Outcome and characteristics of out-of-hospital cardiac arrest according to location of arrest: A report from a large-scale, population-based study in Osaka, Japan

被引:100
作者
Iwami, Taku
Hiraide, Atsushi [1 ]
Nakanishi, Noriyuki
Hayashi, Yasuyuki
Nishiuchi, Tatsuya
Uejima, Toshifumi
Morita, Hiroshi
Shigemoto, Tatsuhiro
Ikeuchi, Hisashi
Matsusaka, Masanori
Shinya, Hiroshi
Yukioka, Hidekazu
Sugimoto, Hisashi
机构
[1] Kyoto Univ, Grad Sch Med, Ctr Med Educ, Sakyo Ku, Kyoto 6068501, Japan
[2] Osaka Univ, Grad Sch Med, Dept Gen Med, Suita, Osaka, Japan
[3] Osaka Univ, Grad Sch Med, Dept Social & Environm Med, Suita, Osaka, Japan
[4] Osaka Prefectural Senri Crit Care Med Ctr, Suita, Osaka, Japan
[5] Osaka Prefectural Senshu Crit Care Med Ctr, Izumisano, Japan
[6] Kinki Univ, Sch Med, Dept Emergency & Crit Care Med, Sayama, Osaka, Japan
[7] Osaka Mishima Crit Care Med Ctr, Takatsuki, Osaka, Japan
[8] Osaka City Gen Hosp, Emergency & Crit Care Med Ctr, Osaka, Japan
[9] Osaka Gen Med Ctr, Crit Care & Trauma Ctr, Osaka, Japan
[10] Osaka Prefectural Nakakawachi Med Ctr Acute Med, Higashiosaka, Osaka, Japan
[11] Kansai Med Univ, Dept Emergency & Crit Care Med, Kansai, Japan
[12] Osaka City Univ, Sch Med, Div Crit Care Med, Osaka, Japan
[13] Osaka Univ, Grad Sch Med, Dept Traumatol & Acute Crit Med, Suita, Osaka, Japan
关键词
cardiac arrest; location; workplace; the utstein style; ventricular fibrillation;
D O I
10.1016/j.resuscitation.2005.08.018
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Objective: To evaluate the outcome and the factors concerned with of out-of-hospital cardiac arrest patients according to the location of the collapse. Methods: From May 1st, 1998 to April 30th, 2001, 15,211 consecutive out-of-hospital cardiac arrest cases considered for resuscitation were recorded. Of these cases 7540 arrests in subjects aged 18 years or older with cardiac aetiology were analyzed. The outcome and the related-factors, particularly incidence of ventricutar fibrillation, were evaluated according to the location of the cardiac arrest. To analyze the factors that affect the incidence of ventricutar fibrillation, a logistic regression model was used. Results: About three-quarters of out-of-hospital cardiac arrests occurred at private residences. The outcome and characteristics were significantly different according to the location of the arrest. Arrest patients in public or in the work place had a higher chance of being found in ventricular fibrillation and survival than those at a private residence. The multivariate adjusted odds ratios for ventricular fibrillation in a public or work place were significantly higher than that in private residences, after adjusting for covariates affecting initial rhythm, such as age, sex, witnessed status, bystander cardiopulmonary resuscitation, and response interval. Conclusion: Although the majority of out-of-hospital cardiac arrests occur at private residences, arrests in public or in the work place had a higher chance of being found in ventricutar fibrillation and survival than those at private residences. In order to establish a system to improve the outcome of out-of-hospital cardiac arrest, a well-considered strategy considering the location of arrest is necessary. (c) 2005 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:221 / 228
页数:8
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