Intraosseous Versus Peripheral Intravenous ...
Document type :
Article dans une revue scientifique: Article original
PMID :
Permalink :
Title :
Intraosseous Versus Peripheral Intravenous Access During Out-of-Hospital Cardiac Arrest: a Comparison of 30-Day Survival and Neurological Outcome in the French National Registry.
Author(s) :
Canon, Valentine [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Vilhelm, Christian [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Escutnaire, Josephine [Auteur]
Santé publique : épidémiologie et qualité des soins - EA 2694
Nave, Sophie [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Hugenschmitt, Delphine [Auteur]
Hôpital Edouard Herriot [CHU - HCL]
Chouihed, Tahar [Auteur]
French-Clinical Research Infrastructure Network - F-CRIN [Paris] [Cardiovascular & Renal Clinical Trialists - CRCT ]
Tazarourte, Karim [Auteur]
Health Service and Performance Research [HESPER]
Javaudin, François [Auteur]
Microbiotes, Hôtes, Antibiotiques et Résistances bactériennes (MiHAR) [MiHAR]
WIEL, Eric [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
El Khoury, Carlos [Auteur]
Health Service and Performance Research [HESPER]
Hubert, Hervé [Auteur]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694

METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Vilhelm, Christian [Auteur]

METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Escutnaire, Josephine [Auteur]
Santé publique : épidémiologie et qualité des soins - EA 2694
Nave, Sophie [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Hugenschmitt, Delphine [Auteur]
Hôpital Edouard Herriot [CHU - HCL]
Chouihed, Tahar [Auteur]
French-Clinical Research Infrastructure Network - F-CRIN [Paris] [Cardiovascular & Renal Clinical Trialists - CRCT ]
Tazarourte, Karim [Auteur]
Health Service and Performance Research [HESPER]
Javaudin, François [Auteur]
Microbiotes, Hôtes, Antibiotiques et Résistances bactériennes (MiHAR) [MiHAR]
WIEL, Eric [Auteur]

METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
El Khoury, Carlos [Auteur]
Health Service and Performance Research [HESPER]
Hubert, Hervé [Auteur]

METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Journal title :
Cardiovascular Drugs and Therapy
Abbreviated title :
Cardiovasc Drugs Ther
Volume number :
34
Pages :
189–197
Publication date :
2020-03-14
ISSN :
1573-7241
English keyword(s) :
Out of hospital cardiac arrest
Intraosseous access
Registry
Outcome
Practices assessment
Medical device
Intraosseous access
Registry
Outcome
Practices assessment
Medical device
HAL domain(s) :
Sciences du Vivant [q-bio]
English abstract : [en]
Purpose
To compare intraosseous access with peripheral venous access on adults out-of-hospital cardiac arrest (OHCA) patients’ clinical outcomes.
Methods
A national retrospective multicentre study was conducted based ...
Show more >Purpose To compare intraosseous access with peripheral venous access on adults out-of-hospital cardiac arrest (OHCA) patients’ clinical outcomes. Methods A national retrospective multicentre study was conducted based on the French National Cardiac Arrest Registry. Comparison of patients (intraosseous vs. peripheral venous access) was conducted before and after a matching using a propensity score. The propensity score included confounding factors: age, time between the call (T0) to epinephrine (to take account of how quickly vascular access was achieved), the aetiology of OHCA, the shock and the patient initial rhythm at MMT arrival. Results A total of 1576 patients received intraosseous access, and 27,280 received peripheral intravenous access. Before matching, OHCA patients with intraosseous access were less likely to survive at all stages (return of spontaneous circulation (ROSC), 0-day survival and 30-day survival). No significant difference in neurological outcome was observed. After propensity score matching, no significant differences in 30-day survival rates (OR = 0.763 [0.473;1.231]) and neurological outcome (OR = 1.296 [0.973;1.726]) were observed. However, intraosseous patients still showed lower likelihood of short-term survival (ROSC and 0-day survival) even after propensity score matching was implemented. Conclusion The populations we investigated were similar to those of other studies suggesting that intraosseous access is associated with reduced survival and poorer neurological outcome. Our findings suggest that intraosseous access is a comparably effective alternative to peripheral intravenous access for treating OHCA patients on matched populations.Show less >
Show more >Purpose To compare intraosseous access with peripheral venous access on adults out-of-hospital cardiac arrest (OHCA) patients’ clinical outcomes. Methods A national retrospective multicentre study was conducted based on the French National Cardiac Arrest Registry. Comparison of patients (intraosseous vs. peripheral venous access) was conducted before and after a matching using a propensity score. The propensity score included confounding factors: age, time between the call (T0) to epinephrine (to take account of how quickly vascular access was achieved), the aetiology of OHCA, the shock and the patient initial rhythm at MMT arrival. Results A total of 1576 patients received intraosseous access, and 27,280 received peripheral intravenous access. Before matching, OHCA patients with intraosseous access were less likely to survive at all stages (return of spontaneous circulation (ROSC), 0-day survival and 30-day survival). No significant difference in neurological outcome was observed. After propensity score matching, no significant differences in 30-day survival rates (OR = 0.763 [0.473;1.231]) and neurological outcome (OR = 1.296 [0.973;1.726]) were observed. However, intraosseous patients still showed lower likelihood of short-term survival (ROSC and 0-day survival) even after propensity score matching was implemented. Conclusion The populations we investigated were similar to those of other studies suggesting that intraosseous access is associated with reduced survival and poorer neurological outcome. Our findings suggest that intraosseous access is a comparably effective alternative to peripheral intravenous access for treating OHCA patients on matched populations.Show less >
Language :
Anglais
Audience :
Internationale
Popular science :
Non
Administrative institution(s) :
Université de Lille
CHU Lille
CHU Lille
Submission date :
2023-11-15T09:14:27Z
2023-12-18T13:48:18Z
2023-12-18T13:48:18Z