Impact of the Great East Japan Earthquake on out-of-hospital cardiac arrest with cardiac origin in non-disaster areas
Impact of the Great East Japan Earthquake on out-of-hospital cardiac arrest with cardiac origin in non-disaster areas
复制标题
东日本大地震对非灾区心源性院外心脏骤停的影响
DOI：
10.1136/jech-2014-204380
复制
发表时间：
2014
影响因子：
6.3
通讯作者：
Kawamura T
中科院分区：
文献类型：
--
作者：
Kiyohara K;Kitamura T;Iwami T;Nishiyama C;Kawamura T
背景调查2011年3月11日东日本大地震前后日本非灾区心源性院外心脏骤停（OHCA）发生率的变化。方法将日本没有直接因地震造成死亡或失踪的35个都道府县定义为非灾区。 2005年至2011年每年3月4日至24日非灾区成年OHCA患者的数据来自全日本Utstein登记处。应用多变量泊松回归模型估算了 2011 年特定三周（地震前 1 周和地震后 2 周）的 OHCA 发生风险比 (RR) 和 95% CI。将2005年至2010年3月4日至24日相应时期的发病率设定为基线风险。结果在总共17 353名OHCA患者的分析中，地震后第一周所有成人和老年女性的发病率显着增加（调整后RR=1.13，95% CI=1.05至1.22，p=0.001） (调整后-RR=1.23, 95% CI=1.11～1.37，p<0.001）。结论即使在非灾区，东日本大地震也导致老年妇女OHCA增加。
BackgroundTo examine changes in the incidence of out-of-hospital cardiac arrest (OHCA) with cardiac origin in the non-disaster areas of Japan before and after the Great East Japan Earthquake of 11 March 2011.MethodsThe 35 prefectures in Japan with no dead or missing caused directly by the earthquake were defined as the non-disaster areas. Data of adult OHCA patients in the non-disaster areas from March 4 to 24 each year from 2005 to 2011 were obtained from the All-Japan Utstein Registry. Risk ratios (RRs) of OHCA incidence and 95% CIs were estimated for three specific weeks in 2011 (1 week before and 2 weeks after the earthquake) by applying multivariable Poisson regression model. Incidence in the corresponding periods of March 4–24 from 2005 to 2010 was set as the baseline risk.ResultsIn the analyses from a total of 17 353 OHCA patients, the incidence statistically significantly increased in the first week after the earthquake in all adults (adjusted-RR=1.13, 95% CI=1.05 to 1.22, p=0.001) and in elderly women (adjusted-RR=1.23, 95% CI=1.11 to 1.37, p<0.001).ConclusionsThe Great East Japan Earthquake caused the increase of OHCA among elderly women even in the non-disaster areas.