Out-of-Hospital Cardiac Arrest and Survival : An Epidemiological Analysis of Emergency Service Reports in a Large City in Japan
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概要
- 論文の詳細を見る
Background The factors that influence survival of out-of-hospital cardiac arrest in Japan have not been fully investigated. Methods and Results The official emergency service record was used to investigate 1,600 patients for whom cardiopulmonary resuscitation was attempted by the city's emergency personnel. Only 45 (2.8%) patients survived for 1 month. The survival rate was 9.8% in the patients under 20 years of age, with a marked decreasing trend to 0.8% in the patients aged 80 years or older. The rate peaked at 4.8% on Sunday and bottomed out at 0.5% on Thursday, forming a distinct sine curve. The survival rate was 9.9% when an ambulance arrived at the scene within 4min, with a steep drop to 2.5% when 4-7min elapsed. However, the rate was not significantly different by the interval to hospital. Although bystander resuscitation did not significantly affect the survival, paramedics on board significantly improved the rate (3.5% vs 1.6%). Multivariate analysis confirmed that age, day of the week, place, interval to ambulance's arrival, and personnel on board were independently associated with the probability of survival. Conclusions Quick arrival of a paramedic team would improve the survival after out-of-hospital cardiac arrest. General education of lifesaving techniques would be another key factor.
- 社団法人日本循環器学会の論文
- 2004-06-20
著者
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WAKAI Kenji
Department of Clinical Epidemiology, University of Occupational and Environmental Health
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上島 通浩
名古屋大学 衛生
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Kamijima Michihiro
名古屋大学 医学部保健学科検査技術科学専攻
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Totsune Kazuhito
東北大学 臨床薬学
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Wakai K
Department Of Preventive Medicine/biostatistics And Medical Decision Making Nagoya University Gradua
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Kida M
Nagoya City Univ. Graduate School Of Medical Sci.
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Tamakoshi Akiko
Department Of Health Science Shiga University Of Medical Science
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Ohno Y
Department Of Preventive Medicine/biostatistics And Medical Decision Making Nagoya University Gradua
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Ohno Yoshiyuki
名古屋大学 医学系研究科予防医学
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Toyama Junji
Department Of Circulation And Respiration The Research Institute Of Environmental Medicine Nagoya Un
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Obata Yuki
愛知医科大学 公衆衛生学
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Obata Yuki
Department Of Public Health Aichi Medical University School Of Medicine
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Toyama Junji
Departments Of Preventive Medicine
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KITAGAWA MOTOJI
Department of Internal Medicine II Nagoya University School of Medicine
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Kida Maki
Departments of Preventive Medicine
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Kawamura Takashi
Biostatistics and Medical Decision Making, Nagoya University Graduate School of Medicine
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Fukuoka Toshio
Kyoto University Health Service
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Tamakoshi Akiko
Emergency Medicine, Nagoya University Graduate School of Medicine
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Ohno Yoshiyuki
Biostatistics and Medical Decision Making, Nagoya University Graduate School of Medicine
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Toyama Junji
Department Of Cardiology Toyohashi Heart Center
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Wakai Kenji
Department Of Preventive Medicine/biostatistics And Medical Decision Making Nagoya University Gradua
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Toyama Junji
Department Of Cardiology Aichi Prefectural Owari Hospital Cardiovascular Center
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Kawamura Takashi
Department Of Preventive Medicine Nagoya University School Of Medicine
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