Prehospital cardiopulmonary resuscitation duration and neurological outcome after out-of-hospital cardiac arrest among children by location of arrest: A Nationwide cohort study

Shida, Haruka; Matsuyama, Tasuku; Kiyohara, Kosuke; Kitamura, Tetsuhisa; Kishimori, Takefumi; Kiguchi, Takeyuki; Nishiyama, Chika; Kobayashi, Daisuke; Okabayashi, Satoe; Shimamoto, Tomonari; Kawamura, Takashi; Iwami, Taku

doi:https://doi.org/10.1186/s13049-019-0658-7

Prehospital cardiopulmonary resuscitation duration and neurological outcome after out-of-hospital cardiac arrest among children by location of arrest: A Nationwide cohort study

Shida, Haruka; Matsuyama, Tasuku; Kiyohara, Kosuke et al.

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 2019, 27, 79

Number of Access:1,084（2025-10-21 09:36 Counts）

Identifier to cite or link to this item: https://hdl.handle.net/11094/78381

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Title	Prehospital cardiopulmonary resuscitation duration and neurological outcome after out-of-hospital cardiac arrest among children by location of arrest: A Nationwide cohort study
Creator	CreatorName Shida, Haruka
	NRID 1000050829025 1000050829025 CreatorName Matsuyama, Tasuku
	NRID 1000080581834 1000080581834 CreatorName Kiyohara, Kosuke
	NRID 1000030639810 1000030639810 ORCID 0000-0003-0107-0580 0000-0003-0107-0580 researchmap permalink Kitamura_T Kitamura_T Scopus Author ID 22234282700 22234282700 CreatorName Kitamura, Tetsuhisa
	CreatorName Kishimori, Takefumi
	NRID 1000030724380 1000030724380 CreatorName Kiguchi, Takeyuki
	NRID 1000040584842 1000040584842 CreatorName Nishiyama, Chika
	NRID 1000000764911 1000000764911 CreatorName Kobayashi, Daisuke
	NRID 1000070526805 1000070526805 CreatorName Okabayashi, Satoe
	NRID 1000010828411 1000010828411 CreatorName Shimamoto, Tomonari
	NRID 1000010252230 1000010252230 CreatorName Kawamura, Takashi
	NRID 1000060437291 1000060437291 CreatorName Iwami, Taku
Subject	Cardiac arrest
	Favourable neurological outcome
	Paediatric
	Prehospital EMS CPR duration
Description	Shida, H., Matsuyama, T., Kiyohara, K. et al. Prehospital cardiopulmonary resuscitation duration and neurological outcome after out-of-hospital cardiac arrest among children by location of arrest: a Nationwide cohort study. Scand J Trauma Resusc Emerg Med 27, 79 (2019). https://doi.org/10.1186/s13049-019-0658-7
Abstract	Background: Little is known about the associations between the duration of prehospital cardiopulmonary resuscitation (CPR) by emergency medical services (EMS) and outcomes among paediatric patients with out-of-hospital cardiac arrests (OHCAs). We investigated these associations and the optimal prehospital EMS CPR duration by the location of arrests. Methods: We included paediatric patients aged 0-17 years with OHCAs before EMS arrival who were transported to medical institutions after resuscitation by bystanders or EMS personnel. We excluded paediatric OHCA patients for whom CPR was not performed, who had cardiac arrest after EMS arrival, whose EMS CPR duration were < 0 min or ≥120 min and who had cardiac arrest in healthcare facilities. Prehospital EMS CPR duration was defined as the time from CPR initiation by EMS personnel to the time of prehospital return of spontaneous circulation or to the time of hospital arrival. The primary outcome was 1-month survival with a favourable neurological outcome (cerebral performance category scale 1 or 2). Statistical analysis was performed with Mann-Whitney U tests for numerical variables and chi-squared test for categorical variables. Univariable and multivariable logistic regression analyses were applied to assess the association between prehospital EMS CPR duration and a favourable neurological outcome, and crude and adjusted odds ratios and their 95% confidence intervals were calculated. Results: The proportion of patients with a favourable neurological outcome was lower in residential locations than in public locations (2.3% [66/2865] vs 10.8% [113/1048]; P <.001). In both univariable and multivariable logistic regression analyses, the proportion of patients with a favourable neurological outcome decreased as prehospital EMS CPR duration increased, regardless of the location of arrests (P for trend <.001). However, some patients achieved a favourable neurological outcome after a prolonged prehospital EMS CPR duration (> 30 min) in both groups (1.4% [6/417] in residential locations and 0.6% [1/170] in public locations). Conclusions: A longer prehospital EMS CPR duration is independently associated with a lower proportion of patients with a favourable neurological outcome. The association between prehospital EMS CPR duration and neurological outcome differed significantly by location of arrests.
Publisher	BioMed Central Ltd.
Source Title	Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Volume (Issue)	27
Page	79
Date of Issued	2019-08-23
Language	English
Handle URL	https://hdl.handle.net/11094/78381
eISSN	17577241
Relation.isIdenticalTo	DOI (Publisher Version) https://doi.org/10.1186/s13049-019-0658-7
Relation.isIdenticalTo	PMID 31443673
Access Rights	open access
oaire:version	Version of Record
Category	学術雑誌論文 Journal Article

Resource Type	journal article
Local Type	Journal Article
DCMI Type	Text
DCTERMS.bibliographicCitation	Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. 2019, 27, p. 79
DC.title	Prehospital cardiopulmonary resuscitation duration and neurological outcome after out-of-hospital cardiac arrest among children by location of arrest: A Nationwide cohort study
DC.creator	Shida, Haruka
	Matsuyama, Tasuku
	Kiyohara, Kosuke
	Kitamura, Tetsuhisa
	Kishimori, Takefumi
	Kiguchi, Takeyuki
	Nishiyama, Chika
	Kobayashi, Daisuke
	Okabayashi, Satoe
	Shimamoto, Tomonari
	Kawamura, Takashi
	Iwami, Taku
DC.publisher	BioMed Central Ltd.
DC.language' scheme='DCTERMS.RFC1766	English
DC.type' scheme='DCTERMS.DCMIType	Text
DCTERMS.issued' scheme='DCTERMS.W3CDTF	2019-08-23
DC.identifier	https://doi.org/10.1186/s13049-019-0658-7
DC.subject	Cardiac arrest
	Favourable neurological outcome
	Paediatric
	Prehospital EMS CPR duration
DC.description	Shida, H., Matsuyama, T., Kiyohara, K. et al. Prehospital cardiopulmonary resuscitation duration and neurological outcome after out-of-hospital cardiac arrest among children by location of arrest: a Nationwide cohort study. Scand J Trauma Resusc Emerg Med 27, 79 (2019). https://doi.org/10.1186/s13049-019-0658-7
DCTERMS.abstract	Background: Little is known about the associations between the duration of prehospital cardiopulmonary resuscitation (CPR) by emergency medical services (EMS) and outcomes among paediatric patients with out-of-hospital cardiac arrests (OHCAs). We investigated these associations and the optimal prehospital EMS CPR duration by the location of arrests. Methods: We included paediatric patients aged 0-17 years with OHCAs before EMS arrival who were transported to medical institutions after resuscitation by bystanders or EMS personnel. We excluded paediatric OHCA patients for whom CPR was not performed, who had cardiac arrest after EMS arrival, whose EMS CPR duration were < 0 min or ≥120 min and who had cardiac arrest in healthcare facilities. Prehospital EMS CPR duration was defined as the time from CPR initiation by EMS personnel to the time of prehospital return of spontaneous circulation or to the time of hospital arrival. The primary outcome was 1-month survival with a favourable neurological outcome (cerebral performance category scale 1 or 2). Statistical analysis was performed with Mann-Whitney U tests for numerical variables and chi-squared test for categorical variables. Univariable and multivariable logistic regression analyses were applied to assess the association between prehospital EMS CPR duration and a favourable neurological outcome, and crude and adjusted odds ratios and their 95% confidence intervals were calculated. Results: The proportion of patients with a favourable neurological outcome was lower in residential locations than in public locations (2.3% [66/2865] vs 10.8% [113/1048]; P <.001). In both univariable and multivariable logistic regression analyses, the proportion of patients with a favourable neurological outcome decreased as prehospital EMS CPR duration increased, regardless of the location of arrests (P for trend <.001). However, some patients achieved a favourable neurological outcome after a prolonged prehospital EMS CPR duration (> 30 min) in both groups (1.4% [6/417] in residential locations and 0.6% [1/170] in public locations). Conclusions: A longer prehospital EMS CPR duration is independently associated with a lower proportion of patients with a favourable neurological outcome. The association between prehospital EMS CPR duration and neurological outcome differed significantly by location of arrests.
DC.format	78381
citation_title	Prehospital cardiopulmonary resuscitation duration and neurological outcome after out-of-hospital cardiac arrest among children by location of arrest: A Nationwide cohort study
citation_author	Shida, Haruka
	Matsuyama, Tasuku
	Kiyohara, Kosuke
	Kitamura, Tetsuhisa
	Kishimori, Takefumi
	Kiguchi, Takeyuki
	Nishiyama, Chika
	Kobayashi, Daisuke
	Okabayashi, Satoe
	Shimamoto, Tomonari
	Kawamura, Takashi
	Iwami, Taku
citation_publisher	BioMed Central Ltd.
citation_language	English
citation_date	2019-08-23
citation_journal_title	Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
citation_volume	27
citation_firstpage	79
citation_doi	https://doi.org/10.1186/s13049-019-0658-7
citation_pmid	31443673
citation_public_url	https://hdl.handle.net/11094/78381

Prehospital cardiopulmonary resuscitation duration and neurological outcome after out-of-hospital cardiac arrest among children by location of arrest: A Nationwide cohort study

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