論文

2021年3月27日

Association Between Resuscitative Time on the Scene and Survival After Pediatric Out-of-Hospital Cardiac Arrest.

Circulation reports
  • Kosuke Kiyohara
  • ,
  • Masashi Okubo
  • ,
  • Sho Komukai
  • ,
  • Junichi Izawa
  • ,
  • Koichiro Gibo
  • ,
  • Tasuku Matsuyama
  • ,
  • Takeyuki Kiguchi
  • ,
  • Taku Iwami
  • ,
  • Tetsuhisa Kitamura

3
4
開始ページ
211
終了ページ
216
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1253/circrep.CR-21-0021

Background: The optimal timing for transporting pediatric patients with out-of-hospital cardiac arrest (OHCA) who do not achieve return of spontaneous circulation (ROSC) is unclear. Therefore, we assessed the association between resuscitation time on the scene and 1-month survival. Methods and Results: Data from the All-Japan Utstein Registry from 2013 through 2015 for 3,756 pediatric OHCA patients (age <18 years) who did not achieve ROSC prior to departing the scene were analyzed. Overall, the proportion of 1-month survival for on-scene resuscitation time <5, 5-9, 10-14, and ≥15 min was 13.6% (104/767), 10.2% (170/1,666), 8.6% (75/870), and 4.0% (18/453), respectively. Among specific age groups, the proportion of 1-month survival for on-scene resuscitation time of <5, 5-9, 10-14, and ≥15 min was 12.6% (54/429), 8.7% (59/680), 8.6% (23/267), and 6.8% (8/118), respectively, for patients aged 0 years; 16.4% (38/232), 11.0% (52/473), 11.9% (23/194), and 7.1% (6/85), respectively, for those aged 1-7 years; and 11.3% (12/106), 11.5% (59/513), 7.1% (29/409), and 1.6% (4/250), respectively, for those aged 8-17 years. Conclusions: Longer on-scene resuscitation was associated with decreased chance of 1-month survival among pediatric OHCA patients without ROSC. For patients aged <8 years, earlier departure from the scene, within 5 min, may increase the chances of 1-month survival. Conversely, for patients aged ≥8 years, continuing on-scene resuscitation for up to 10 min would be reasonable.

リンク情報
DOI
https://doi.org/10.1253/circrep.CR-21-0021
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/33842726
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8024189
ID情報
  • DOI : 10.1253/circrep.CR-21-0021
  • PubMed ID : 33842726
  • PubMed Central 記事ID : PMC8024189

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