Document Detail


Incidence and survival rate of bystander-witnessed out-of-hospital cardiac arrest with cardiac etiology in Osaka, Japan: a population-based study according to the Utstein style.
MedLine Citation:
PMID:  14659602     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To clarify the incidence and survival rate of bystander-witnessed out-of-hospital cardiac arrests (OHCA) with cardiac etiology in Osaka Prefecture, Japan, with a population of nearly 9 million according to the Utstein style. SUBJECTS AND METHODS: 5047 consecutive OHCA cases were treated by ambulance personnel during the 12-month period starting since 1 May 1998. 974 cases were considered to be bystander-witnessed OHCA with cardiac etiology and analyzed using the Utstein style. RESULTS: Of the 974 cases (100%), 50 cases (5.1%) survived after 1 month and 28 (2.9%) of them after 1 year. The Ventricular fibrillation (VF)/ventricular tachycardia (VT) group comprised 164 (16.8%) cases and there were statistically differences between the two groups as below (the VF/VT group vs. the non-VF/VT group): gender (male: 76.8 vs. 60.7%), age (61.7+/-14.7 vs. 68.7+/-17.1), history of ischemic heart disease (IHD) (30.5 vs. 15.3%), performance rate of bystander cardiopulmonary resuscitation (CPR) (34.1 vs. 21.4%) and time interval between receipt of an emergency call and arrival at the scene (5.5+/-2.9 vs. 6.0+/-2.9 min). CONCLUSION: The incidence of bystander-witnessed (OHCA) with cardiac etiology and VF or VT were remarkably low compared with those reported by other studies conducted in some areas of Europe or the USA.
Authors:
Tatsuya Nishiuchi; Atsushi Hiraide; Yasuyuki Hayashi; Toshifumi Uejima; Hiroshi Morita; Hidekazu Yukioka; Tatsuhiro Shigemoto; Hisashi Ikeuchi; Masanori Matsusaka; Taku Iwami; Hiroshi Shinya; Junichiro Yokota
Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Resuscitation     Volume:  59     ISSN:  0300-9572     ISO Abbreviation:  Resuscitation     Publication Date:  2003 Dec 
Date Detail:
Created Date:  2003-12-08     Completed Date:  2004-04-15     Revised Date:  2009-08-25    
Medline Journal Info:
Nlm Unique ID:  0332173     Medline TA:  Resuscitation     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  329-35     Citation Subset:  IM    
Affiliation:
Osaka Prefectural Senshu Critical Care Medical Center, 2-24 Rinku-Orai Kita, Izumisano city, Osaka 598-0048, Japan. nishiuchi@sccmc.izumisano.osaka.jp
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MeSH Terms
Descriptor/Qualifier:
Adult
Age Distribution
Aged
Cardiopulmonary Resuscitation / methods*
Cohort Studies
Death, Sudden, Cardiac / epidemiology*
Electric Countershock / methods*
Emergency Medical Services
Female
Heart Arrest / mortality*,  therapy*
Humans
Incidence
Japan / epidemiology
Male
Middle Aged
Probability
Retrospective Studies
Risk Assessment
Sex Distribution
Survival Analysis
Survival Rate
Ventricular Fibrillation / diagnosis,  mortality,  therapy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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