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dc.contributor.author | Ro, Young Sun | en |
dc.contributor.author | Shin, Sang Do | en |
dc.contributor.author | Kitamura, Tetsuhisa | en |
dc.contributor.author | Lee, Eui Jung | en |
dc.contributor.author | Kajino, Kentaro | en |
dc.contributor.author | Song, Kyoung Jun | en |
dc.contributor.author | Nishiyama, Chika | en |
dc.contributor.author | Kong, So Yeon | en |
dc.contributor.author | Sakai, Tomohiko | en |
dc.contributor.author | Nishiuchi, Tatsuya | en |
dc.contributor.author | Hayashi, Yasuyuki | en |
dc.contributor.author | Iwami, Taku | en |
dc.contributor.alternative | 石見, 拓 | ja |
dc.date.accessioned | 2015-11-27T04:32:23Z | - |
dc.date.available | 2015-11-27T04:32:23Z | - |
dc.date.issued | 2015-06-09 | - |
dc.identifier.issn | 2044-6055 | - |
dc.identifier.uri | http://hdl.handle.net/2433/201988 | - |
dc.description.abstract | [Objectives] The objective of this study was to compare the temporal trends in survival after out-of-hospital cardiac arrest (OHCA) between two large metropolitan communities in Asia and evaluate the factors affecting survival after OHCA. [Design] A population-based prospective observational study. [Setting] The Cardiovascular Disease Surveillance (CAVAS) project in Seoul and the Utstein Osaka Project in Osaka. [Participants] A total of 36 292 resuscitation-attempted OHCAs with cardiac aetiology from 2006 to 2011 in Seoul and Osaka (11 082 in Seoul and 25 210 in Osaka). [Primary outcome measures] The primary outcome was neurologically favourable survival. Trend analysis and multivariable Poisson regression models were conducted to evaluate the temporal trends in survival of two communities. [Results] During the study period, the overall neurologically favourable survival was 2.6% in Seoul and 4.6% in Osaka (p<0.01). In both communities, bystander cardiopulmonary resuscitation (CPR) rates increased significantly from 2006 to 2011 (from 0.1% to 13.1% in Seoul and from 33.3% to 41.7% in Osaka). OHCAs that occurred in public places increased in Seoul (12.5% to 20.1%, p for trend <0.01) and decreased in Osaka (13.5% to 10.5%, p for trend <0.01). The proportion of OHCAs defibrillated by emergency medical service (EMS) providers was only 0.4% in 2006 but increased to 17.5% in 2011 in Seoul, whereas the proportion in Osaka decreased from 17.7% to 13.7% (both p for trend <0.01). Age-adjusted and gender-adjusted rates of neurologically favourable survival increased significantly in Seoul from 1.4% in 2006 to 4.3% in 2011 (adjusted rate ratio per year, 1.17; p for trend <0.01), whereas no significant improvement was observed in Osaka (3.6% in 2006 and 5.1% in 2011; adjusted rate ratio per year, 1.03; p for trend=0.08). [Conclusions] Survivals after OHCA were increased in Seoul while remained constant in Osaka, which may have been affected by the differences and improvements of patient, community, and EMS system factors. | en |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.publisher | BMJ Publishing Group | en |
dc.rights | This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ | en |
dc.title | Temporal trends in out-of-hospital cardiac arrest survival outcomes between two metropolitan communities: Seoul-Osaka resuscitation study. | en |
dc.type | journal article | - |
dc.type.niitype | Journal Article | - |
dc.identifier.jtitle | BMJ open | en |
dc.identifier.volume | 5 | - |
dc.identifier.issue | 6 | - |
dc.relation.doi | 10.1136/bmjopen-2015-007626 | - |
dc.textversion | publisher | - |
dc.identifier.artnum | e007626 | - |
dc.identifier.pmid | 26059524 | - |
dcterms.accessRights | open access | - |
出現コレクション: | 学術雑誌掲載論文等 |
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