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DCフィールド | 値 | 言語 |
---|---|---|
dc.contributor.author | Iwami, Taku | en |
dc.contributor.author | Nichol, Graham | en |
dc.contributor.author | Hiraide, Atsushi | en |
dc.contributor.author | Hayashi, Yasuyuki | en |
dc.contributor.author | Nishiuchi, Tatsuya | en |
dc.contributor.author | Kajino, Kentaro | en |
dc.contributor.author | Morita, Hiroshi | en |
dc.contributor.author | Yukioka, Hidekazu | en |
dc.contributor.author | Ikeuchi, Hisashi | en |
dc.contributor.author | Sugimoto, Hisashi | en |
dc.contributor.author | Nonogi, Hiroshi | en |
dc.contributor.author | Kawamura, Takashi | en |
dc.contributor.alternative | 石見, 拓 | ja |
dc.date.accessioned | 2014-05-27T06:15:01Z | - |
dc.date.available | 2014-05-27T06:15:01Z | - |
dc.date.issued | 2009-02-10 | - |
dc.identifier.issn | 0009-7322 | - |
dc.identifier.uri | http://hdl.handle.net/2433/187288 | - |
dc.description.abstract | [Background] The impact of ongoing efforts to improve the "chain of survival" for out-of-hospital cardiac arrest (OHCA) is unclear. The objective of this study was to evaluate the incremental effect of changes in prehospital emergency care on survival after OHCA. [Methods and Results] This prospective, population-based observational study involved consecutive patients with OHCA from May 1998 through December 2006. The primary outcome measure was 1-month survival with favorable neurological outcome. Multiple logistic regression analysis was used to assess factors that were potentially associated with better neurological outcome. Among 42 873 resuscitation-attempted adult OHCAs, 8782 bystander-witnessed arrests of presumed cardiac origin were analyzed. The median time interval from collapse to call for medical help, first cardiopulmonary resuscitation, and first shock shortened from 4 (interquartile range [IQR] 2 to 11) to 2 (IQR 1 to 5) minutes, from 9 (IQR 5 to 13) to 7 (IQR 3 to 11) minutes, and from 19 (IQR 13 to 22) to 9 (IQR 7 to 12) minutes, respectively. Neurologically intact 1-month survival after witnessed ventricular fibrillation increased from 6% (6/96) to 16% (49/297; P<0.001). Among all witnessed OHCAs, earlier cardiopulmonary resuscitation (odds ratio per minute 0.89, 95% confidence interval 0.85 to 0.93) and earlier intubation (odds ratio per minute 0.96, 95% confidence interval 0.94 to 0.99) were associated with better neurological outcome. For ventricular fibrillation, only earlier shock was associated with better outcome (odds ratio 0.84, 95% confidence interval 0.80 to 0.88). [Conclusions] Data from a large, population-based cohort demonstrate a continuous increase in OHCA survival with improvement in the chain of survival. The incremental benefit of early advanced care on OHCA survival is also suggested. | en |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.publisher | American Heart Association | en |
dc.rights | © 2009 American Heart Association, Inc. | en |
dc.subject | cardiopulmonary resuscitation | en |
dc.subject | heart arrest | en |
dc.subject | death, sudden | en |
dc.subject | epidemiology | en |
dc.subject | ventricular fibrillation | en |
dc.title | Continuous Improvements in "Chain of Survival" Increased Survival After Out-of-Hospital Cardiac Arrests : A Large-Scale Population-Based Study | en |
dc.type | journal article | - |
dc.type.niitype | Journal Article | - |
dc.identifier.ncid | AA00133542 | - |
dc.identifier.jtitle | Circulation | en |
dc.identifier.volume | 119 | - |
dc.identifier.issue | 5 | - |
dc.identifier.spage | 728 | - |
dc.identifier.epage | 734 | - |
dc.relation.doi | 10.1161/CIRCULATIONAHA.108.802058 | - |
dc.textversion | none | - |
dc.identifier.pmid | 19171854 | - |
dcterms.accessRights | metadata only access | - |
dc.identifier.pissn | 0009-7322 | - |
dc.identifier.eissn | 1524-4539 | - |
出現コレクション: | 学術雑誌掲載論文等 |
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