Are regional variations in activity of dispatcher-assisted cardiopulmonary resuscitation associated with out-of-hospital cardiac arrests outcomes? A nation-wide population-based cohort study

Are regional variations in activity of dispatcher-assisted cardiopulmonary resuscitation associated with out-of-hospital cardiac arrests outcomes? A nation-wide population-based cohort study

フォーマット:

論文

責任表示:

Nishi, Taiki ; Kamikura, Takahisa ; Funada, Akira ; Myojo, Yasuhiro ; Ishida, Tetsuya ; Inaba, Hideo

言語:

英語

出版情報:

Elsevier, 2016-01-01

著者名:

掲載情報:

Resuscitation

ISSN:

0300-9572

巻:

98

開始ページ:

27

終了ページ:

34

バージョン:

author

概要:

Aim: Dispatcher-assisted cardiopulmonary resuscitation (DA-CPR) impacts the rates of bystander CPR (BCPR) and survival after out-of-hospital cardiac arrests (OHCAs). This study aimed to elucidate whether regional variations in indexes for BCPR and emergency medical service (EMS) may be associated with OHCA outcomes. Methods: We conducted a population-based observational study involving 157,093 bystander-witnessed, resuscitation-attempted OHCAs without physician … involvement between 2007 and 2011. For each index of BCPR and EMS, we classified the 47 prefectures into the following three groups: advanced, intermediate, and developing regions. Nominal logit analysis followed by multivariable logistic regression including OHCA backgrounds was employed to examine the association between neurologically favourable 1-month survival, and regional classifications based on BCPR- and EMS-related indexes. Results: Logit analysis including all regional classifications revealed that the number of BLS training course participants per population or bystander's own performance of BCPR without DA-CPR was not associated with the survival. Multivariable logistic regression including the OHCA backgrounds known to be associated with survival (BCPR provision, arrest aetiology, initial rhythm, patient age, time intervals of witness-to-call and call-to-arrival at patient), the following regional classifications based on DA-CPR but not on EMS were associated with survival: sensitivity of DA-CPR [adjusted odds ratio (95% confidence intervals) for advanced region; those for intermediate region, with developing region as reference, 1.277 (1.131-1.441); 1.162 (1.058-1.277)]; the proportion of bystanders to follow DA-CPR [1.749 (1.554-1.967); 1.280 (1.188-1.380)]. Conclusions: Good outcomes of bystander-witnessed OHCAs correlate with regions having higher sensitivity of DA-CPR and larger proportion of bystanders to follow DA-CPR. © 2015 Elsevier Ireland Ltd.<br />Embargo Period 12 months 続きを見る

URL:

http://hdl.handle.net/2297/44228

タイトル・著者・出版者が同じ資料

詳細

主題:	Cardiopulmonary resuscitation; Cross-regional comparison; Dispatcher-assisted; Out-of-hospital cardiac arrest; Pre-arrival instructions; Survival
受理日:	2016-01-01

類似資料:

1

2

3

4

5

6

7

8

9

10

11

12

1 論文 Potential association of bystander-patient relationship with bystander response and patient survival in daytime out-of-hospital cardiac arrest Tanaka, Yoshio, Maeda, Tetsuo, Kamikura, Takahisa, Nishi, Taiki, Omi, Wataru, Hashimoto, Masaaki, Sakagami, Satoru, … Elsevier	7 論文 Does the number of rescuers affect the survival rate from out-of-hospital cardiac arrests? Two or more rescuers are not always better than one Nishi, Taiki, Maeda, Tetsuo, Takase, Keiko, Kamikura, Takahiro, Tanaka, Yoshio, Inaba, Hideo Elsevier
2 論文 Age-Specific Differences in the Duration of Prehospital Cardiopulmonary Resuscitation Administered by Emergency Medical Service Providers Necessary to Achieve … Funada, Akira, Goto, Yoshikazu, Tada, Hayato, Teramoto, Ryota, Shimojima, Masaya, Hayashi, Kenshi, Yamagishi, Masakazu, … Japanese Circulation Society = 日本循環器学会	8 論文 Augmented survival of out-of-hospital cardiac arrest victims with the use of mobile phones for emergency communication under the DA-CPR protocol getting … Maeda, Tetsuo, Yamashita, Akira, Myojo, Yasuhiro, Wato, Yukihiro, Inaba, Hideo Elsevier Ireland Ltd
3 学位論文 Are regional variations in activity of dispatcher-assisted cardiopulmonary resuscitation associated with out-of-hospital cardiac arrests outcomes? A nation-wide … 西, 大樹, Nishi, Taiki	9 論文 Advantage of CPR-first over call-first actions for out-of-hospital cardiac arrests in nonelderly patients and of noncardiac aetiology Kamikura, Takahisa, Iwasaki, Hose, Myojo, Yasuhiro, Sakagami, Satoru, Takei, Yutaka, Inaba, Hideo Elsevier
4 学位論文 Are regional variations in activity of dispatcher-assisted cardiopulmonary resuscitation associated with out-of-hospital cardiac arrests outcomes? A nation-wide … 西, 大樹, Nishi, Taiki	10 論文 The continuous quality improvement project for telephone-assisted instruction of cardiopulmonary resuscitation increased the incidence of bystander CPR and … Tanaka, Yoshio, Taniguchi, Junro, Wato, Yukihiro, Yoshida, Yutaka, Inaba, Hideo Elsevier
5 論文 Improved Survival With Favorable Neurological Outcome in Elderly Individuals With Out-of-Hospital Cardiac Arrest in Japan: A Nationwide Observational Cohort … Funada, Akira, Goto, Yoshikazu, Maeda, Tetsuo, Teramoto, Ryota, Hayashi, Kenshi, Yamagishi, Masakazu 日本循環器学会 = The Japanese Circulation Society	11 論文 Analysis of reasons for emergency call delays in Japan in relation to location: High incidence of correctable causes and the impact of delays on patient … Takei, Yutaka, Inaba, Hideo, Yachida, Takahiro, Enami, Miki, Goto, Yoshikazu, Ohta, Keisuke Elsevier
6 論文 Impact of dispatcher-assisted bystander cardiopulmonary resuscitation on neurological outcomes in children with out-of-hospital cardiac arrests: A prospective, … Goto, Yoshikazu, Maeda, Tetsuo, Goto, Yumiko American Heart Association: JAHA / John Wiley and Sons Inc.	12 学位論文 Survey of a Protocol to Increase Appropriate Implementation of Dispatcher-Assisted Cardiopulmonary Resuscitation for Out-of-Hospital Cardiac Arrest 田中, 良男, Tanaka, Yoshio