2017年1月1日
Hospital characteristics and favourable neurological outcome among patients with out-of-hospital cardiac arrest in Osaka, Japan
Resuscitation
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- 巻
- 110
- 号
- 開始ページ
- 146
- 終了ページ
- 153
- 記述言語
- 掲載種別
- 研究論文(学術雑誌)
- DOI
- 10.1016/j.resuscitation.2016.11.009
© 2016 Elsevier Ireland Ltd Objective To assess the association between favourable neurological outcome and hospital characteristics such as hospital volume and number of critical care centres (CCMCs) after out-of-hospital cardiac arrest (OHCA). Methods This retrospective, population-based observational study conducted in Osaka Prefecture, Japan included adult patients with OHCA, aged ≥18 years who were transported to acute care hospitals between January 2005 and December 2012. We divided acute care hospitals into CCMCs or non-CCMCs, the latter of which were divided into the following three groups according to the annual average number of transported OHCA cases: low-volume (≤10 cases), middle-volume (11–39 cases), and high-volume (≥40 cases) groups. Random effects logistic regression models, with hospital treated as a random effect, were used to assess factors potentially associated with a favourable neurological outcome. Results A total of 44,474 patients were eligible. The proportions of favourable neurological outcome from OHCA were 0.9% (31/3559) in the low-volume group, 1.2% (106/9171) in the middle-volume group, 1.6% (222/14,007) in the high-volume group, and 4.3% (766/17,737) in the CCMC group (P < 0.001). In the multivariable analysis, transport to CCMCs was significantly associated with favourable neurological outcome, compared with transport to non-CCMCs (adjusted odds ratio 1.63; 95% confidence interval, 1.60–1.66). Among the non-CCMC group, there was no significant relationship between hospital volume and favourable neurological outcome. Conclusions In this population, transport of OHCA patients to CCMCs led to significantly higher one-month survival rates with favourable neurological outcome from OHCA, whereas no significant association was noted among the hospitals with different volumes.
- リンク情報
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- DOI
- https://doi.org/10.1016/j.resuscitation.2016.11.009
- PubMed
- https://www.ncbi.nlm.nih.gov/pubmed/27893969
- Scopus
- https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85002931246&origin=inward
- Scopus Citedby
- https://www.scopus.com/inward/citedby.uri?partnerID=HzOxMe3b&scp=85002931246&origin=inward
- ID情報
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- DOI : 10.1016/j.resuscitation.2016.11.009
- ISSN : 0300-9572
- eISSN : 1873-1570
- PubMed ID : 27893969
- SCOPUS ID : 85002931246