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A consensus-based template for uniform reporting of data from pre-hospital advanced airway management

BACKGROUND: Advanced airway management is a critical intervention that can harm the patient if performed poorly. The available literature on this subject is rich, but it is difficult to interpret due to a huge variability and poor definitions. Several initiatives from large organisations concerned w...

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Detalles Bibliográficos
Autores principales: Sollid, Stephen JM, Lockey, David, Lossius, Hans Morten
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2785748/
https://www.ncbi.nlm.nih.gov/pubmed/19925688
http://dx.doi.org/10.1186/1757-7241-17-58
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author Sollid, Stephen JM
Lockey, David
Lossius, Hans Morten
author_facet Sollid, Stephen JM
Lockey, David
Lossius, Hans Morten
author_sort Sollid, Stephen JM
collection PubMed
description BACKGROUND: Advanced airway management is a critical intervention that can harm the patient if performed poorly. The available literature on this subject is rich, but it is difficult to interpret due to a huge variability and poor definitions. Several initiatives from large organisations concerned with airway management have recently propagated the need for guidelines and standards in pre-hospital airway management. Following the path of other initiatives to establish templates for uniform data reporting, like the many Utstein-style templates, we initiated and carried out a structured consensus process with international experts to establish a set of core data points to be documented and reported in cases of advanced pre-hospital airway management. METHODS: A four-step modified nominal group technique process was employed. RESULTS: The inclusion criterion for the template was defined as any patient for whom the insertion of an advanced airway device or ventilation was attempted. The data points were divided into three groups based on their relationship to the intervention, including system-, patient-, and post-intervention variables, and the expert group agreed on a total of 23 core data points. Additionally, the group defined 19 optional variables for which a consensus could not be achieved or the data were considered as valuable but not essential. CONCLUSION: We successfully developed an Utstein-style template for documenting and reporting pre-hospital airway management. The core dataset for this template should be included in future studies on pre-hospital airway management to produce comparable data across systems and patient populations and will be implemented in systems that are influenced by the expert panel.
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spelling pubmed-27857482009-12-01 A consensus-based template for uniform reporting of data from pre-hospital advanced airway management Sollid, Stephen JM Lockey, David Lossius, Hans Morten Scand J Trauma Resusc Emerg Med Original Research BACKGROUND: Advanced airway management is a critical intervention that can harm the patient if performed poorly. The available literature on this subject is rich, but it is difficult to interpret due to a huge variability and poor definitions. Several initiatives from large organisations concerned with airway management have recently propagated the need for guidelines and standards in pre-hospital airway management. Following the path of other initiatives to establish templates for uniform data reporting, like the many Utstein-style templates, we initiated and carried out a structured consensus process with international experts to establish a set of core data points to be documented and reported in cases of advanced pre-hospital airway management. METHODS: A four-step modified nominal group technique process was employed. RESULTS: The inclusion criterion for the template was defined as any patient for whom the insertion of an advanced airway device or ventilation was attempted. The data points were divided into three groups based on their relationship to the intervention, including system-, patient-, and post-intervention variables, and the expert group agreed on a total of 23 core data points. Additionally, the group defined 19 optional variables for which a consensus could not be achieved or the data were considered as valuable but not essential. CONCLUSION: We successfully developed an Utstein-style template for documenting and reporting pre-hospital airway management. The core dataset for this template should be included in future studies on pre-hospital airway management to produce comparable data across systems and patient populations and will be implemented in systems that are influenced by the expert panel. BioMed Central 2009-11-20 /pmc/articles/PMC2785748/ /pubmed/19925688 http://dx.doi.org/10.1186/1757-7241-17-58 Text en Copyright ©2009 Sollid et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Research
Sollid, Stephen JM
Lockey, David
Lossius, Hans Morten
A consensus-based template for uniform reporting of data from pre-hospital advanced airway management
title A consensus-based template for uniform reporting of data from pre-hospital advanced airway management
title_full A consensus-based template for uniform reporting of data from pre-hospital advanced airway management
title_fullStr A consensus-based template for uniform reporting of data from pre-hospital advanced airway management
title_full_unstemmed A consensus-based template for uniform reporting of data from pre-hospital advanced airway management
title_short A consensus-based template for uniform reporting of data from pre-hospital advanced airway management
title_sort consensus-based template for uniform reporting of data from pre-hospital advanced airway management
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2785748/
https://www.ncbi.nlm.nih.gov/pubmed/19925688
http://dx.doi.org/10.1186/1757-7241-17-58
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