Prehospital supplemental oxygen for acute stroke – A retrospective analysis

Dylla, Layne; Adler, David; Abar, Beau; Benesch, Curtis; Jones, Courtney Marie Cora; O’Banion, M. Kerry; Cushman, Jeremy T.

doi:10.1016/j.ajem.2019.11.002

Cited by 7 publications

(11 citation statements)

References 19 publications

(20 reference statements)

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“…For the critical neurological outcome of favorable mRS score at hospital discharge, we identified very low-certainty evidence (downgraded for risk of bias) from 1 retrospective observational study 93 recruiting 1352 patients with acute stroke and without hypoxia at baseline showing no difference associated with prehospital supplementary oxygen compared with breathing room air. The dose of supplementary oxygen was not provided in this study.…”

Section: Consensus On Sciencementioning

confidence: 99%

“…For the important adverse effects and complications outcome of hospital-acquired pneumonia, we identified very low-certainty evidence (downgraded for risk of bias) from 1 retrospective observational study 93 recruiting 1352 adults with acute stroke and without hypoxia at baseline showing the association of prehospital supplementary oxygen with a lower rate of hospital-acquired pneumonia than reported among those breathing room air (RR, 0.50; 95% CI, 0.26 À 0.98).…”

Section: Consensus On Sciencementioning

confidence: 99%

See 1 more Smart Citation

2020 International Consensus on First Aid Science With Treatment Recommendations

Singletary¹,

Zideman²,

Bendall³

et al. 2020

Resuscitation

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This is the summary publication of the International Liaison Committee on Resuscitation's 2020 International Consensus on First Aid Science WithTreatment Recommendations. It addresses the most recent published evidence reviewed by the First Aid Task Force science experts. This summary addresses the topics of first aid methods of glucose administration for hypoglycemia; techniques for cooling of exertional hyperthermia and heatstroke; recognition of acute stroke; the use of supplementary oxygen in acute stroke; early or first aid use of aspirin for chest pain; control of life-threatening bleeding through the use of tourniquets, hemostatic dressings, direct pressure, or pressure devices; the use of a compression wrap for closed extremity joint injuries; and temporary storage of an avulsed tooth. Additional summaries of scoping reviews are presented for the use of a recovery position, recognition of a concussion, and 6 other first aid topics. The First Aid Task Force has assessed, discussed, and debated the certainty of evidence on the basis of Grading of Recommendations, Assessment, Development, and Evaluation criteria and present their consensus treatment recommendations with evidence-to-decision highlights and identified priority knowledge gaps for future research.The 2020 International Consensus on Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care (ECC) Science With Treatment Recommendations (CoSTR) is the fourth in a series of annual summary publications from the International Liaison Committee on Resuscitation (ILCOR). This 2020 CoSTR for first aid includes new topics addressed by systematic reviews performed within the past 12 months. It also includes updates of the first aid treatment recommendations published from 2010 through 2019 that are based on additional evidence evaluations and updates.As a result, this 2020 CoSTR for first aid represents the most comprehensive update since 2010.

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Section: Consensus On Sciencementioning

confidence: 99%

Section: Consensus On Sciencementioning

confidence: 99%

2020 International Consensus on First Aid Science With Treatment Recommendations

Singletary¹,

Zideman²,

Bendall³

et al. 2020

Resuscitation

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show abstract

“…The 2020 SysRev focused exclusively on oxygen use for those with suspected stroke, rather than on general first aid oxygen use. 115 With few exceptions, 116 the studies reviewed reported no benefit associated with oxygen use (compared with room air) in those with suspected stroke, and 1 study 117 reported a higher rate of respiratory complications associated with oxygen use.…”

Section: First Aidmentioning

confidence: 99%

Executive Summary 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations

Nolan¹,

Maconochie²,

Soar³

et al. 2020

Resuscitation

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requiring first aid, related education and implementation strategies, and systems of care. After the publication of the 2015 International Consensus on CPR and ECC Science With Treatment Recommendations, ILCOR also committed to sponsoring a continuous evidenceevaluation process, with topics prioritized for review by the task forces and with CoSTR updates published annually. For this 2020 CoSTR, the 6 ILCOR task forces performed structured reviews of 184 topics, completing the most ambitious evidence review that ILCOR has attempted to date.The ILCOR systematic review process continues to be based on the methodological principles published by the National Academy of Health and Medicine (formerly the Institute of Medicine) 2 ; Cochrane 3,4 ; Grading of Recommendations Assessment, Development, and Evaluation (GRADE) 5 ; and the reporting guidelines based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses recommendations. 6,7 Three types of evidence evaluation provided the basis for this 2020 CoSTR: the systematic review, the scoping review, and the evidence update. Based on recommendations from the ILCOR Scientific Affairs Committee and agreement of the task forces, only systematic reviews could result in new or modified treatment recommendations.

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“…Interestingly, in acute stroke standardizing protocols might be more feasible since the large majority of patients are transported by ALS providers who are the most highly trained. Dylla et al found 96% and Collins et al found 91% of acute stroke patients were transported by ALS [37,38].…”

Section: Structure Of Ems and Guidelines For Oxygen Treatment In Strokementioning

confidence: 99%

“…While national guidelines should help to standardize prehospital oxygen therapy in stroke, it seems a considerable portion of acute stroke patients transported by EMS are subject to hyperoxia [37]. In a single center retrospective analysis of adult stroke patients over four years, Dylla et al found that 26% of patients received oxygen despite normal oxygen saturations (hyperoxia) [38]. Interestingly, patients treated with oxygen appeared to have more severe disease with higher National Institute of Health Stroke Scale (NIHSS) scores and lower Glasgow coma scores (GCS).…”

Section: Hyperoxia During Ems Transportmentioning

confidence: 99%

Stroke, Oxygen and Prehospital Care: A Commentary on Current Treatments and Opportunities for Improvement

2021

Journal of Experimental Neurology

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Prehospital supplemental oxygen for acute stroke – A retrospective analysis

Cited by 7 publications

References 19 publications

2020 International Consensus on First Aid Science With Treatment Recommendations

2020 International Consensus on First Aid Science With Treatment Recommendations

Executive Summary 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations

Stroke, Oxygen and Prehospital Care: A Commentary on Current Treatments and Opportunities for Improvement

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