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Association of Dispatcher-Assisted Compression-Only Resuscitation with Survival Rate in Unwitnessed Out-of-Hospital Cardiac Arrest: A Temporal Trend and Analyses of 8-Years Trend
https://doi.org/10.57457/0002000007
https://doi.org/10.57457/00020000079f9e69bc-9db6-4446-a009-38084b5a6db0
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
48(1)33-42.pdf (2.2 MB)
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| Item type | 学術雑誌論文 / Journal Article(1) | |||||||||||||||||||||
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| 公開日 | 2023-08-19 | |||||||||||||||||||||
| タイトル | ||||||||||||||||||||||
| タイトル | Association of Dispatcher-Assisted Compression-Only Resuscitation with Survival Rate in Unwitnessed Out-of-Hospital Cardiac Arrest: A Temporal Trend and Analyses of 8-Years Trend | |||||||||||||||||||||
| 言語 | en | |||||||||||||||||||||
| 言語 | ||||||||||||||||||||||
| 言語 | eng | |||||||||||||||||||||
| キーワード | ||||||||||||||||||||||
| 言語 | en | |||||||||||||||||||||
| 主題Scheme | Other | |||||||||||||||||||||
| 主題 | bystander resuscitation | |||||||||||||||||||||
| キーワード | ||||||||||||||||||||||
| 言語 | en | |||||||||||||||||||||
| 主題Scheme | Other | |||||||||||||||||||||
| 主題 | dispatcher-assisted resuscitation | |||||||||||||||||||||
| キーワード | ||||||||||||||||||||||
| 言語 | en | |||||||||||||||||||||
| 主題Scheme | Other | |||||||||||||||||||||
| 主題 | compression-only resuscitation | |||||||||||||||||||||
| キーワード | ||||||||||||||||||||||
| 言語 | en | |||||||||||||||||||||
| 主題Scheme | Other | |||||||||||||||||||||
| 主題 | out-of-hospital cardiac arrest | |||||||||||||||||||||
| キーワード | ||||||||||||||||||||||
| 言語 | en | |||||||||||||||||||||
| 主題Scheme | Other | |||||||||||||||||||||
| 主題 | basic life support | |||||||||||||||||||||
| 資源タイプ | ||||||||||||||||||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||||||||||||||||||
| 資源タイプ | journal article | |||||||||||||||||||||
| ID登録 | ||||||||||||||||||||||
| ID登録 | 10.57457/0002000007 | |||||||||||||||||||||
| ID登録タイプ | JaLC | |||||||||||||||||||||
| 著者 |
牛本 知孝
× 牛本 知孝
× 盛田 英樹
× 和藤 幸弘
× 稲葉 英夫
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| 著者（英） | ||||||||||||||||||||||
| 姓名 | Tomoyuki Ushimoto | |||||||||||||||||||||
| 言語 | en | |||||||||||||||||||||
| 著者（英） | ||||||||||||||||||||||
| 姓名 | Hideki Morita | |||||||||||||||||||||
| 言語 | en | |||||||||||||||||||||
| 著者（英） | ||||||||||||||||||||||
| 姓名 | Yukihiro Wato | |||||||||||||||||||||
| 言語 | en | |||||||||||||||||||||
| 著者（英） | ||||||||||||||||||||||
| 姓名 | Hideo Inaba | |||||||||||||||||||||
| 言語 | en | |||||||||||||||||||||
| 抄録 | ||||||||||||||||||||||
| 内容記述タイプ | Abstract | |||||||||||||||||||||
| 内容記述 | Background: Recent guidelines recommend that dispatchers instruct untrained bystanders to perform compression-only cardiopulmonary resuscitation. However, how bystander cardiopulmonary resuscitation (BCPR) composition and survival change in unwitnessed out-of-hospital cardiac arrest (OHCA) cases remains unclear. The aim of this study was to investigate (1) the changes in BCPR based on combined rescue breathing and dispatcher-assisted resuscitation; and (2) the association between changes in BCPR content and annual outcome improvement in unwitnessed OHCA cases compared to bystander-witnessed OHCA cases. Method: This study involved the retrospective analysis of data for OHCA cases that were prospectively collected nationwide and population-based. OHCA cases from 2009 to 2016 were evaluated to provide a complete dataset for the analysis. The primary outcome was neurologically favorable 1-month survival. Results: The rate of dispatcher-assisted compression-only resuscitation increased annually. Further, there was a shift from standard resuscitation to compression-only bystander resuscitation and an increased rate of dispatcher attempts of instructions in both unwitnessed and bystander-witnessed arrest cases. In a multivariable logistic regression model for cases with dispatcher attempts, the neurologically favorable 1-month survival rate of patients who experienced unwitnessed arrest in the dispatcher-assisted standard BCPR group was higher than that in the dispatcher-assisted compression-only BCPR group (adjusted odds ratio 1.23 [95% confidence interval: 95%CI 1.03–1.46]). Further, the outcome improvement for 8 years in the standard BCPR group was more prominent than that in the compression-only BCPR group (p < 0.01, interaction test). The neurologically favorable 1-month survival rate of patients with unwitnessed arrest in the voluntarily-initiated standard BCPR group without the dispatcher’s attempt of instructions was higher than that in the voluntarily-initiated compression-only BCPR group (adjusted odds ratio 1.21 [95%CI 1.01–1.52]). However, the outcomes improved similarly in both groups. The differences between standard and compression-only resuscitation were less prominent in patients with bystander-witnessed OHCA, particularly in cases without dispatcher instructions. Conclusions: Compression-only resuscitation may not be the ideal management strategy for unwitnessed OHCA when dispatchers attempt resuscitation instructions. |
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| 言語 | en | |||||||||||||||||||||
| 書誌情報 |
巻 48, 号 1, p. 33-42, 発行日 2023-06 |
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| 出版者 | ||||||||||||||||||||||
| 出版者 | 金沢医科大学医学会 | |||||||||||||||||||||
| 言語 | ja | |||||||||||||||||||||
| ISSN | ||||||||||||||||||||||
| 収録物識別子タイプ | EISSN | |||||||||||||||||||||
| 収録物識別子 | 2436-6994 | |||||||||||||||||||||
| 著者版フラグ | ||||||||||||||||||||||
| 出版タイプ | VoR | |||||||||||||||||||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||||||||||||||||||
