One-year Outcome After Prehospital Intubation

The primary aim of this study was to describe the long-term outcome of critically ill or severely injured patients not in cardiac arrest treated by an EMS physician.

Study Overview

• Status: Completed
• Conditions: One-year Outcome After Prehospital Intubation
• Intervention / Treatment: Procedure: Intubation

Detailed Description

The aim of helicopter emergency medical services (HEMS) is to supplement ground EMS units in the care of prehospital patients. The need for advanced airway management in critical out-of-hospital patients can be considered as one indicator of the severity of the patient's condition.

A recent European initiative suggested advanced airway management to be included in the top five research priorities for physician-provided prehospital care.To our knowledge, no previous studies describe the long-term outcome of critical prehospital patients treated by an EMS physician.

The primary aim of this study was to describe the long-term outcome of critically ill or severely injured patients not in cardiac arrest treated by an EMS physician. Our secondary aims were to determine the indications and causes for EMS physician performed prehospital endotracheal intubation.

• Study Type: Observational
• Enrollment (Actual): 483

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Probability Sample

Study Population

All non-cardiac arrest patients, whose airway was secured by the HEMS physician.

Description

Inclusion Criteria:

• All non-cardiac arrest patients.

Exclusion Criteria:

• Patients with a known need for personal assistance in activities of daily life prior to the incident leading to prehospital intubation (outcome evaluation).
• Patients intubated by EMS before HEMS arrival.
• Death on scene or during transportation.

Study Plan

How is the study designed?

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
HEMS treated patients; Patients whose airways were secured by the HEMS physician.	Procedure: Intubation; HEMS physician prehospital intubation

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
Mortality	1 year

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Glasgow Outcome Score (GOS)	GOS 1 = Death GOS 2 = Poor neurological outcome GOS 3 = Good neurological outcome Modified from the original 5 - step classification.	1 year

Collaborators and Investigators

• Sponsor: Tampere University Hospital
• Investigators: Study Director: Arvi Yli-Hankala, Professor, Tampere University Hospital; Principal Investigator: Toni VS Pakkanen, MD, Tampere University Hospital; Study Chair: Ilkka Virkkunen, MD, PhD, Tampere University Hospital; Study Chair: Tom Silfvast, MD, PhD, Helsinki University Central Hospital; Study Chair: Tarja Randell, MD, PhD, Helsinki University Central Hospital

Study record dates

Study Major Dates

• Study Start: January 1, 2013
• Primary Completion (Actual): January 1, 2014
• Study Completion (Actual): April 1, 2014

Study Registration Dates

• First Submitted: November 30, 2014
• First Submitted That Met QC Criteria: November 30, 2014
• First Posted (Estimate): December 4, 2014

Study Record Updates

• Last Update Posted (Estimate): December 22, 2016
• Last Update Submitted That Met QC Criteria: October 27, 2016
• Last Verified: December 1, 2015

More Information

Terms related to this study

• Keywords: Prehospital emergency care (MeSH); Emergency medical services (MeSH); Airway management (MeSH); Endotracheal intubation (MeSH); Helicopter emergency medical service, Critical care (MeSH); Patient outcome
• Other Study ID Numbers: 9N088