LAUSR

AIM This study investigated whether prehospital advanced airway management (AAM) is associated with improved survival of out-of-hospital cardiac arrest (OHCA) compared with conventional bag-valve-mask ventilation (BVM). METHODS We investigated the neurologically favorable survival of adult patients with OHCA who underwent BVM or AAM using the Korean Cardiac Arrest Research Consortium (KoCARC), a multicenter OHCA registry of Korea. The differences in clinical characteristics were adjusted by matching or weighting the clinical propensity for use of AAM, or by least absolute shrinkage and selection operator (LASSO). The primary outcome was 30-day survival with neurologically favorable status defined by cerebral performance category 1 or 2. RESULTS Of the 9,616 patients enrolled (median age, 71 years; 65% male), there were 6,243 AAM and 3,354 BVM patients. In unadjusted analysis, the 30-day neurologically favorable survival was lower in the AAM group compared with the BVM group (5.5% versus 10.0%; hazard ratio (HR)=1.21, 95% confidence interval (CI)=1.16-1.27; all p0.001). In propensity score matching-adjusted analysis, these differences were not found (9.6% versus 10.0%; HR=0.98, 95% CI=0.93-1.03, p>0.05). Inverse probability of treatment weighting- and LASSO-adjusted analyses replicated these results. CONCLUSION In this nationwide real-world data analysis of OHCA, the 30-day neurologically favorable survival did not differ between prehospital AAM and BVM after adjustment for clinical characteristics.