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Public-Access Defibrillation and Survival of Out-of-Hospital Cardiac Arrest in Public vs. Residential Locations in Japan.
- Source :
-
Circulation journal : official journal of the Japanese Circulation Society [Circ J] 2019 Jul 25; Vol. 83 (8), pp. 1682-1688. Date of Electronic Publication: 2019 Jun 15. - Publication Year :
- 2019
-
Abstract
- Background: This study assessed whether the dissemination of public-access defibrillation (PAD) at the population level is associated with an increase in neurologically favorable outcomes among patients experiencing ventricular fibrillation (VF) in public vs. residential locations in Japan.Methods and Results:We enrolled adult patients with bystander-witnessed VF between 2013 and 2015. The primary outcome measure was 1-month neurologically favorable outcome defined by cerebral performance category 1 or 2. The number of survivors with neurologically favorable outcome attributed to PAD after VF arrest was estimated by location of arrest. A total of 16,252 adult patients with bystander-witnessed VF arrest were analyzed. In public locations, 29.3% (2,334/7,973) of out-of-hospital cardiac arrest (OHCA) patients received PAD, whereas 1.1% (89/8,279) of OHCA patients received PAD in residential locations. OHCA patients with PAD had significantly better neurological outcomes compared with those without PAD in public locations (51.8% vs. 25.5%, P<0.001), whereas there were no significant differences in neurologically favorable outcome between patients with or without PAD in residential locations (22.5% vs. 18.6%, P=0.357). The total number of patients with neurologically favorable outcomes attributed to PAD was estimated at 615 in public locations, but only 3 in residential locations.<br />Conclusions: In Japan, when compared with residential locations, PAD works more successfully in public locations for adults with bystander-witnessed VF arrest.
- Subjects :
- Adolescent
Adult
Aged
Female
Humans
Japan epidemiology
Male
Middle Aged
Out-of-Hospital Cardiac Arrest diagnosis
Out-of-Hospital Cardiac Arrest epidemiology
Out-of-Hospital Cardiac Arrest physiopathology
Recovery of Function
Registries
Treatment Outcome
Ventricular Fibrillation diagnosis
Ventricular Fibrillation epidemiology
Ventricular Fibrillation physiopathology
Young Adult
Defibrillators
Electric Countershock instrumentation
Health Services Accessibility
Out-of-Hospital Cardiac Arrest therapy
Public Facilities
Public Health
Residence Characteristics
Ventricular Fibrillation therapy
Subjects
Details
- Language :
- English
- ISSN :
- 1347-4820
- Volume :
- 83
- Issue :
- 8
- Database :
- MEDLINE
- Journal :
- Circulation journal : official journal of the Japanese Circulation Society
- Publication Type :
- Academic Journal
- Accession number :
- 31204367
- Full Text :
- https://doi.org/10.1253/circj.CJ-19-0065