Prehospital factors associated with death on hospital arrival after traffic crash in Japan: A national observational study

Katayama, Yusuke; Kitamura, Tetsuhisa; Kiyohara, Kosuke; Sado, Junya; Hirose, Tomoya; Matsuyama, Tasuku; Kiguchi, Takeyuki; Izawa, Junichi; Nakagawa, Yuko; Shimazu, Takeshi

doi:https://doi.org/10.1136/bmjopen-2018-025350

Prehospital factors associated with death on hospital arrival after traffic crash in Japan: A national observational study

Katayama, Yusuke; Kitamura, Tetsuhisa; Kiyohara, Kosuke et al.

BMJ Open, 2019, 9, e025350

Number of Access:1,196（2025-10-21 11:11 Counts）

Identifier to cite or link to this item: https://hdl.handle.net/11094/78385

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Title	Prehospital factors associated with death on hospital arrival after traffic crash in Japan: A national observational study
Creator	NRID 1000050747144 1000050747144 ORCID 0000-0003-2585-4259 0000-0003-2585-4259 researchmap permalink orion2013 orion2013 Scopus Author ID 56470235000 56470235000 CreatorName Katayama, Yusuke
	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
	NRID 1000080581834 1000080581834 CreatorName Kiyohara, Kosuke
	CreatorName Sado, Junya
	NRID 1000070597509 1000070597509 researchmap permalink tomoyahirose tomoyahirose Scopus Author ID 41861413300 41861413300 CreatorName Hirose, Tomoya
	NRID 1000050829025 1000050829025 CreatorName Matsuyama, Tasuku
	NRID 1000030724380 1000030724380 CreatorName Kiguchi, Takeyuki
	CreatorName Izawa, Junichi
	NRID 1000040362719 1000040362719 CreatorName Nakagawa, Yuko
	NRID 1000050196474 1000050196474 CreatorName Shimazu, Takeshi
Subject	epidemiology
Subject	public health
Description	Katayama Y, Kitamura T, Kiyohara K, et al. Prehospital factors associated with death on hospital arrival after traffic crash in Japan: a national observational study. BMJ Open 2019;9:e025350. doi: 10.1136/bmjopen-2018-025350
Abstract	Objective Although it is important to assess prehospital factors associated with traffic crash fatalities to decrease them as a matter of public health, such factors have not been fully revealed. Methods Using data from the Japanese Trauma Data Bank, a large hospital-based trauma registry in Japan, we retrospectively analysed traffic crash patients transported to participating facilities that treated patients with severe trauma from 2004 to 2015. This study defined registered emergency patients whose systolic blood pressure was 0 mm Hg or heart rate was 0 bpm at hospital arrival as being in prehospital cardiopulmonary arrest (CPA). Prehospital factors associated with prehospital CPA due to traffic crash were assessed with multivariable logistic regression analysis. Results In total, 66 243 patients were eligible for analysis. Of them, 3390 (5.1%) patients were in CPA at hospital arrival. A multivariable logistic regression model showed the following factors to be significantly associated with prehospital CPA: ages 60-74 years (adjusted OR (AOR) 1.256, 95% CI 1.142 to 1.382) and ≥75 years (AOR 1.487, 95% CI 1.336 to 1.654), male sex (AOR 1.234, 95% CI 1.139 to 1.338), night-time (AOR 1.575, 95% CI 1.458 to 1.702), weekend including holiday (AOR 1.078, 95% CI 1.001 to 1.161), rural area (AOR 1.181, 95% CI 1.097 to 1.271), back seat passenger (AOR 1.227, 95% CI 0.985 to 1.528) and pedestrian (AOR 1.754, 95% CI 1.580 to 1.947) as types of patients. Conclusion In this population, factors associated with prehospital CPA due to a traffic crash were elderly people, male sex, night-time, weekend/holiday, back seat passenger, pedestrian and rural area. These fundamental data may be of help in reducing and preventing traffic crash deaths.
Publisher	BMJ Publishing Group
Source Title	BMJ Open
Volume (Issue)	9
Page	e025350
Date of Issued	2019-01-29
Language	English
Handle URL	https://hdl.handle.net/11094/78385
eISSN	20446055
Relation.isIdenticalTo	DOI (Publisher Version) https://doi.org/10.1136/bmjopen-2018-025350
Relation.isIdenticalTo	PMID 30700488
Access Rights	open access
CopyRight	© 2019 Author(s) (or their employer(s)). This article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
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	BMJ Open. 2019, 9, p. e025350
DC.title	Prehospital factors associated with death on hospital arrival after traffic crash in Japan: A national observational study
DC.creator	Katayama, Yusuke
	Kitamura, Tetsuhisa
	Kiyohara, Kosuke
	Sado, Junya
	Hirose, Tomoya
	Matsuyama, Tasuku
	Kiguchi, Takeyuki
	Izawa, Junichi
	Nakagawa, Yuko
	Shimazu, Takeshi
DC.publisher	BMJ Publishing Group
DC.language' scheme='DCTERMS.RFC1766	English
DC.type' scheme='DCTERMS.DCMIType	Text
DCTERMS.issued' scheme='DCTERMS.W3CDTF	2019-01-29
DC.identifier	https://doi.org/10.1136/bmjopen-2018-025350
DC.subject	epidemiology
DC.subject	public health
DC.description	Katayama Y, Kitamura T, Kiyohara K, et al. Prehospital factors associated with death on hospital arrival after traffic crash in Japan: a national observational study. BMJ Open 2019;9:e025350. doi: 10.1136/bmjopen-2018-025350
DCTERMS.abstract	Objective Although it is important to assess prehospital factors associated with traffic crash fatalities to decrease them as a matter of public health, such factors have not been fully revealed. Methods Using data from the Japanese Trauma Data Bank, a large hospital-based trauma registry in Japan, we retrospectively analysed traffic crash patients transported to participating facilities that treated patients with severe trauma from 2004 to 2015. This study defined registered emergency patients whose systolic blood pressure was 0 mm Hg or heart rate was 0 bpm at hospital arrival as being in prehospital cardiopulmonary arrest (CPA). Prehospital factors associated with prehospital CPA due to traffic crash were assessed with multivariable logistic regression analysis. Results In total, 66 243 patients were eligible for analysis. Of them, 3390 (5.1%) patients were in CPA at hospital arrival. A multivariable logistic regression model showed the following factors to be significantly associated with prehospital CPA: ages 60-74 years (adjusted OR (AOR) 1.256, 95% CI 1.142 to 1.382) and ≥75 years (AOR 1.487, 95% CI 1.336 to 1.654), male sex (AOR 1.234, 95% CI 1.139 to 1.338), night-time (AOR 1.575, 95% CI 1.458 to 1.702), weekend including holiday (AOR 1.078, 95% CI 1.001 to 1.161), rural area (AOR 1.181, 95% CI 1.097 to 1.271), back seat passenger (AOR 1.227, 95% CI 0.985 to 1.528) and pedestrian (AOR 1.754, 95% CI 1.580 to 1.947) as types of patients. Conclusion In this population, factors associated with prehospital CPA due to a traffic crash were elderly people, male sex, night-time, weekend/holiday, back seat passenger, pedestrian and rural area. These fundamental data may be of help in reducing and preventing traffic crash deaths.
DC.rights	© 2019 Author(s) (or their employer(s)). This article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
DC.format	78385
citation_title	Prehospital factors associated with death on hospital arrival after traffic crash in Japan: A national observational study
citation_author	Katayama, Yusuke
	Kitamura, Tetsuhisa
	Kiyohara, Kosuke
	Sado, Junya
	Hirose, Tomoya
	Matsuyama, Tasuku
	Kiguchi, Takeyuki
	Izawa, Junichi
	Nakagawa, Yuko
	Shimazu, Takeshi
citation_publisher	BMJ Publishing Group
citation_language	English
citation_date	2019-01-29
citation_journal_title	BMJ Open
citation_volume	9
citation_firstpage	e025350
citation_doi	https://doi.org/10.1136/bmjopen-2018-025350
citation_pmid	30700488
citation_public_url	https://hdl.handle.net/11094/78385

Prehospital factors associated with death on hospital arrival after traffic crash in Japan: A national observational study

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