Survival Trends in Adults with Out-of-Hospital Cardiac Arrests after Traffic Collisions in Japan: A Population-Based Study.
Survival Trends in Adults with Out-of-Hospital Cardiac Arrests after Traffic Collisions in Japan: A Population-Based Study.
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DOI：
10.3390/jcm11030745
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发表时间：
2022-01-29
影响因子：
3.9
通讯作者：
Oda J
中科院分区：
文献类型：
--
作者：
Hosomi S;Kitamura T;Sobue T;Zha L;Kiyohara K;Oda J
据报道，最近心源性院外心脏骤停（OHCA）的1个月生存率有所改善，≥ 5%。然而，在日本，交通碰撞后OHCA患者的特征尚未得到充分评价。我们分析了2013年至2019年期间12，577名年龄≥ 20岁的OHCA成人患者的全日本Utstein登记数据，这些患者因交通碰撞而被紧急医疗服务人员或旁观者复苏，然后被送往医疗机构。采用多元Logistic回归分析评估与OHCA后1个月生存率相关的因素。1个月生存率为1.4%（174/12，577）。所有OHCA在交通碰撞起源后1个月生存率的比例没有显著增加（从2013年的1.6% [30/1919]增加到2019年的1.8% [25/1702]），1年增量的调整优势比为1.04（95%置信区间，0.96-1.12）。在多变量分析中，接受室颤、无脉性电活动、静脉补液或早期紧急医疗服务响应并在白天发生交通碰撞的男性1个月结局显著有利。在日本，交通碰撞起源的OHCA后1个月的生存率低于心脏起源，并保持稳定。
The 1-month survival rate from out-of-hospital cardiac arrest (OHCA) of cardiac origin has reportedly improved recently, at ≥5%. However, the characteristics of patients with OHCA after a traffic collision have not been adequately evaluated in Japan. We analyzed the All-Japan Utstein Registry data of 12,577 adult patients aged ≥ 20 years with OHCA due to traffic collisions who were resuscitated by emergency medical service personnel or bystanders and were then transported to medical institutions between 2013 and 2019. Multiple logistic regression analysis was used to assess factors potentially associated with the 1-month survival rate after OHCA. The 1-month survival rate was 1.4% (174/12,577). The proportion of 1-month survival of all OHCAs after a traffic collision origin did not increase significantly (from 1.6% [30/1919] in 2013 to 1.8% [25/1702] in 2019), and the adjusted odds ratio for 1-year increments was 1.04 (95% confidence interval, 0.96–1.12). In multivariate analysis, men who received ventricular fibrillation, pulseless electrical activity, intravenous fluid replacement, or early emergency medical service response and had a traffic collision during daytime had significantly favorable 1-month outcomes. In Japan, the 1-month survival after OHCA of a traffic collision origin was lower than that of a cardiac origin and remains stable.
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影响因子：
2.9
作者：
Kitamura T;Kiyohara K;Sakai T;Iwami T;Nishiyama C;Kajino K;Nishiuchi T;Hayashi Y;Katayama Y;Yoshiya K;Shimazu T
通讯作者：
Shimazu T
DOI：
10.1136/bmj.f6829
发表时间：
2013-12-10
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
Nakahara S;Tomio J;Takahashi H;Ichikawa M;Nishida M;Morimura N;Sakamoto T
通讯作者：
Sakamoto T
影响因子：
7.2
作者：
Gallo, Valentina;Egger, Matthias;Vineis, Paolo
通讯作者：
Vineis, Paolo
影响因子：
37.8
作者：
CUMMINS, RO;CHAMBERLAIN, DA;THIES, WH
通讯作者：
THIES, WH
影响因子：
6.5
作者：
Koike, Soichi;Tanabe, Seizan;Imamura, Tomoaki
通讯作者：
Imamura, Tomoaki