Characteristics and Outcomes of Out-of-Hospital Cardiac Arrest in Educational Institutions in Japan - All-Japan Utstein Registry.
Adolescent
Adult
Age Factors
Aged
Cardiopulmonary Resuscitation
/ adverse effects
Child
Child, Preschool
Defibrillators
Electric Countershock
/ adverse effects
Female
Humans
Infant
Infant, Newborn
Japan
/ epidemiology
Male
Middle Aged
Out-of-Hospital Cardiac Arrest
/ diagnosis
Prospective Studies
Recovery of Function
Registries
Risk Factors
Schools
Time Factors
Time-to-Treatment
Treatment Outcome
Young Adult
Cardiopulmonary resuscitation (CPR)
Educational institution
Epidemiology
Out-of-hospital cardiac arrest
Journal
Circulation journal : official journal of the Japanese Circulation Society
ISSN: 1347-4820
Titre abrégé: Circ J
Pays: Japan
ID NLM: 101137683
Informations de publication
Date de publication:
25 03 2020
25 03 2020
Historique:
pubmed:
20
2
2020
medline:
27
10
2020
entrez:
20
2
2020
Statut:
ppublish
Résumé
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. The outcomes of OHCA occurring in educational institutions, where PAD is available, differed significantly by age.
Sections du résumé
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.
Identifiants
pubmed: 32074552
doi: 10.1253/circj.CJ-19-0920
doi:
Types de publication
Journal Article
Multicenter Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
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Type : CommentIn