Research Article

Effect of Prehospital Epinephrine on Outcomes of Out-of-Hospital Cardiac Arrest: A Bayesian Network Approach

Table 1

Patient characteristics of the study population.

CharacteristicsSALS applied (N = 2351)Not applied (N = 1973)

Sex, male (%)1593 (67.8%)1197 (60.7%)<0.001
Age, years, median (IQR)53.0 (38.0–62.0)56.0 (41.0–64.0)<0.001
 1st quartile: <59 years671 (28.5%)474 (24.0%)
 2nd quartile: 59–72 years612 (26.0%)449 (22.8%)
 3rd quartile: 73–81 years626 (26.6%)517 (26.2%)
 4th quartile: >81 years442 (18.8%)533 (27.0%)
Presumed etiology, cardiac (%)404 (17.2%)67 (3.4%)<0.001
Public location (%)354 (15.1%)296 (15.0%)0.994
Witnessed cardiac arrest (%)1131 (48.1%)900 (45.6%)0.109
Bystander CPR (%)1595 (67.8%)1184 (60.0%)<0.001
Shockable initial rhythm (%)464 (19.7%)273 (13.8%)<0.001
Response time, minutes, median (IQR)7 (6–9)7 (6–10)0.195
 1st quartile: <7 minutes868 (36.9%)762 (38.6%)
 2nd quartile: 7 minutes399 (17.0%)243 (12.3%)
 3rd quartile: 8–10 minutes681 (29.0%)544 (27.6%)
 4th quartile: >10 minutes403 (17.1%)424 (21.5%)
Epinephrine (%)1644 (69.9%)0 (0.0%)<0.001
Advanced airway (%)2254 (95.9%)1060 (53.7%)<0.001
EMS time, minutes, median (IQR)28 (22–35)14 (10–20)<0.001
 1st quartile: <19 minutes143 (6.1%)988 (50.1%)
 2nd quartile: 19–26 minutes498 (21.2%)641 (32.5%)
 3rd quartile: 27–35 minutes834 (35.5%)237 (12.0%)
 4th quartile: >35 minutes876 (37.3%)107 (5.4%)
Prehospital ROSC (%)324 (13.8%)83 (4.2%)<0.001
 Early ROSC (≤8 minutes)97 (4.1%)116 (5.9%)0.010
Neurologic recovery (6-month CPC score 1 or 2)148 (6.3%)52 (2.6%)<0.001

SALS, smart ALS (protocol); IQR, interquartile range; CPR, cardiopulmonary resuscitation; EMS, emergency medical service; ROSC, return of spontaneous circulation; CPC, cerebral performance category.