The daily incidence of out-of-hospital cardiac arrest unexpectedly increases around New Year's Day in Japan
The daily incidence of out-of-hospital cardiac arrest unexpectedly increases around New Year's Day in Japan
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DOI：
10.1016/j.resuscitation.2015.08.003
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发表时间：
2015-11-01
期刊：
影响因子：
6.5
通讯作者：
Shimadzu, Hideyasu
中科院分区：
文献类型：
--
作者：
Takahashi, Kunihiko;Shimadzu, Hideyasu
背景：日本每年有超过 100,000 名患者被诊断为院外心脏骤停 (OHCA) 病例，并且这一数字在过去十年中持续增加，对预防性公共卫生研究和紧急医疗护理提出了挑战。本研究的目的是确定日本日常 OHCA 表现是否存在任何时间模式。 方法：从全日本 Utstein 心肺骤停患者登记数据中获得六年（2005 年 1 月 1 日至 2011 年 3 月 10 日）在日本被救护车运送的 OHCA 患者 (n = 701,651) 的记录。通过使用扫描统计的时间聚类检测测试来确定 OHCA 发病率显着增加的时间段。根据考虑其他因素影响的泊松回归模型计算并调整检测到的时段的 OHCA 风险比。结果：在日本元旦前后，OHCA 的风险显着上升 1.3-1.6 倍。结论：我们的分析显示，在日本每年元旦前后 OHCA 的每日发病率都会增加。 (C) 2015 Elsevier Ireland Ltd. 保留所有权利。
Background: Over 100,000 patients are diagnosed every year as out-of-hospital cardiac arrest (OHCA) cases in Japan and their number has continued to rise for the last decade, presenting a challenge for preventive public health research as well as emergency medical care. The purpose of this study was to identify whether there are any temporal patterns in daily OHCA presentations in Japan.Methods: Records of OHCA patients (n = 701,651) transported by ambulance over the course of six years (1st January 2005 to 10th March 2011) in Japan were obtained from the All-Japan Utstein registry data of cardiopulmonary arrest patients. Time periods within which the incidence of OHCA significantly increased were identified by a temporal cluster detection test using scan statistics. The risk ratios of OHCA for the detected periods were calculated and adjusted according to a Poisson regression model accounting for effects of other factors.Results: The risk of OHCA significantly rises 1.3-1.6 times around New Year's Day in Japan.Conclusions: Our analysis revealed the increased daily incidence of OHCA around every New Year's Day in Japan. (C) 2015 Elsevier Ireland Ltd. All rights reserved.