-hospital cardiac arrestSupraglottic airway devices

Identifiers

PMID40148572
PMCPMC11950174

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.