論文

査読有り
2020年1月16日

Impact of Bystander Cardiopulmonary Resuscitation and Dispatcher Assistance on Survival After Out-of-Hospital Cardiac Arrest Among Adult Patients by Location of Arrest

International Heart Journal
  • Tomonari Shimamoto
  • ,
  • Kosuke Kiyohara
  • ,
  • Tasuku Matsuyama
  • ,
  • Tetsuhisa Kitamura
  • ,
  • Takeyuki Kiguchi
  • ,
  • Chika Nishiyama
  • ,
  • Daisuke Kobayashi
  • ,
  • Satoe Okabayashi
  • ,
  • Takashi Kawamura
  • ,
  • Taku Iwami

記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1536/ihj.19-301

We investigated the impact of bystander-initiated cardiopulmonary resuscitation (CPR), dispatcher assistance (DA), and location of arrest on survival and outcomes after out-of-hospital cardiac arrest (OHCA).From a nationwide population-based registry of OHCA patients in Japan, we enrolled adult patients with bystander-witnessed OHCA of medical origin between 2013 and 2015. The primary outcome measure was a neurologically favorable outcome, defined by cerebral performance category 1 or 2. Multivariable logistic regression analysis was used to assess the effects of bystander CPR and DA by location of arrest. A total of 104,621 cases were included (15,984 bystander CPR without DA [15.3%], 40,087 bystander CPR with DA [38.3%], and 48,550 no bystander CPR [46.4%]). In public locations, both the bystander-CPR-with-DA group (22.9% [1,068/4,665]; adjusted odds ratio (AOR), 1.62; 95% confidence interval (CI), 1.43-1.85) and the bystander-CPR-without-DA group (25.8% [918/3,557]; AOR, 1.43; 95% CI, 1.24-1.65) had neurologically favorable outcomes compared with the no-bystander-CPR group (9.9% [610/6,133]). In residential locations, the AORs were 1.44 (95% CI, 1.22-1.70) in the bystander-CPR-without-DA group and 1.60 (95% CI, 1.45-1.77) in the bystander-CPR-with-DA group. However, in nursing homes, bystander CPR was not associated with improved outcomes of OHCA, regardless of the implementation of DA.Bystander CPR with or without DA had better outcomes after OHCA in residential and public locations but not in nursing homes.

リンク情報
DOI
https://doi.org/10.1536/ihj.19-301
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/31956145
ID情報
  • DOI : 10.1536/ihj.19-301
  • ISSN : 1349-3299
  • ORCIDのPut Code : 67442007
  • PubMed ID : 31956145

エクスポート
BibTeX RIS