Characteristics of time and location, and grade of severity for resuscitation in Osaka

大阪市复苏时间、地点及严重程度特征

基本信息

批准号：
14572133
负责人：
YUKIOKA Hidekazu
金额：
$ 2.11万
依托单位：
Osaka City University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2002
资助国家：
日本
起止时间：
2002 至 2004
项目状态：
已结题

项目摘要

Objective : To evaluate the outcome and the factors concerned with of out-of-hospital cardiac arrest patients according to the location of the collapse.DESIGN : Population-based, prospective longitudinal study according to the Utstein style.Setting : Osaka Prefecture (population 8, 800, 000), served by 36 municipal fire and emergency departments.RESULTS :1. Of the 15,211 cases of confirmed cardiac arrests occurring between May 1998 and April 2001, resuscitation was attempted in 14,609 subjects. Of the 2957 cases of cardiac origin and witnessed by bystanders, 90 cases (3.0%) were alive 1 year following the episode. In 383 cases of defibrillation, the interval from receipt of call to defibrillation was evaluated annually. This interval decreased significantly during the three year course (14.5, 13.0, and 11.5 min expressed by the median), suggesting that this project to report the data of out-of-hospital arrests was an effective campaign for EMT.2. Arrest patients in public or in the work place had a higher chance of being found in ventricular fibrillation and survival than those at a private residence.3. Among 5,047 consecutive cases of OHCA reported between May 1998 and April 1999, 147 cases were under 16 years of age. The annual incidence of OHCA in infants reached 79/100,000. The percentage of bystander-PR was higher in children than that in adults. We speculated that the number of sudden infant death syndrome might have reached 41 cases.CONCLUSION : Although the majority of out-of-hospital cardiac arrests occur at private residences, arrests in public or in the work place had a higher chance of being found in ventricular fibrillation and survival than those at private residences. In order to establish a system to improve the outcome of out-of-hospital cardiac arrest, a well-considered strategy considering the location of arrest is necessary.

目的：评估结果和与院外心脏骤停患者有关的因素，根据倒塌的位置：根据utstein的风格，基于人群的，基于人群的前瞻性纵向研究。，800，000），由36个市政消防和急诊部门提供服务。在1998年5月至2001年4月之间发生的15,211例确认心脏骤停案件中，试图在14,609名受试者中复苏。在2957例心脏起源病例中，旁观者目睹了90例（3.0％），在该情节之后1年还活着。在383例除颤情况中，每年评估接收到除颤的间隔。在三年课程中，此间隔大大减少（中位数表示14.5、13.0和11.5分钟），这表明该项目报告院外逮捕数据的数据是EMT.2的有效运动。与私人住所相比，在公共场所或工作场所的逮捕患者在心室纤颤和生存中发现了更高的机会。3。在1998年5月至1999年4月之间，有5,047例OHCA的连续5,047例中，有147例16岁以下。 OHCA婴儿的年发病率达到79/100,000。儿童的旁观者PR的百分比高于成年人。我们推测，婴儿突然死亡综合症的数量可能已达到41例。判断：尽管大多数院外心脏骤停发生在私人住宅中，但在公共场所或工作场所逮捕了更高的机会。比私人住宅的心室纤颤和生存。为了建立一个改善院外心脏骤停结果的系统，考虑到逮捕位置是必要的，这是一项经过深思熟虑的策略。

项目成果

期刊论文数量（22）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Pediatric out-of-hospital cardiac arrest in Osaka from the Utstein Osaka Project..

Utstein 大阪项目在大阪发生的儿科院外心脏骤停事件。

DOI：
发表时间：
2003
期刊：
Nippon Kyukyuigakkai Zasshi. 14(3)
影响因子：
0
作者：
Shinya H;Hirade A;Yukioka H;Morita H;Nishiuchi T;Ikeuchi H;Hayashi Y;Matsusaka M;Kiuchi S;Nakatani T
通讯作者：
Nakatani T

救急医療システム病院前救護医療の現況.

急救医疗体系：院前急救医疗现状。