Incidence and survival rate of bystander-witnessed out-of-hospital cardiac arrest with cardiac etiology in Osaka, Japan: a population-based study according to the Utstein style
Incidence and survival rate of bystander-witnessed out-of-hospital cardiac arrest with cardiac etiology in Osaka, Japan: a population-based study according to the Utstein style
复制标题
DOI：
10.1016/s0300-9572(03)00241-7
复制
发表时间：
2003-12-01
期刊：
影响因子：
6.5
通讯作者：
Yokota, J
中科院分区：
文献类型：
--
作者：
Nishiuchi, T;Hiraide, A;Yokota, J
目的：了解日本大阪府近900万人口的院外心脏骤停的发生率和存活率。对象和方法：从1998年5月1日开始的12个月期间，救护人员连续救治5047例胆汁淤积症患者。974例被认为是旁观者目击的伴有心脏病因的uchA，采用Utstein方式进行分析。结果：974例患者中，1个月后存活50例(5.1%)，1年后存活28例(2.9%)。室颤(VF)/室性心动过速(VT)组164例(16.8%)，两组(VF/VT组与非VF/VT组)性别(男性：76.8比60.7%)，年龄(61.7±14.7比68.7+/-17.1)，缺血性心脏病病史(30.5比15.3%)，旁观者心肺复苏(CPR)的实施率(34.1%对21.4%)以及从接到紧急呼叫到到达现场的时间间隔(5.5+/-2.9对6.0+/-2.9分钟)。结论：与欧美部分地区报道的其他研究相比，伴发心脏病因学和室颤室性心动过速的旁观者目击事件的发生率非常低。(C)2003爱思唯尔爱尔兰有限公司。保留所有权利。
Purpose: To clarify the incidence and survival rate of bystander-witnessed out-of-hospital cardiac arrests (OHCA) with cardiac etiology in Osaka Prefecture, Japan, with a population of nearly 9 million according to the Utstein style. Subjects and Methods: 5047 consecutive OHCA cases were treated by ambulance personnel during the 12-month period starting since 1 May 1998. 974 cases were considered to be bystander-witnessed OHCA with cardiac etiology and analyzed using the Utstein style. Results: Of the 974 cases (100%), 50 cases (5.1%) survived after 1 month and 28 (2.9%) of them after I year. The Ventricular fibrillation (VF)/ventricular tachycardia (VT) group comprised 164 (16.8%) cases and there were statistically differences between the two groups as below (the VF/VT group vs. the non-VF/VT group): gender (male: 76.8 vs. 60.7%), age (61.7 +/- 14.7 vs. 68.7 +/- 17. 1), history of ischemic heart disease (IHD) (30.5 vs. 15.3%), performance rate of bystander cardiopulmonary resuscitation (CPR) (34.1 vs. 21.4%) and time interval between receipt of an emergency call and arrival at the scene (5.5+/-2.9 vs. 6.0+/-2.9 min). Conclusion: The incidence of bystander-witnessed (OHCA) with cardiac etiology and VF or VT were remarkably low compared with those reported by other studies conducted in some areas of Europe or the USA. (C) 2003 Elsevier Ireland Ltd. All rights reserved.