Abstract:
AIM:This study aimed to investigate the effects of dispatcher-initiated telephone cardiopulmonary resuscitation (TCPR) in Japan using a nationwide population-based registry. METHODS:Adult Japanese patients with out-of-hospital cardiac arrest (OHCA; n = 582,483, age ≥18 years) were selected from a nationwide Utstein-style database (2010-2016) and divided into 3 groups: no bystander CPR (NCPR) before emergency medical service arrival (n = 448,606), bystander-initiated CPR (BCPR) performed without assistance (n = 46,964), and TCPR (n = 86,913). The primary outcome was a favourable neurological outcome 1 month after OHCA. RESULTS:After adjusting for potential confounders, and relative to the NCPR group, significantly better 1-month neurological outcomes were observed in the BCPR group (odds ratio: 2.25, 95% confidence interval: 2.15-2.36; P < 0.001) and in the TCPR group (odds ratio: 1.30, 95% confidence interval: 1.24-1.36; P < 0.001). The collapse-to-CPR time was independently associated with the 1-month outcomes, with a rate of <1% for 1-month favourable neurological outcomes if CPR was initiated >5 min after the collapse. CONCLUSION:Patients who received TCPR had significantly better outcomes than those who did not receive CPR. However, the TCPR outcomes were less favourable than those in the BCPR group. Better protocol development and enhanced education are needed to improve dispatcher instructions in Japan, which may help lessen the gap between the BCPR and TCPR outcomes and further improve the outcomes after OHCA.
journal_name
Resuscitationjournal_title
Resuscitationauthors
Shibahashi K,Ishida T,Kuwahara Y,Sugiyama K,Hamabe Ydoi
10.1016/j.resuscitation.2019.08.031subject
Has Abstractpub_date
2019-11-01 00:00:00pages
6-14eissn
0300-9572issn
1873-1570pii
S0300-9572(19)30592-1journal_volume
144pub_type
杂志文章相关文献
RESUSCITATION文献大全abstract::The emergency call for resuscitation in a children's hospital is reported. Forty-seven resuscitation attempts via the emergency call were made in 43 patients over the past 5 years; 24 out of 43 patients had heart diseases. Cardiac patients were more likely to die within a few days after their resuscitation. The patien...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/0300-9572(85)90022-x
更新日期:1985-06-01 00:00:00
abstract:OBJECTIVE:Heart rate reduction (HRR) has shown a beneficial impact on the prevention of ventricular fibrillation, which could be explained by increased myocardial blood flow and preservation of mitochondrial structure. Here, we assessed the HRR impact on time to onset of ventricular fibrillation (TOVF) and myocardial m...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2012.07.041
更新日期:2013-03-01 00:00:00
abstract:AIM:Cardiopulmonary resuscitation (CPR) is widely used to treat cardiac arrest, but the success rate has remained unchanged for decades. This study evaluated CPR performance and success rate among hospital inpatients in Taiwan. METHODS:National Health Insurance data from 1997 to 2004 of population-based datasets repre...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2011.09.006
更新日期:2012-03-01 00:00:00
abstract:AIM:Various methods, including self-instruction, have been used to try to improve the acquisition of basic life support skills. This is a preliminary report of the effectiveness of a web-based self-training program for BLS and the use of an AED. METHODS:Sixteen volunteers completed on-line training in their own time o...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2007.05.014
更新日期:2007-12-01 00:00:00
abstract:AIM OF THE STUDY:Serum glial fibrillary acidic protein (GFAP) has recently been identified as a specific predictor of brain damage and neurological outcome in patients with head trauma. In this study, serum GFAP was assessed as a predictor of neurological outcome in post-cardiac-arrest (PCA) patients. METHODS:This stu...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2009.04.003
更新日期:2009-07-01 00:00:00
abstract:OBJECTIVE:Spontaneous subarachnoid haemorrhage as a cause of out-of-hospital cardiac arrest is poorly evaluated. We analyse disease-specific and emergency care data in order to improve the recognition of subarachnoid haemorrhage as a cause of cardiac arrest. DESIGN:We searched a registry of cardiac arrest patients adm...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/s0300-9572(01)00381-1
更新日期:2001-10-01 00:00:00
abstract:AIM:We previously reported that diffusion-weighted magnetic resonance imaging (DW-MRI) could be used to predict neurologic outcomes before targeted temperature management (TTM) after return of spontaneous circulation (ROSC) from cardiac arrest (CA). We compared the efficacy of brain computed tomography (CT) and DW-MRI ...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2017.06.021
更新日期:2017-09-01 00:00:00
abstract:OBJECTIVE:To evaluate the use of the Laryngeal Mask Airway (LMA), the oesophageal-tracheal combitube (ETC) and the tracheal tube (TT) by medical students, with a view to recommend changes to the medical school curriculum. METHODS:A prospective cohort study of 93 third-year medical students were taught the use of LMA, ...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2004.07.011
更新日期:2005-01-01 00:00:00
abstract:BACKGROUND:In out-of-hospital cardiac arrest (OHCA) due to ventricular fibrillation (VF), VF may recur during resuscitation (recurrent VF) or fail to defibrillate (shock-resistant VF). While retrospective studies have suggested that amplitude spectral area (AMSA) and slope predict defibrillation, it is unknown whether ...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2012.02.008
更新日期:2012-10-01 00:00:00
abstract:BACKGROUND:Emergency life-saving technicians (ELSTs) are specially trained prehospital medical providers believed to provide better care than basic emergency medical technicians (BEMTs). ELSTs are certified to perform techniques such as administration of advanced airways or adrenaline and are considered to have more kn...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2020.05.007
更新日期:2020-08-01 00:00:00
abstract:AIM OF THE REVIEW:To review the epidemiology, pathophysiology, treatment and prognostication in relation to the post-cardiac arrest syndrome. METHODS:Relevant articles were identified using PubMed, EMBASE and an American Heart Association EndNote master resuscitation reference library, supplemented by hand searches of...
journal_title:Resuscitation
pub_type: 共识发展会议,杂志文章
doi:10.1016/j.resuscitation.2008.09.017
更新日期:2008-12-01 00:00:00
abstract:OBJECTIVE:The aim of the current study was to assess the effects of epinephrine in a pig model of hypothermic cardiac arrest followed by closed-chest cardiopulmonary resuscitation combined with active rewarming, simulating the clinical management of an arrested hypothermic patient in a hospital without cardiopulmonary ...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/s0300-9572(01)00353-7
更新日期:2001-09-01 00:00:00
abstract:INTRODUCTION:Rapid response systems are commonly employed by hospitals to identify and respond to deteriorating patients outside of the intensive care unit. Controversy exists about the benefits of rapid response systems. AIMS:We aimed to review the current state of the rapid response literature, including evolving as...
journal_title:Resuscitation
pub_type: 杂志文章,评审
doi:10.1016/j.resuscitation.2018.05.013
更新日期:2018-07-01 00:00:00
abstract:BACKGROUND/AIMS:Echocardiographic abnormalities are common after resuscitation from cardiac arrest. The association between echocardiographic findings with vasopressor requirements and mortality are not well described. We sought to determine the associations between echocardiographic abnormalities and mortality, vasopr...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2016.06.028
更新日期:2016-09-01 00:00:00
abstract:PURPOSE:Incorrect resuscitation after hypovolemic shock is a major contributor to preventable pediatric death. Several studies have demonstrated that small volumes of hypertonic or hypertonic-hyperoncotic saline can be an effective initial resuscitation solution. However, there are no pediatric studies to recommend the...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2012.02.003
更新日期:2012-09-01 00:00:00
abstract:INTRODUCTION:There are no current validated scoring systems for the assessment of adult single rescuer basic life support (BLS) ability. A system was proposed and prospectively validated. METHODS:The system was tested firstly on 12 skilled BLS providers (all instructors). It was then further evaluated on 75 undergradu...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/s0300-9572(99)00135-5
更新日期:2000-01-01 00:00:00
abstract:INTRODUCTION:Sudden cardiac death (SCD) survival decreases by 10% for each minute of delay in defibrillation, however, survival rates of 98% can be achieved when defibrillation is accomplished within 30s of collapse. Recently, a fully automated external cardioverter-defibrillator (AECD) was approved by the FDA for in-h...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2004.05.012
更新日期:2004-11-01 00:00:00
abstract:SUBJECT:Recent data demonstrated potent neuroprotective effects of growth hormones such as granulocyte colony-stimulating factor (G-CSF) after focal cerebral ischaemia. In order to assess possible effects of intracerebroventricular application of G-CSF on cerebral recovery after cardiac arrest (CA) in rats, neurologica...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2009.01.003
更新日期:2009-04-01 00:00:00
abstract::The efficiency of a pulsed biphasic waveform (PBW) was compared with that of biphasic truncated exponential (BTE) waveforms. First defibrillation shock outcome was studied in a population of 104 out-of-hospital cardiac arrest patients in ventricular fibrillation as the presenting rhythm. The call to first shock time w...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2007.08.010
更新日期:2008-03-01 00:00:00
abstract:AIM:Effective assessment of motor skills in large-size classes is a challenge in medical education. This case-study investigates whether a game can be considered a valid tool for the summative assessment of first aid and basic life support skills. METHODS:Using a traditional exam as bench-mark, a board game format was...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2010.12.003
更新日期:2011-04-01 00:00:00
abstract:OBJECTIVES:Mild therapeutic hypothermia (MTH) is being used to improve neurological outcome and survival in patients successfully resuscitated after cardiac arrest. The impact on coagulation may be difficult to assess since most coagulation parameters are measured at 37°C and not at actual body core temperature. Theref...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2014.06.009
更新日期:2014-10-01 00:00:00
abstract::The immediate organ damage seen after multiple trauma and in shock is a typical example of non-bacterial inflammation triggered by activation of various mediators of both the humoral and cellular systems. Anaphylatoxins and the low-flow syndrome during the shock phase account for increased PMN* margination, which in t...
journal_title:Resuscitation
pub_type: 杂志文章,评审
doi:10.1016/0300-9572(91)90044-y
更新日期:1991-04-01 00:00:00
abstract:AIM OF THE STUDY:To investigate whether pure self-learning without instructor support, resulted in the same BLS-competencies as facilitator-led learning, when using the same commercially available video BLS teaching kit. METHODS:First-year medical students were randomised to either BLS self-learning without supervisio...
journal_title:Resuscitation
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.resuscitation.2018.02.031
更新日期:2018-05-01 00:00:00
abstract::The San Antonio Vasopressin Symposium reviewed substantial accumulated data concerning vasopressin in haemorrhagic, septic, and cardiac arrest shock conditions and found that there is considerable evidence to support the use of vasopressin in overcoming vasopressin deficiency or insufficiency. The value of vasopressin...
journal_title:Resuscitation
pub_type:
doi:10.1016/j.resuscitation.2010.06.005
更新日期:2010-11-01 00:00:00
abstract:BACKGROUND:Therapeutic hypothermia has been associated with improved outcomes in term infants particularly in those who present with moderate hypoxic-ischemic encephalopathy (HIE). However, in the three major studies the time to initiate cooling was at approximately 4.5 postnatal hours. OBJECTIVE:To determine in term ...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2010.08.001
更新日期:2010-12-01 00:00:00
abstract:BACKGROUND:Predicting outcome after cardiac arrest (CA) is particularly difficult when therapeutic hypothermia (TH) is used. We investigated the performance of quantitative pupillometry and transcranial Doppler (TCD) in this context. METHODS:This prospective observational study included 82 post-CA patients. Quantitati...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2016.02.026
更新日期:2016-06-01 00:00:00
abstract:BACKGROUND:In-hospital cardiac arrest is a rare event associated with significant morbidity and mortality. The ability to identify the ICU patients at risk for cardiac arrest could allow the clinical team to prepare staff and equipment in anticipation. METHODS:This pilot study was completed at a large tertiary care pe...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2015.11.017
更新日期:2016-02-01 00:00:00
abstract:BACKGROUND:Cardiopulmonary resuscitation (CPR) improves survival from cardiac arrest. The interactions between CPR and the new biphasic (BiP) defibrillation waveforms have not been defined. Our purpose was to compare the effect of CPR versus no CPR during BiP and damped sinusoidal (DS) shocks on the termination of vent...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/s0300-9572(00)00244-6
更新日期:2000-11-01 00:00:00
abstract:AIM:The aim of this study was to describe patient characteristics, event characteristics, and outcomes for patients with in-hospital cardiac arrest in Denmark. METHODS:Data was obtained from DANARREST. DANARREST is a nationwide registry that covers all in-hospital cardiac arrests in Denmark with a clinical indication ...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2019.04.046
更新日期:2019-07-01 00:00:00
abstract:PURPOSE:Early and good quality cardiopulmonary resuscitation (CPR) and the use of automated external defibrillators (AEDs) improve cardiac arrest patients' survival. However, AED peri- and post-shock/analysis pauses may reduce CPR effectiveness. METHODS:The time performance of 12 different commercially available AEDs ...
journal_title:Resuscitation
pub_type: 杂志文章
doi:10.1016/j.resuscitation.2016.10.006
更新日期:2017-01-01 00:00:00