Ten-Year Trends of Public-Access Defibrillation in Japanese School-Aged Patients Having Neurologically Favorable Survival After Out-of-Hospital Cardiac Arrest
Ten-Year Trends of Public-Access Defibrillation in Japanese School-Aged Patients Having Neurologically Favorable Survival After Out-of-Hospital Cardiac Arrest
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DOI：
10.1016/j.amjcard.2018.05.021
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发表时间：
2018-09-01
影响因子：
2.8
通讯作者：
Kitamura, Tetsuhisa
中科院分区：
文献类型：
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作者：
Kiyohara, Kosuke;Nitta, Masahiko;Kitamura, Tetsuhisa
公众访问的自动体外除颤器（AED）的传播的有效性已经很好地建立了成人，但不是儿童在人口水平。我们从日本全国范围的院外心脏骤停（OHCA）登记处获得了2005年1月至2014年12月期间的OHCA数据。我们的研究对象是6至17岁的OHCA病例，涉及紧急医疗服务人员或旁观者试图复苏。主要结果指标是OHCA后1个月的生存率和良好的神经功能结局。我们评估了10年研究期间接受公共AED电击的OHCA病例比例的趋势以及OHCA后的结果。还评估了与1个月生存率和良好神经结局相关的院前因素。在10年的研究期间，共有5，899例OHCA发生在学龄儿童中，其中1，452例（24.6%）为心源性。学龄儿童的OHCA总发病率为每年每10万人4.2例。在研究期间，接受公共AED电击的OHCA患者比例显著增加（2005年为0.1%，2014年为6.4%，p =趋势
The effectiveness of dissemination of public-access automated external defibrillators (AEDs) has been well established for adults, but not for children at the population level. We obtained out-of-hospital cardiac arrest (OHCA) data between January 2005 and December 2014 from a nationwide OHCA registry of Japan. Our study subjects were OHCA cases aged 6 to 17, involving attempted resuscitation by emergency medical service personnel or by bystanders. The primary outcome measure was 1-month survival with favorable neurological outcome after OHCA. We evaluated trends in the proportion of OHCA cases receiving shocks by a public-access AED and outcomes after OHCA over the 10-year study period. Prehospital factors associated with 1-month survival with favorable neurological outcome were also evaluated. During the 10-year study period, a total of 5,899 OHCAs occurred in school-age children, and 1,452 (24.6%) were of cardiac origin. The overall OHCA incidence rate in school-age children was 4.2 per 100,000 people per year. The proportion of patients with OHCA who received shocks by a public-access AED increased significantly during the study period (0.1% in 2005 and 6.4% in 2014, p for-trend