Incidence and Outcome of Out-of-Hospital Cardiac Arrest With Public-Access Defibrillation: A Descriptive Epidemiological Study in a Large Urban Community
Background: Detailed characteristics of those who experience an out-of-hospital cardiac arrest (OHCA) with public-access defibrillation (PAD) are unknown. Methods and Results: A prospective, population-based observational study involving consecutive OHCA patients with emergency responder resuscitati...
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| Veröffentlicht in: | Circulation Journal 2011, Vol.75(12), pp.2821-2826 |
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| creator | Sasaki, Mie Iwami, Taku Kitamura, Tetsuhisa Nomoto, Shinichi Nishiyama, Chika Sakai, Tomohiko Tanigawa, Kayo Kajino, Kentaro Irisawa, Taro Nishiuchi, Tatsuya Hayashida, Sumito Hiraide, Atsushi Kawamura, Takashi |
| description | Background: Detailed characteristics of those who experience an out-of-hospital cardiac arrest (OHCA) with public-access defibrillation (PAD) are unknown. Methods and Results: A prospective, population-based observational study involving consecutive OHCA patients with emergency responder resuscitation attempts was conducted from July 1, 2004 through December 31, 2008 in Osaka City. We extracted data for OHCA patients shocked by a public-access automated external defibrillator (AED) and evaluated the patients' and rescuers' characteristics. The main outcome measure was neurologically favorable 1-month survival. During the study period, 10,375 OHCA patients were registered and of 908 patients suffering ventricular fibrillation arrest, 53 (6%) received public-access AED shocks by lay-rescuers, with the proportion increasing from 0% in 2004 to 11% in 2008 (P for trend |
| doi_str_mv | 10.1253/circj.CJ-11-0316 |
| format | Article |
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Methods and Results: A prospective, population-based observational study involving consecutive OHCA patients with emergency responder resuscitation attempts was conducted from July 1, 2004 through December 31, 2008 in Osaka City. We extracted data for OHCA patients shocked by a public-access automated external defibrillator (AED) and evaluated the patients' and rescuers' characteristics. The main outcome measure was neurologically favorable 1-month survival. During the study period, 10,375 OHCA patients were registered and of 908 patients suffering ventricular fibrillation arrest, 53 (6%) received public-access AED shocks by lay-rescuers, with the proportion increasing from 0% in 2004 to 11% in 2008 (P for trend<0.001). Railway stations (34%) were the places where PAD shocks were most frequently delivered, followed by nursing homes (11%), medical facilities (9%), and fitness facilities (7%). In 57% of cases, the subject received public-access AED shocks delivered by non-medical persons, including employees of railway companies (13%), school teachers (6%), employees of fitness facilities (6%), and security guards (6%). The proportion of neurologically favorable 1-month survival tended to increase from 0% in 2005 to 58% in 2008 (P for trend=0.081). Conclusions: Railway stations are the most common places where shocks by public-access AEDs were delivered in large urban communities of Japan, and among lay-rescuers railway station workers use AEDs more frequently. (Circ J 2011; 75: 2821-2826)</description><identifier>ISSN: 1346-9843</identifier><identifier>EISSN: 1347-4820</identifier><identifier>DOI: 10.1253/circj.CJ-11-0316</identifier><identifier>PMID: 21959265</identifier><language>eng</language><publisher>Japan: The Japanese Circulation Society</publisher><subject>Adult ; Aged ; Automated external defibrillator ; Cardiopulmonary resuscitation ; Defibrillators ; Electric Countershock ; Female ; Humans ; Japan - epidemiology ; Male ; Middle Aged ; Out-of-hospital cardiac arrest ; Out-of-Hospital Cardiac Arrest - mortality ; Out-of-Hospital Cardiac Arrest - therapy ; Prospective Studies ; Public-access defibrillation ; Resuscitation - instrumentation ; Resuscitation - methods ; Survival ; Urban Population</subject><ispartof>Circulation Journal, 2011, Vol.75(12), pp.2821-2826</ispartof><rights>2011 THE JAPANESE CIRCULATION SOCIETY</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c472t-2acd28c6c6a3bdfc24db578b4da2544ba8f7a77af246213907c0aa26d9c4a2b93</citedby><cites>FETCH-LOGICAL-c472t-2acd28c6c6a3bdfc24db578b4da2544ba8f7a77af246213907c0aa26d9c4a2b93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,1883,4024,27923,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21959265$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sasaki, Mie</creatorcontrib><creatorcontrib>Iwami, Taku</creatorcontrib><creatorcontrib>Kitamura, Tetsuhisa</creatorcontrib><creatorcontrib>Nomoto, Shinichi</creatorcontrib><creatorcontrib>Nishiyama, Chika</creatorcontrib><creatorcontrib>Sakai, Tomohiko</creatorcontrib><creatorcontrib>Tanigawa, Kayo</creatorcontrib><creatorcontrib>Kajino, Kentaro</creatorcontrib><creatorcontrib>Irisawa, Taro</creatorcontrib><creatorcontrib>Nishiuchi, Tatsuya</creatorcontrib><creatorcontrib>Hayashida, Sumito</creatorcontrib><creatorcontrib>Hiraide, Atsushi</creatorcontrib><creatorcontrib>Kawamura, Takashi</creatorcontrib><title>Incidence and Outcome of Out-of-Hospital Cardiac Arrest With Public-Access Defibrillation: A Descriptive Epidemiological Study in a Large Urban Community</title><title>Circulation Journal</title><addtitle>Circ J</addtitle><description>Background: Detailed characteristics of those who experience an out-of-hospital cardiac arrest (OHCA) with public-access defibrillation (PAD) are unknown. Methods and Results: A prospective, population-based observational study involving consecutive OHCA patients with emergency responder resuscitation attempts was conducted from July 1, 2004 through December 31, 2008 in Osaka City. We extracted data for OHCA patients shocked by a public-access automated external defibrillator (AED) and evaluated the patients' and rescuers' characteristics. The main outcome measure was neurologically favorable 1-month survival. During the study period, 10,375 OHCA patients were registered and of 908 patients suffering ventricular fibrillation arrest, 53 (6%) received public-access AED shocks by lay-rescuers, with the proportion increasing from 0% in 2004 to 11% in 2008 (P for trend<0.001). Railway stations (34%) were the places where PAD shocks were most frequently delivered, followed by nursing homes (11%), medical facilities (9%), and fitness facilities (7%). In 57% of cases, the subject received public-access AED shocks delivered by non-medical persons, including employees of railway companies (13%), school teachers (6%), employees of fitness facilities (6%), and security guards (6%). The proportion of neurologically favorable 1-month survival tended to increase from 0% in 2005 to 58% in 2008 (P for trend=0.081). Conclusions: Railway stations are the most common places where shocks by public-access AEDs were delivered in large urban communities of Japan, and among lay-rescuers railway station workers use AEDs more frequently. (Circ J 2011; 75: 2821-2826)</description><subject>Adult</subject><subject>Aged</subject><subject>Automated external defibrillator</subject><subject>Cardiopulmonary resuscitation</subject><subject>Defibrillators</subject><subject>Electric Countershock</subject><subject>Female</subject><subject>Humans</subject><subject>Japan - epidemiology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Out-of-hospital cardiac arrest</subject><subject>Out-of-Hospital Cardiac Arrest - mortality</subject><subject>Out-of-Hospital Cardiac Arrest - therapy</subject><subject>Prospective Studies</subject><subject>Public-access defibrillation</subject><subject>Resuscitation - instrumentation</subject><subject>Resuscitation - methods</subject><subject>Survival</subject><subject>Urban Population</subject><issn>1346-9843</issn><issn>1347-4820</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkD1PwzAQhi0EgvKxMyFvTAbbcb7GKkBLVQkGEGKyLmcHXKVJsZOBf09CC13sG5730d1LyKXgN0LG0S06j6ubYsGEYDwSyQGZiEilTGWSH_7OCcszFZ2Q0xBWnMucx_kxOZEij3OZxBPy_tigM7ZBS6Ex9KnvsF1b2lbjyNqKzduwcR3UtABvHCCdem9DR99c90mf-7J2yKaINgR6ZytXelfX0Lm2OSdHFdTBXuz-M_L6cP9SzNnyafZYTJcMVSo7JgGNzDDBBKLSVCiVKeM0K5UBGStVQlalkKZQSZVIEeU8RQ4gE5OjAlnm0Rm53no3vv3qh9X02gW0wxaNbfugh8RwdyJGkm9J9G0I3lZ6490a_LcWXI996t8-dbHQQuixzyFytZP35dqa_8BfgQMw2wKr0MGH_QfAdw5ruzOm8eAf3716T3yC17aJfgCYuYv3</recordid><startdate>2011</startdate><enddate>2011</enddate><creator>Sasaki, Mie</creator><creator>Iwami, Taku</creator><creator>Kitamura, Tetsuhisa</creator><creator>Nomoto, Shinichi</creator><creator>Nishiyama, Chika</creator><creator>Sakai, Tomohiko</creator><creator>Tanigawa, Kayo</creator><creator>Kajino, Kentaro</creator><creator>Irisawa, Taro</creator><creator>Nishiuchi, Tatsuya</creator><creator>Hayashida, Sumito</creator><creator>Hiraide, Atsushi</creator><creator>Kawamura, Takashi</creator><general>The Japanese Circulation Society</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2011</creationdate><title>Incidence and Outcome of Out-of-Hospital Cardiac Arrest With Public-Access Defibrillation</title><author>Sasaki, Mie ; Iwami, Taku ; Kitamura, Tetsuhisa ; Nomoto, Shinichi ; Nishiyama, Chika ; Sakai, Tomohiko ; Tanigawa, Kayo ; Kajino, Kentaro ; Irisawa, Taro ; Nishiuchi, Tatsuya ; Hayashida, Sumito ; Hiraide, Atsushi ; Kawamura, Takashi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c472t-2acd28c6c6a3bdfc24db578b4da2544ba8f7a77af246213907c0aa26d9c4a2b93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Automated external defibrillator</topic><topic>Cardiopulmonary resuscitation</topic><topic>Defibrillators</topic><topic>Electric Countershock</topic><topic>Female</topic><topic>Humans</topic><topic>Japan - epidemiology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Out-of-hospital cardiac arrest</topic><topic>Out-of-Hospital Cardiac Arrest - mortality</topic><topic>Out-of-Hospital Cardiac Arrest - therapy</topic><topic>Prospective Studies</topic><topic>Public-access defibrillation</topic><topic>Resuscitation - instrumentation</topic><topic>Resuscitation - methods</topic><topic>Survival</topic><topic>Urban Population</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sasaki, Mie</creatorcontrib><creatorcontrib>Iwami, Taku</creatorcontrib><creatorcontrib>Kitamura, Tetsuhisa</creatorcontrib><creatorcontrib>Nomoto, Shinichi</creatorcontrib><creatorcontrib>Nishiyama, Chika</creatorcontrib><creatorcontrib>Sakai, Tomohiko</creatorcontrib><creatorcontrib>Tanigawa, Kayo</creatorcontrib><creatorcontrib>Kajino, Kentaro</creatorcontrib><creatorcontrib>Irisawa, Taro</creatorcontrib><creatorcontrib>Nishiuchi, Tatsuya</creatorcontrib><creatorcontrib>Hayashida, Sumito</creatorcontrib><creatorcontrib>Hiraide, Atsushi</creatorcontrib><creatorcontrib>Kawamura, Takashi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Circulation Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sasaki, Mie</au><au>Iwami, Taku</au><au>Kitamura, Tetsuhisa</au><au>Nomoto, Shinichi</au><au>Nishiyama, Chika</au><au>Sakai, Tomohiko</au><au>Tanigawa, Kayo</au><au>Kajino, Kentaro</au><au>Irisawa, Taro</au><au>Nishiuchi, Tatsuya</au><au>Hayashida, Sumito</au><au>Hiraide, Atsushi</au><au>Kawamura, Takashi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Incidence and Outcome of Out-of-Hospital Cardiac Arrest With Public-Access Defibrillation: A Descriptive Epidemiological Study in a Large Urban Community</atitle><jtitle>Circulation Journal</jtitle><addtitle>Circ J</addtitle><date>2011</date><risdate>2011</risdate><volume>75</volume><issue>12</issue><spage>2821</spage><epage>2826</epage><pages>2821-2826</pages><issn>1346-9843</issn><eissn>1347-4820</eissn><abstract>Background: Detailed characteristics of those who experience an out-of-hospital cardiac arrest (OHCA) with public-access defibrillation (PAD) are unknown. Methods and Results: A prospective, population-based observational study involving consecutive OHCA patients with emergency responder resuscitation attempts was conducted from July 1, 2004 through December 31, 2008 in Osaka City. We extracted data for OHCA patients shocked by a public-access automated external defibrillator (AED) and evaluated the patients' and rescuers' characteristics. The main outcome measure was neurologically favorable 1-month survival. During the study period, 10,375 OHCA patients were registered and of 908 patients suffering ventricular fibrillation arrest, 53 (6%) received public-access AED shocks by lay-rescuers, with the proportion increasing from 0% in 2004 to 11% in 2008 (P for trend<0.001). Railway stations (34%) were the places where PAD shocks were most frequently delivered, followed by nursing homes (11%), medical facilities (9%), and fitness facilities (7%). In 57% of cases, the subject received public-access AED shocks delivered by non-medical persons, including employees of railway companies (13%), school teachers (6%), employees of fitness facilities (6%), and security guards (6%). The proportion of neurologically favorable 1-month survival tended to increase from 0% in 2005 to 58% in 2008 (P for trend=0.081). Conclusions: Railway stations are the most common places where shocks by public-access AEDs were delivered in large urban communities of Japan, and among lay-rescuers railway station workers use AEDs more frequently. (Circ J 2011; 75: 2821-2826)</abstract><cop>Japan</cop><pub>The Japanese Circulation Society</pub><pmid>21959265</pmid><doi>10.1253/circj.CJ-11-0316</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Circulation Journal, 2011, Vol.75(12), pp.2821-2826 |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; J-STAGE |
| subjects | Adult Aged Automated external defibrillator Cardiopulmonary resuscitation Defibrillators Electric Countershock Female Humans Japan - epidemiology Male Middle Aged Out-of-hospital cardiac arrest Out-of-Hospital Cardiac Arrest - mortality Out-of-Hospital Cardiac Arrest - therapy Prospective Studies Public-access defibrillation Resuscitation - instrumentation Resuscitation - methods Survival Urban Population |
| title | Incidence and Outcome of Out-of-Hospital Cardiac Arrest With Public-Access Defibrillation: A Descriptive Epidemiological Study in a Large Urban Community |
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