2019年7月
The association between public access defibrillation and outcome in witnessed out-of-hospital cardiac arrest with shockable rhythm
Resuscitation
- 巻
- 140
- 号
- 開始ページ
- 93
- 終了ページ
- 97
- 記述言語
- 英語
- 掲載種別
- 研究論文(学術雑誌)
- DOI
- 10.1016/j.resuscitation.2019.05.017
© 2019 Elsevier B.V. Background: It is recommended globally that shocks by automated external defibrillators (AEDs) should be delivered immediately when a shockable out-of-hospital cardiac arrest (OHCA) occurs. However, the actual time-interval from collapse to first shock by public-access AED and its impact on subsequent outcome has not been extensively investigated in real-world settings. Methods: OHCA data from 2013 to 2015 were obtained from the All-Japan Utstein Registry. Bystander-witnessed OHCA patients with shockable rhythm who were shocked by public-access AED in public locations were included. The primary endpoint was 1-month survival with favourable neurological outcome, and the association between time-interval from collapse to first shock by public-access AED and subsequent outcome was assessed. Results: During the study period, 28% (2282/8126) of bystander-witnessed OHCA cases with shockable rhythm were shocked by public-access AED in public locations. The proportion of OHCA patients who were shocked by public-access AED within 5 min from collapse was 58% (1323/2282). Among these patients, the proportion of 1-month survival with favourable neurological outcome was 62% (815/1317). The proportion significantly decreased with increased time from collapse to shock by public-access AED (48% for 6–10 min, 38% for 11–15 min, 30% for 16–20 min, and 7% for 21–25 min; p-for-trend <0.001), and no patient survived if shock delivery occurred more than 26 min after OHCA. Conclusion: In Japan, earlier shock by public-access AED led to better outcome after bystander-witnessed OHCA with shockable rhythm in public locations. However, the proportion of OHCA patients who received early shock was still low in public locations.
- リンク情報
-
- DOI
- https://doi.org/10.1016/j.resuscitation.2019.05.017
- PubMed
- https://www.ncbi.nlm.nih.gov/pubmed/31129227
- Scopus
- https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85066299851&origin=inward
- Scopus Citedby
- https://www.scopus.com/inward/citedby.uri?partnerID=HzOxMe3b&scp=85066299851&origin=inward
- ID情報
-
- DOI : 10.1016/j.resuscitation.2019.05.017
- ISSN : 0300-9572
- eISSN : 1873-1570
- PubMed ID : 31129227
- SCOPUS ID : 85066299851