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Table 2 Emergency life-saving interventions and diagnostic procedures in studies concerning resuscitation room management of patients suffer from non-traumatic critical illness. Comparison between the current OBSERvE-DUS study and three studies from other German sides

From: Resuscitation room management of patients with non-traumatic critical illness in the emergency department (OBSERvE-DUS-study)

Emergency life-saving interventions and diagnostic procedures

OBSERvE-DUS

n = 621

 

OBSERvE-1 [6]

n = 532

OBSERvE 2 [7]

n = 457

Kreß et al. [4]

n = 193

p

(χ²-test)

Out-of-hospital EMS setting [n, (%)]

venous access

379 (61.0)

 

515 (96.8)

404 (88.4)

not reported

a<0.0001, b<0.0001, cn.a.

12-lead-ECG

344 (55.4)

266 (50.0)

200 (43.8)

not reported

a0.0672, b0.0002, cn.a.

airway management

125 (20.1)

163 (30.6)

158 (34.5)

not reported

a<0.0001, b<0.0001, cn.a.

mechanical ventilation

125 (20.1)

160 (30.1)

158 (34.5)

not reported

a0.0001, b<0.0001, cn.a.

catecholamines

56 (9.0)

128 (24.0)

88 (19.3)

not reported

a<0.0001, b<0.0001, cn.a.

CPR

73 (11.8)

98 (18.4)

92 (20.1)

not reported

a0.0017, b0.0002, cn.a.

non-invasive ventilation

35 (5.6)

37 (7.0)

57 (12.5)

not reported

0.3276, b<0.0001, cn.a.

intraosseous access

21 (3.4)

18 (3.4)

12 (2.6)

not reported

a1.0000, b0.4513, cn.a.

arterial line

0 (0.0)

1 (0.2)

0 (0.0)

not reported

a1.0000, b1.0000, cn.a.

rescue thrombolysis

1 (0.2)

3 (0.6)

7 (1.5)

not reported

a0.2742, b0.0146, cn.a.

chest tube

0 (0.0)

1 (0.2)

0 (0.0)

not reported

a1.000, b1.000, cn.a.

therapeutic hypothermia

0 (0.0)

4 (0.8)

0 (0.0)

not reported

a1.000, b1.000, cn.a.

ACCD

8 (1.3)

18 (3.4)

41 (9.0)

not reported

a0.0170, b<0.0001, cn.a.

ED resuscitation room setting [n, (%)]

venous access

617 (99.4)

 

409 (76.9)

352 (77.0)

not reported

a<0.0001, b<0.0001, cn.a.

12-lead-ECG

540 (87.0)

460 (86.5)

362 (79.2)

not reported

a0.8028, b0.0006, cn.a.

airway management

212 (34.1)

141 (27.1)

107 (23.4)

56 (29.0)

a0.0104, b0.0001, c0.1880

mechanical ventilation

211 (34.0)

304 (57.2)

251 (55.0)

56 (29.0)

a<0.0001, b<0.0001, c0.1966

catecholamines

189 (30.4)

128 (24.1)

144 (31.5)

48 (24.9)

a0.0170, b0.6994, c0.1420

CPR

40 (6.4)

65 (12.2)

60 (13.1)

19 (9.8)

a0.0006, b0.0002, c0.1108

non-invasive ventilation/HFNC

73 (11.7)

87 (16.4)

89 (19.5)

60 (31.1)

a0.0214, b0.0004, c<0.0001

intraosseous access

4 (0.6)

1 (0.2)

3 (0.7)

6 (3.1)

a0.2927, b0.8391, c0.0052

arterial line

320 (51.5)

309 (58.1)

245 (53.6)

78 (40.4)

a0.0249, b0.4953, c0.0071

central venous line

193 (31.1)

not reported

not reported

8 (4.2)

an.a., bn.a.c<0.0001

rescue thrombolysis

80 (12.9)

13 (2.4)

5 (1.1)

not reported

a<0.0001, b<0.0001, cn.a.

chest tube

23 (3.7)

0 (0.0)

4 (0.9)

4 (2.1)

an.a., b0.0037, c0.2789

therapeutic hypothermia

2 (0.3)

20 (3.8)

5 (1.1)

not reported

a<0.0001, b0.1035, cn.a.

ACCD

11 (1.8)

19 (3.6)

43 (9.4)

not reported

a0.0570, b<0.0001, cn.a.

ED Diagnostic procedures [n, (%)]

blood samples

609 (98.1)

 

496 (93.2)

383 (83.8)

not reported

a<0.0001, b<0.0001, cn.a.

blood gas analysis

586 (94.4)

496 (93.2)

383 (83.8)

not reported

a0.3982 b<0.0001, cn.a.

blood cultures

217 (34.9)

45 (8.5)

60 (13.1)

not reported

a<0.0001, b<0.0001, cn.a.

abdominal sonography (FAST)

102 (16.4)

not reported

not reported

not reported

a,b,cn.a.

echocardiography

291 (46.9)

149 (28.0)

166 (36.3)

26 (13.5) c

a<0.0001, b0.0007, c<0.0001

chest x-ray

313 (50.4)

227 (42.7)

126 (27.6)

not reported

a0.0090, b<0.0001, cn.a.

CT/MRI

331 (56.8)

227 (42.7)

167 (36.5)

65 (33.7) c

a<0.0001, b<0.0001, c<0.0001

gastroscopy

5 (0.8)

not reported

not reported

not reported

a,b,cn.a.

  1. EMS = emergency medical services; ECG = electrocardiogram; CPR = cardiopulmonary resuscitation; HFNC = high flow nasal cannula; ACCD = automated chest compression device; FAST = focused assessment with sonography in trauma; CT = computered tomography; MRI = magnetic resonance imaging, acomparison between OBSERvE-DUS and OBSEvE-1, bcomparison between OBSERvE-DUS and OBSEvE-2, ccomparison between OBSERvE-DUS and Kreß et al., n.a. = not available