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Title: Rationale, design, and profile of Comprehensive Registry of In-Hospital Intensive Care for OHCA Survival (CRITICAL) study in Osaka, Japan.
Authors: Yamada, Tomoki
Kitamura, Tetsuhisa
Hayakawa, Koichi
Yoshiya, Kazuhisa
Irisawa, Taro
Abe, Yoshio
Ishiro, Megumi
Uejima, Toshifumi
Ohishi, Yasuo
Kaneda, Kazuhisa
Kiguchi, Takeyuki
Kishi, Masashi
Kishimoto, Masafumi
Nakao, Shota
Nishimura, Tetsuro
Hayashi, Yasuyuki
Morooka, Takaya
Izawa, Junichi
Shimamoto, Tomonari
Hatakeyama, Toshihiro
Matsuyama, Tasuku
Kawamura, Takashi  kyouindb  KAKEN_id
Shimazu, Takeshi
Iwami, Taku  kyouindb  KAKEN_id  orcid (unconfirmed)
Author's alias: 川村, 孝
石見, 拓
Keywords: Out-of-hospital cardiac arrest
In-hospital intensive care
Issue Date: 26-Jan-2016
Publisher: BioMed Central Ltd.
Journal title: Journal of Intensive Care
Volume: 4
Thesis number: 10
Abstract: [Background] We established a multi-center, prospective cohort that could provide appropriate therapeutic strategies such as criteria for the introduction and the effectiveness of in-hospital advanced treatments, including percutaneous coronary intervention (PCI), target temperature management, and extracorporeal cardiopulmonary resuscitation (ECPR) for out-of-hospital cardiac arrest (OHCA) patients. [Methods] In Osaka Prefecture, Japan, we registered all consecutive patients who were suffering from an OHCA for whom resuscitation was attempted and who were then transported to institutions participating in this registry since July 1, 2012. A total of 11 critical care medical centers and one hospital with an emergency care department participated in this registry. The primary outcome was neurological status after OHCA, defined as cerebral performance category (CPC) scale. [Results] A total of 688 OHCA patients were documented between July 2012 and December 2012. Of them, 657 were eligible for our analysis. Patients’ average age was 66.2 years old, and male patients accounted for 66.2 %. The proportion of OHCAs having a cardiac origin was 50.4 %. The proportion as first documented rhythm of ventricular fibrillation/pulseless ventricular tachycardia was 11.6 %, pulseless electrical activity 23.4 %, and asystole 54.5 %. After hospital arrival, 10.5 % received defibrillation, 90.8 % tracheal intubation, 3.0 % ECPR, 3.5 % PCI, and 83.1 % adrenaline administration. The proportions of 90-day survival and CPC 1/2 at 90 days after OHCAs were 5.9 and 3.0 %, respectively. [Conclusions] The Comprehensive Registry of In-hospital Intensive Care for OHCA Survival (CRITICAL) study will enroll over 2000 OHCA patients every year. It is still ongoing without a set termination date in order to provide valuable information regarding appropriate therapeutic strategies for OHCA patients (UMIN000007528).
Rights: © 2016 Yamada et al. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (, which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
DOI(Published Version): 10.1186/s40560-016-0128-5
PubMed ID: 26819708
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