Lossius et al. Critical Care 2011, 15:R26 Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Revisiting the value of pre-hospital tracheal intubation: an all time systematic literature review extracting the Utstein airway core variables. | Lossius et al. Critical Care 2011 15 R26 http content 15 1 R26 KS CRITICAL CARE RESEARCH Open Access Revisiting the value of pre-hospital tracheal intubation an all time systematic literature review extracting the Utstein airway core variables Hans Morten Lossius1 2 Stephen JM Sollid1 2 3 Marius Rehn1 4 5 David J Lockey6 7 Abstract Introduction Although tracheal intubation TI in the pre-hospital setting is regularly carried out by emergency medical service EMS providers throughout the world its value is widely debated. Heterogeneity in procedures providers patients systems and stated outcomes and inconsistency in data reporting make scientific reports difficult to interpret and compare and the majority are of limited quality. To hunt down what is really known about the value of pre-hospital TI we determined the rate of reported Utstein airway variables 28 core variables and 12 fixed-system variables found in current scientific publications on pre-hospital TI. Methods We performed an all time systematic search according to the PRISMA guidelines of Medline and EMBASE to identify original research pertaining to pre-hospital TI in adult patients. Results From 1 076 identified records 73 original papers were selected. Information was extracted according to an Utstein template for data reporting from in-the-field advanced airway management. Fifty-nine studies were from North American EMS systems. Of these 46 78 described services in which non-physicians conducted TI. In 12 of the 13 non-North American EMS systems physicians performed the pre-hospital TI. Overall two were randomised controlled trials RCTs and 65 were observational studies. None of the studies presented the complete set of recommended Utstein airway variables. The median number of core variables reported was 10 max 21 min 2 IQR 8-12 and the median number of fixed system variables was 5 max 11 min 0 IQR 4-8 . Among the most frequently reported variables were patient category and service mission
