Incidence and Outcome of Out-of-Hospital Cardiac Arrest With Public-Access Defibrillation : A Descriptive Epidemiological Study in a Large Urban Community

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概要

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• Background: Detailed characteristics of those who experience an out-of-hospital cardiac arrest (OHCA) with public-access defibrillation (PAD) are unknown. Methods and Results: A prospective, population-based observational study involving consecutive OHCA patients with emergency responder resuscitation attempts was conducted from July 1, 2004 through December 31, 2008 in Osaka City. We extracted data for OHCA patients shocked by a public-access automated external defibrillator (AED) and evaluated the patients and rescuers characteristics. The main outcome measure was neurologically favorable 1-month survival. During the study period, 10,375 OHCA patients were registered and of 908 patients suffering ventricular fibrillation arrest, 53 (6%) received public-access AED shocks by lay-rescuers, with the proportion increasing from 0% in 2004 to 11% in 2008 (P for trend<0.001). Railway stations (34%) were the places where PAD shocks were most frequently delivered, followed by nursing homes (11%), medical facilities (9%), and fitness facilities (7%). In 57% of cases, the subject received public-access AED shocks delivered by non-medical persons, including employees of railway companies (13%), school teachers (6%), employees of fitness facilities (6%), and security guards (6%). The proportion of neurologically favorable 1-month survival tended to increase from 0% in 2005 to 58% in 2008 (P for trend=0.081). Conclusions: Railway stations are the most common places where shocks by public-access AEDs were delivered in large urban communities of Japan, and among lay-rescuers railway station workers use AEDs more frequently. (Circ J 2011; 75: 2821-2826)

• 社団法人　日本循環器学会の論文
• 2011-11-25

著者

• Hiraide Atsushi

  Center For Medical Education Kyoto University Graduate School Faculty Of Medicine

• KAWAMURA Takashi

  Kyoto University Center for Student Health

• Iwami Taku

  Kyoto University School of Public Health

• KITAMURA Tetsuhisa

  Kyoto University Health Service

• Nishiyama Chika

  Department Of Preventive Services Kyoto University School Of Public Health

• Hiraide Atsushi

  Department Of Gastroenterology And Hepatology Osaka University Graduate School Of Medicine

• Nishiyama Chika

  Kyoto Prefectural University Of Medicine School Of Nursing

• Tanigawa Kayo

  Department Of Preventive Services Kyoto University School Of Public Health

• SASAKI Mie

  Nursing Science Division, Department of Human Health Science, Kyoto University Graduate School of Me

• NOMOTO Shinichi

  Nursing Science Division, Department of Human Health Science, Kyoto University Graduate School of Me

• SAKAI Tomohiko

  Department of Traumatology and Acute Critical Medicine, Osaka University Graduate School of Medicine

• KAJINO Kentaro

  Emergency and Critical Care Medical Center, Osaka Police Hospital

• IRISAWA Taro

  Department of Traumatology and Acute Critical Medicine, Osaka University Graduate School of Medicine

• NISHIUCHI Tatsuya

  Department of Critical Care & Emergency Medicine, Osaka City University Graduate School of Medicine

• HAYASHIDA Sumito

  Osaka Municipal Fire Department

• Kajino Kentaro

  Emergency And Critical Care Medical Center Osaka Police Hospital

• Nishiuchi Tatsuya

  Department Of Critical Care & Emergency Medicine Osaka City University Graduate School Of Medici

• Irisawa Taro

  Department Of Traumatology And Acute Critical Medicine Osaka University Graduate School Of Medicine

• Hiraide Atsushi

  Department Of Acute Medicine Kinki University Faculty Of Medicine

• Nomoto Shinichi

  Nursing Science Division Department Of Human Health Science Kyoto University Graduate School Of Medicine

• Sakai Tomohiko

  Department Of Traumatology And Acute Critical Medicine Osaka University Graduate School Of Medicine

• Iwami Taku

  Kyoto University Health Service

• Sakai Tomohiko

  Department Of Trauma And Critical Care Medicine And Burn Centers Social Insurance Hospital

• Sasaki Mie

  Nursing Science Division Department Of Human Health Science Kyoto University Graduate School Of Medicine

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