Brain oxygenation of adult patients undergoing prehospital emergency anesthesia is monitored using noninvasive near-infrared spectroscopy. Patients are afterwards interviewed to define neurological outcome to measure quality of life. The purpose of this study is to reveal the risk factors of prehospital anesthesia related cerebral desaturation events (CDE) and to define the association between CDE and survival, neurological outcome or quality of life.
Study Type
OBSERVATIONAL
Enrollment
1,300
Nonin H500 one-channel near-infrared spectroscopy monitor on forehead of the patient from before induction of anesthesia to arrival to hospital
FinnHEMS 60 / Kuopio University Hospital
Kuopio, Finland
FinnHEMS 50 / Oulu University Hospital
Oulu, Finland
FinnHEMS 51 / Lapland hospital district
Rovaniemi, Finland
FinnHEMS 30 / Tampere University Hospital
Tampere, Finland
Favorable neurological outcome
modified Rankin scale ≤2 (scale 0-6, 0 asymptomatic, 6 expired)
Time frame: 30 days
Cerebral desaturation event
an absolute drop of forehead cerebral saturation ≥ 10% from baseline for ≥ 5 minutes
Time frame: through prehospital care, approximately 60 minutes
Survival
Survival
Time frame: 30 days
Survival
Survival
Time frame: 365 days
Favorable neurological outcome
modified Rankin scale ≤2 (scale 0-6, 0 asymptomatic, 6 expired)
Time frame: 1 year
15D score
Heal-Related Quality of Life measured using 15-D instrument, scale 0-1 (0 = being dead, 0.0162 = being unconscious or comatose, 1 = no problems on any dimension = 'full' HRQOL)
Time frame: 1 year
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FinnHEMS 20 / Turku University Hospital
Turku, Finland
FinnHEMS 10 / Helsinki University Hospital
Vantaa, Finland