One-year Outcome After Prehospital Intubation

Completed

• Conditions: One-year Outcome After Prehospital Intubation
• Interventions: Procedure: Intubation

• Registration Number: NCT02307123
• Lead Sponsor: Tampere University Hospital

Brief Summary

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.

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 Timeline

• Study Start: 2013-01
• Primary Completion: 2014-01
• Study Completion: 2014-04
• Study First Submitted: 2014-11-30
• Study First Submitted QC: 2014-11-30
• Study First Posted: 2014-12-04
• Status Verified: 2015-12
• Results First Submitted: 2015-12-02
• Results First Submitted QC: 2016-10-27
• Last Update Submitted: 2016-10-27
• Results First Posted: 2016-12-22
• Last Update Posted: 2016-12-22

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 483

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 & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
HEMS treated patients	Intubation	Patients whose airways were secured by the HEMS physician.

Primary Outcome Measures

Name	Time	Method
Mortality	1 year

Secondary Outcome Measures

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