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Out-of hospital cardiac arrests in Hiroshima-Utstein style reporting from a Japanese million city

来自日本百万城市的广岛-乌特斯坦式报告中的院外心脏骤停

基本信息

批准号：
12672189
负责人：
YAMANOUE Takako
金额：
$ 1.41万
依托单位：
Hiroshima University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2000
资助国家：
日本
起止时间：
2000 至 2003
项目状态：
已结题

项目摘要

Outcome of patients suffered from out-of-hospital cardiac arrest in Hiroshima city (1.06 million in population) were analyzed according to the Utstein style. Cardiac arrest patients who were received cardiopulmonary resuscitation were 2,086 from September 1998 to December 2002. The number of cardiac arrest by cardiogenic origin was 1,041, and of cases that were witnessed by bystanders were 403. The number of witnessed cardiogenic ventricular fibrillation (VF) and pulseless ventricular tachycardia (VT) was 116. The number of Emergency Life Saving Technicians (ELSTs) witnessed cardiogenic VF and pulseless VT was 22. Fifteen patients discharged to home alive from bystander witnessed cardiogenic VF and pulseless VT (12.9%), and 11 patients did from ELSTs witnessed cardiogenic VF and pulseless VT (50%).A medical control (MC) system in Hiroshima was established during a period of this study, and defibrillation (DC) by ELSTs with a standing order was permitted in April, 2003. The methodology and results of the present study are now admitted as essential for MC system in Hiroshima. This fact made me one of the members of the MC committee in Hiroshima, and I am engaged in training programs for the treatment of cardiac arrest in the city. The results of the present study are promised to be a control data to expected increase in survivors from cardiac arrest after the permission of DC by ELSTs with a standing order.

对广岛市（106万人口）院外心脏骤停患者的预后按Utstein模式进行分析。1998年9月至2002年12月，接受心肺复苏的心脏骤停患者为2,086例。心源性心脏骤停的人数为1 041人，旁观者目睹的人数为403人。心源性室颤（VF）和无脉性室速（VT）116例。目睹心源性室颤及无脉性室性心动过速的紧急救生技师人数是22。15例从旁观者中活着出院回家的患者发生了心源性VF和无脉性VT（12.9%），11例从ELST中发生了心源性VF和无脉性VT（50%）。本研究的方法和结果，现在承认是必不可少的MC系统在广岛。这一事实使我成为广岛MC委员会的成员之一，我正在该市从事心脏骤停治疗的培训项目。本研究的结果有望成为一个控制数据，以预期增加的幸存者从心脏骤停后，允许DC的ELST与长期订单。