論文

査読有り
2020年3月25日

Characteristics and Outcomes of Out-of-Hospital Cardiac Arrest in Educational Institutions in Japan - All-Japan Utstein Registry.

Circulation journal : official journal of the Japanese Circulation Society
  • Chika Nishiyama
  • ,
  • Kosuke Kiyohara
  • ,
  • Tasuku Matsuyama
  • ,
  • Tetsuhisa Kitamura
  • ,
  • Takeyuki Kiguchi
  • ,
  • Daisuke Kobayashi
  • ,
  • Satoe Okabayashi
  • ,
  • Tomonari Shimamoto
  • ,
  • Takashi Kawamura
  • ,
  • Taku Iwami

84
4
開始ページ
577
終了ページ
583
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1253/circj.CJ-19-0920

BACKGROUND: Although schools are key places that conduct cardiopulmonary resuscitation (CPR) and public-access defibrillation (PAD) programs, out-of-hospital cardiac arrest (OHCA) in educational institutions is poorly understood. This study describes the characteristics and outcomes of such OHCAs.Methods and Results:Data for OHCAs of any cause occurring in educational institutions between 2013 and 2015 were extracted from the All-Japan Utstein Registry. Patient characteristics and outcomes were documented. Subjects were divided into 6 age groups (0-1, 2-5, 6-11, 12-14, 15-17, and ≥18 years). Among the 783 eligible OHCA patients, most received bystander CPR regardless of age, ranging from 73.9% in those aged ≥18 years to 90.0% in those aged 2-5 years. However, the proportion receiving PAD differed by age group, ranging from 2.9% in those aged 0-1 years to 66.7% in those aged 12-14 years. The proportion of patients with 1-month survival with favorable neurological outcome differed significantly by age group, being extremely low among patients aged 0-1 years (zero for OHCA of cardiac origin), but high among patients aged 6-11, 12-14, and 15-17 years (69.2%, 77.5%, and 70.0%, respectively) for OHCA of cardiac origin. CONCLUSIONS: The outcomes of OHCA occurring in educational institutions, where PAD is available, differed significantly by age.

リンク情報
DOI
https://doi.org/10.1253/circj.CJ-19-0920
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/32074552
ID情報
  • DOI : 10.1253/circj.CJ-19-0920
  • PubMed ID : 32074552

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