Three year longitudinal study for out-of-hospital cardiac arrest in Osaka Prefecture
Three year longitudinal study for out-of-hospital cardiac arrest in Osaka Prefecture
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DOI：
10.1016/j.resuscitation.2004.04.015
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发表时间：
2004-11-01
期刊：
影响因子：
6.5
通讯作者：
Fujii, C
中科院分区：
文献类型：
--
作者：
Hayashi, Y;Hiraide, A;Fujii, C
目的：分析院外心脏骤停治疗的纵向变化。这些分析的重点是心室颤动患者从接到电话到除颤的时间间隔。设计：以人群为基础的前瞻性纵向研究，根据Utstein的风格。地点：大坂府（人口8，800，000），共有36个市町村消防和紧急救援部门。患者：1998年5月至2001年4月期间发生的连续性院外心脏骤停。主要观察指标：除颤间期的变化和心脏骤停后一年生存率。结果：在三年中确认的15，211例心脏骤停中，14，609例受试者尝试复苏。在2957例心源性和旁观者目击的病例中，90例（3.0%）在发作后1年存活。在383例除颤病例中，每年评估从接到电话到除颤的时间间隔。这一间隔显着下降，在三年的过程中（14.5，13.0，和11.5分钟表示的中位数），这表明该项目报告的数据院外逮捕是一个有效的运动EMT。然而，在此期间，结局没有显著改善（3.0%、2.6%和3.6%的心脏病性见证性停搏患者存活1年）。这可能是因为第三年的中位持续时间为11.5分钟，仍然不足以表明结局的显著改善。结论：本项目报告了院外心脏骤停的数据，可能有助于缩短除颤间期，作为EMT的一项活动;尽管该间期的缩短仍不足以导致一年后存活病例数的显著增加。(C)2004爱思唯尔爱尔兰有限公司保留所有权利。
Objective: To analyze the longitudinal changes in the treatment of out-of-hospital cardiac arrests. These analyses have focused on the time interval from the receipt of call until defibrillation of patients with ventricular fibrillation. 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. Patients: Consecutive, out-of-hospital cardiac arrests occurring between May 1998 and April 2001. Main outcome measures: Change in the interval to defibrillation, and one-year survival from cardiac arrest. Results: Of the 15,211 cases of confirmed cardiac arrests during the three years, 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. However, the outcome did not improve significantly during this period (3.0%, 2.6%, and 3.6% alive 1 year in witnessed arrests with cardiac etiology). This may be because the third year median duration of 11.5 min, is still insufficient to indicate a significant improvement in the outcome. Conclusions: This project to report the data of out-of-hospital cardiac arrest might have contributed to the reduction of the interval for defibrillation, as a campaign for the EMTs;, although the decrease in this interval was still insufficient to result in a significant increase in the number of cases who are alive one year later. (C) 2004 Elsevier Ireland Ltd. All rights reserved.