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High-rise buildings and neurologically favorable outcome after out-of-hospital cardiac arrest.

Abstract：

BACKGROUND:The number of people living in high-rise buildings has recently been increasing in Japan, and delayed transport time by emergency-medical-service (EMS) personnel from higher floors could lead to lower survival after out-of-hospital cardiac arrest (OHCA). However, there are no clinical studies assessing the association between the floor where patients reside and neurologically favorable outcome after OHCA. METHODS:This was a prospective, population-based study conducted in Osaka City, Japan that enrolled adults aged >=18years suffering an OHCA of cardiac origin before EMS arrival between 2013 and 2014. The primary outcome measure was one-month survival with neurologically favorable outcome. We divided OHCA patients into the following groups: those residing on >=3 floors (the high floor group) and <3 floors (the low floor group). Multiple logistic regression analysis was used to assess factors associated with neurologically favorable outcome. RESULTS:A total of 2979 patients were eligible for analysis. Of them, 1885 (62.3%) occurred below the third floor and 1094 (37.4%) occurred at or above the third floor. The proportion of neurologically favorable outcome after OHCA was significantly lower in the high floor group than in the low floor group (2.7% [30/1094] versus 4.8% [91/1885], P=0.005). In a multivariate analysis, neurologically favorable outcome after OHCA was significantly lower in the high floor group than in the low floor group (adjusted odds ratio, 0.59 [95% confidence interval, 0.37-0.96]). CONCLUSIONS:In this population, one-month survival with neurologically favorable outcome from OHCA was lower in the high floor group than in the low floor group.

journal_name

Int J Cardiol

journal_title

International journal of cardiology

authors

Kobayashi D,Kitamura T,Kiyohara K,Nishiyama C,Hayashida S,Fujii T,Izawa J,Shimamoto T,Matsuyama T,Hatakeyama T,Katayama Y,Kiguchi T,Kawamura T,Iwami T

doi

10.1016/j.ijcard.2016.09.047

subject

Has Abstract

pub_date

2016-12-01 00:00:00

pages

178-182

eissn

0167-5273

issn

1874-1754

pii

S0167-5273(16)32303-8

journal_volume

224

pub_type

杂志文章

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