Outcomes of patients with OHCA of presumed cardiac etiology that did not achieve prehospital restoration of spontaneous circulation: The All-Japan Utstein Registry experience
| Autor: | Yasuyuki Kuwagata, Mohamud Daya, Atsunori Onoe, Takashi Muroya, Kentaro Kajino, Hiroki Takahashi, Fumiko Nakamura, Hitoshi Ikegawa, Mari Nakajima, Masanobu Kishimoto, Kazuhito Sakuramoto, Marcus Eng Hock Ong |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Emergency Medical Services Resuscitation medicine.medical_specialty Adolescent Population 030204 cardiovascular system & hematology Emergency Nursing Return of spontaneous circulation Out of hospital cardiac arrest 03 medical and health sciences 0302 clinical medicine Primary outcome Japan Humans Medicine Registries education Retrospective Studies education.field_of_study Termination of resuscitation business.industry 030208 emergency & critical care medicine Cardiopulmonary Resuscitation Emergency medicine Emergency Medicine Etiology Cardiology and Cardiovascular Medicine business Out-of-Hospital Cardiac Arrest |
| Zdroj: | Resuscitation. 162:245-250 |
| ISSN: | 0300-9572 |
| DOI: | 10.1016/j.resuscitation.2021.03.003 |
| Popis: | Background Correct identification of futile prehospital resuscitation for out-of-hospital cardiac arrest (OHCA) may reduce unnecessary transports. Prehospital return of spontaneous circulation (ROSC) is considered by many to be an important predictor of outcome. The purpose of this study was to evaluate OHCA victims without prehospital ROSC characteristics and their outcomes in relation to the universal Termination of Resuscitation (TOR) rule. Methods A retrospective, population-based review of OHCA victims without prehospital ROSC from January 1, 2010 to December 31, 2017 in the All-Japan Utstein Registry. We compared those that met the universal TOR rule and those that did not for the primary outcome: one-month survival with neurologically favorable Cerebral Performance Category (CPC) 1 or 2. Results 989,929 OHCA cases, 18 years of age or older, were registered in the All-Japan Utstein Registry and 525,801 cases were of presumed cardiac origin and had no prehospital ROSC. Of these, the one-month CPC was 1 or 2 for 3957 cases (0.8%). In the ‘no ROSC’ group who also met the TOR rule, the number of cases was 433,571 with a one-month survival of 0.9% (3799 cases), and the proportion with a CPC 1or 2 was 0.2% (699 cases). Conclusions Continued resuscitation and transport of cases with no field ROSC who fulfill the TOR rule is futile and could be considered for adoption in Japan. |
| Databáze: | OpenAIRE |
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