气管插管与非气管插管在院外心肺复苏中自主恢复循环的Meta分析

Endotracheal intubation versus no-endotracheal intubation in out-of-hospital cardiac arrest:a Meta-analysis

目的比较气管插管及非气管插管对院外心脏骤停患者自主恢复循环(ROSC)的影响。方法计算机检索PubMed、EMBase、Cochrane library、中国知网、万方等数据库,纳入已发表关于气管插管及非气管插管对院外心脏骤停患者ROSC影响的国内外相关文献,比较气管插管与非气管插管对心脏骤停患者ROSC影响。结果 12篇文献纳入分析,气管插管40 090例,非气管插管166 777例,气管插管患者ROSC高于非气管插管(OR=1.35,95%CI:1.101.64,P=0.003)。结论院外心脏骤停患者接受气管插管可提高复苏成功率。

Objective To determine whether endotracheal intubation(ETI)in out-of-hospital cardiac arrest(OHCA)patients was associated with improved return of spontaneous circulation(ROSC). Methods A search was conducted in PubMed,EMBase and Cochrane library database to identify all peer-reviewed articles relevant to this Meta-analysis. All non-traumatic patients who experienced out-of-hospital cardiac arrest were included. The primary outcome was ROSC.Results Of 206 867 OHCA,40 090 received ETI,166 777 received no-ETI. ETI patients had a higher adjusted ROSC than no-ETI patients(OR=1.35,95%CI:1.10-1.64,P=0.003). Conclusions Patients with OHCA who received ETI might have more chance to ROSC.