Table 3.
Instrumental Variable Analysis of Differences Between BLS and ALS in Health Outcomes*
| Variable | Trauma | Stroke | AMI | Respiratory Failure | 
|---|---|---|---|---|
| 30-d survival | 3.7 (1.3 to 6.0) | 5.3 (2.7 to 8.0) | 4.8 (1.2 to 8.4) | 4.2 (−0.9 to 9.4) | 
| 90-d survival | 4.1 (1.3 to 6.9) | 4.3 (1.3 to 7.3) | 5.9 (2.2 to 9.6) | 0.2 (−4.7 to 5.1) | 
| 1-y survival | 1.8 (−1.4 to 5.0) | 3.6 (0.4 to 6.8) | 7.1 (2.6 to 11.6) | −2.9 (−7.8 to 1.9) | 
| 2-y survival | 2.4 (−1.3 to 6.1) | 3.2 (−0.2 to 6.7) | 8.4 (2.7 to 14.2) | −2.4 (−7.2 to 2.3) | 
| Poor neurologic performance | −0.30 (−0.60 to 0.04) | 0.2 (−0.1 to 0.5) | −0.7 (−1.5 to 0.2) | −0.6 (−2.5 to 1.2) | 
ALS = advanced life support; AMI = acute myocardial infarction; BLS = basic life support.
Instrumental variable estimates represent the effect on survival (in percentage points [95% CIs]) of receiving BLS rather than ALS for a “switcher” (i.e., a person who would receive BLS in an area with a higher rate of BLS use but ALS in an area with lower BLS use).