Document Detail


Out-of hospital cardiac arrest in Okayama city (Japan): outcome report according to the "Utsutein Style".
MedLine Citation:
PMID:  16049555     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The purpose of this study was to evaluate the outcomes for out-of-hospital cardiac arrest (OHCA) and cardiopulmonary resuscitation (CPR) in the city of Okayama, Japan, during a 1-year period after the reorganization of defibrillation by Emergency Life-Saving Technicians (ELSTs) with standing orders of CPR. The data were collected prospectively according to an Utstein style between June 1, 2003 and May 31, 2004; OHCA was confirmed in 363 patients. Cardiac arrest of presumed cardiac etiology (179) was witnessed by a bystander in 62 (34.6%) cases. Of this group, ventricular fibrillation (VF) was documented in 20 cases (32.3%), and 1 patient (5%) was discharged alive without severe neurological disability. This outcome is average in Japan, but it is quite low level compared with Western countries because there is less VF in Japan. The Utstein style revealed that we must try to detect VF before the rhythm changes and to provide defibrillation as soon as possible in order to improve outcomes. Further research will be required to accurately evaluate OHCA in Okayama city.
Authors:
Hoei Hayashi; Yoshihito Ujike
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta medica Okayama     Volume:  59     ISSN:  0386-300X     ISO Abbreviation:  Acta Med. Okayama     Publication Date:  2005 Apr 
Date Detail:
Created Date:  2005-07-28     Completed Date:  2006-01-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0417611     Medline TA:  Acta Med Okayama     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  49-54     Citation Subset:  IM    
Affiliation:
Department of Emergency Medicine, Okayama University Graduate School of Medicine and Dentistry, Japan. hayashii@md.okayama-u.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Cardiopulmonary Resuscitation / mortality*
Child
Child, Preschool
Electric Countershock / mortality
Emergency Medical Services / statistics & numerical data*
Emergency Medical Technicians / statistics & numerical data
Female
Heart Arrest / mortality*
Humans
Infant
Infant, Newborn
Japan / epidemiology
Male
Middle Aged
Prospective Studies
Urban Population / statistics & numerical data
Ventricular Fibrillation / mortality*

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


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