Epidemiology of out of hospital cardiac arrest in school children and the role of school ECG screening

学童院外心脏骤停的流行病学及学校心电图筛查的作用

• 批准号: 24791056
• 负责人: OHASHI Hiroyuki
• 金额: $ 2.66万
• 依托单位: Mie University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Young Scientists (B)
• 财政年份: 2012
• 资助国家: 日本
• 起止时间: 2012-04-01 至 2014-03-31
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-24791056/
• 关键词: 心臓性突然死; 自動体外式除細動器; 学校心臓検診; 救急体制; 学校保健; 院外心停止

Hypothesis: We hypothesized that public-access defibrillation (PAD) at school was associated with the improved outcome after out-of-hospital cardiac arrest (OHCA) of cardiac origin (OHCA) in such students at the national level. Methods: We analyzed Japanese Utstein registry and nation-wide survey data of school children during 2005-9. Results: The proportion of patients initially shocked by a bystander among total eligible patients and the proportion of patients with a favorable neurological outcome after OHCA increased. The collapse to defibrillation time was independently associated with a favorable neurological outcome after OHCA. 50% of patients had OHCA at school, which was associated with the event during exercise. OHCA at school was associated with a favorable neurological outcome. Conclusions:PAD at school is associated with a favorable neurological outcome after OHCA in elementary and middle school students at the national level in Japan.

假设：我们假设，在国家一级，在学校进行公共除颤（PAD）与此类学生发生院外心源性心脏骤停（OHCA）后结局的改善相关。 方法：分析2005- 2009年日本Utstein登记和全国学龄儿童调查数据。 结果如下：在所有合格患者中，最初被旁观者电击的患者比例和OHCA后神经系统结局良好的患者比例增加。除颤时间与OHCA后良好的神经功能结局独立相关。 50%的患者在学校有OHCA，这与运动期间的事件有关。 学校的OHCA与良好的神经学结局相关。 结论：在日本全国范围内，小学和中学学生在学校接受PAD与OHCA后良好的神经功能结局相关。

项目成果

Phenotypic Modulation of Smooth Muscle Cells and Related Inflammation in the Development of Experimental Obstructive Pulmonary Vasculopathy in Rats.

大鼠实验性阻塞性肺血管病发生过程中平滑肌细胞的表型调节及相关炎症。

• 发表时间: 2013
• 作者: Otsuki S;Sawada H;Yodoya N;Shinohara T;Kato T;Ohashi H;Zhang E;Yoshida-Imanaka K;Shimpo H;Maruyama K;Komada Y;Mitani Y.
• 通讯作者: Mitani Y.

Public access defibrillation improved the outcome after out-of-hospital cardiac arrest in school-age children: a nationwide, population-based, Utstein registry study in Japan.

• DOI: 10.1093/europace/eut053
• 发表时间: 2013-09
• 期刊: Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology
• 作者: Mitani Y;Ohta K;Yodoya N;Otsuki S;Ohashi H;Sawada H;Nagashima M;Sumitomo N;Komada Y
• 通讯作者: Komada Y

Early detection of pediatric idiopathic pulmonary arterial hypertension by school electrocardiography screening: a nationwide survey in Japan.

通过学校心电图筛查早期发现儿童特发性肺动脉高压：日本的一项全国性调查。

• 发表时间: 2013
• 作者: Sawada H;Mitani Y;Nakayama T;Fukushima H;Kogaki S;Igarashi T;Ichida F;Ono Y;Nakanishi T;Doi S;Ishikawa S;Matsushima M;Yamada O;Saji T.
• 通讯作者: Saji T.

児童生徒の院外心停止における学校心臓検診と学校救急の協力体制の構築に向けて：全国調査からのレッスンと課題

建立学校心脏筛查和学校院外心脏骤停儿童紧急服务合作系统：全国调查的教训和挑战

• 发表时间: 2013
• 作者: 三谷義英;大橋啓之
• 通讯作者: 大橋啓之

Circumstances and Outcomes of Out-Of-Hospital Cardiac Arrest in Elementary and Middle School Students in the Era of Public-Access Defibrillation - Implications for Emergency Preparedness in Schools

• DOI: 10.1253/circj.cj-13-1162
• 发表时间: 2014-03-01
• 期刊: CIRCULATION JOURNAL
• 影响因子: 3.3
• 作者: Mitani, Yoshihide;Ohta, Kunio;Sumitomo, Naokata
• 通讯作者: Sumitomo, Naokata