Prehospital intravenous access for survival from out-of-hospital cardiac arrest: Propensity score matched analyses from a population-based cohort study in Osaka, Japan

Fujii, Tomoko; Kitamura, Tetsuhisa; Kajino, Kentaro; Kiyohara, Kosuke; Nishiyama, Chika; Nishiuchi, Tatsuya; Hayashi, Yasuyuki; Kawamura, Takashi; Iwami, Taku

doi:https://doi.org/10.1136/bmjopen-2016-015055

Prehospital intravenous access for survival from out-of-hospital cardiac arrest: Propensity score matched analyses from a population-based cohort study in Osaka, Japan

Fujii, Tomoko; Kitamura, Tetsuhisa; Kajino, Kentaro et al.

BMJ Open, 2017, 7(12), e015055

アクセス数:1,158件（2025-10-23 16:10 集計）

固定URL: https://hdl.handle.net/11094/78395

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タイトル	Prehospital intravenous access for survival from out-of-hospital cardiac arrest: Propensity score matched analyses from a population-based cohort study in Osaka, Japan
著者	著者名 Fujii, Tomoko
	NRID 1000030639810 1000030639810 ORCID 0000-0003-0107-0580 0000-0003-0107-0580 researchmap permalink Kitamura_T Kitamura_T Scopus Author ID 22234282700 22234282700 著者名 Kitamura, Tetsuhisa
	著者名 Kajino, Kentaro
	NRID 1000080581834 1000080581834 著者名 Kiyohara, Kosuke
	NRID 1000040584842 1000040584842 著者名 Nishiyama, Chika
	NRID 1000060588804 1000060588804 著者名 Nishiuchi, Tatsuya
	著者名 Hayashi, Yasuyuki
	NRID 1000010252230 1000010252230 著者名 Kawamura, Takashi
	NRID 1000060437291 1000060437291 著者名 Iwami, Taku
キーワード等	Cardiac arrest
	cardiopulmonary resuscitation
	epidemiology
	intravenous access
内容	Fujii T, Kitamura T, Kajino K, et al. Prehospital intravenous access for survival from out-of-hospital cardiac arrest: propensity score matched analyses from a population-based cohort study in Osaka, Japan. BMJ Open 2017;7:e015055. doi: 10.1136/bmjopen-2016-015055
抄録	Objectives Prehospital intravenous access is a common intervention for patients with out-of-hospital cardiac arrest (OHCA). We aimed to assess the effectiveness of prehospital intravenous access and subsequent epinephrine administration on outcomes among OHCA patients. Methods We conducted a prospective cohort study of patients with OHCA from non-Traumatic causes aged ≥18 years in Osaka, Japan from January 2005 through December 2012. The primary outcome was 1-month survival with favourable neurological outcome defined as a cerebral performance category of 1 or 2. The association between intravenous line placement and survival with favourable neurological outcome was evaluated by logistic regression, after propensity score matching for the intravenous access attempt stratified by initial documented rhythm of ventricular fibrillation (VF) or non-VF. The contribution of epinephrine administration to the outcome was also explored. Results Among OHCA patients during the study period, 3208 VF patients and 38 175 non-VF patients were included in our analysis. Intravenous access attempt was negatively associated with 1-month survival with a favourable neurological outcome in VF group (OR 0.76, 95% CI 0.59 to 0.98), while no association was observed in the non-VF group (OR 1.06, 95% CI 0.84 to 1.34). Epinephrine administration had no positive association in the VF patients (OR 0.75, 95% CI 0.51 to 1.07) and positively associated in the non-VF patients (OR 1.52, 95% CI 1.08 to 2.08) with the favourable neurological outcome. Conclusions Intravenous access attempt could be negatively associated with survival with a favourable neurological outcome after OHCA. Subsequent epinephrine administration might be effective for non-VF OHCAs.
出版者	BMJ Publishing Group
収録物名	BMJ Open
巻(号)	7(12)
ページ	e015055
刊行年月	2017-12-01
言語	英語
ハンドルURL	https://hdl.handle.net/11094/78395
eISSN	20446055
関連情報 (isIdenticalTo)	DOI (出版社版) https://doi.org/10.1136/bmjopen-2016-015055
関連情報 (isIdenticalTo)	PMID 29197833
アクセス権	open access
権利情報	© 2017 Article author(s) (or their employer(s) unless otherwise stated in the text of the article). This article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
出版タイプ	Version of Record
カテゴリ	学術雑誌論文 Journal Article

資源タイプ	学術雑誌論文
ローカル資源タイプ	学術雑誌論文
DCMI資源タイプ	text
DCTERMS.bibliographicCitation	BMJ Open. 2017, 7(12), p. e015055
DC.title	Prehospital intravenous access for survival from out-of-hospital cardiac arrest: Propensity score matched analyses from a population-based cohort study in Osaka, Japan
DC.creator	Fujii, Tomoko
	Kitamura, Tetsuhisa
	Kajino, Kentaro
	Kiyohara, Kosuke
	Nishiyama, Chika
	Nishiuchi, Tatsuya
	Hayashi, Yasuyuki
	Kawamura, Takashi
	Iwami, Taku
DC.publisher	BMJ Publishing Group
DC.language' scheme='DCTERMS.RFC1766	英語
DC.type' scheme='DCTERMS.DCMIType	text
DCTERMS.issued' scheme='DCTERMS.W3CDTF	2017-12-01
DC.identifier	https://doi.org/10.1136/bmjopen-2016-015055
DC.subject	Cardiac arrest
	cardiopulmonary resuscitation
	epidemiology
	intravenous access
DC.description	Fujii T, Kitamura T, Kajino K, et al. Prehospital intravenous access for survival from out-of-hospital cardiac arrest: propensity score matched analyses from a population-based cohort study in Osaka, Japan. BMJ Open 2017;7:e015055. doi: 10.1136/bmjopen-2016-015055
DCTERMS.abstract	Objectives Prehospital intravenous access is a common intervention for patients with out-of-hospital cardiac arrest (OHCA). We aimed to assess the effectiveness of prehospital intravenous access and subsequent epinephrine administration on outcomes among OHCA patients. Methods We conducted a prospective cohort study of patients with OHCA from non-Traumatic causes aged ≥18 years in Osaka, Japan from January 2005 through December 2012. The primary outcome was 1-month survival with favourable neurological outcome defined as a cerebral performance category of 1 or 2. The association between intravenous line placement and survival with favourable neurological outcome was evaluated by logistic regression, after propensity score matching for the intravenous access attempt stratified by initial documented rhythm of ventricular fibrillation (VF) or non-VF. The contribution of epinephrine administration to the outcome was also explored. Results Among OHCA patients during the study period, 3208 VF patients and 38 175 non-VF patients were included in our analysis. Intravenous access attempt was negatively associated with 1-month survival with a favourable neurological outcome in VF group (OR 0.76, 95% CI 0.59 to 0.98), while no association was observed in the non-VF group (OR 1.06, 95% CI 0.84 to 1.34). Epinephrine administration had no positive association in the VF patients (OR 0.75, 95% CI 0.51 to 1.07) and positively associated in the non-VF patients (OR 1.52, 95% CI 1.08 to 2.08) with the favourable neurological outcome. Conclusions Intravenous access attempt could be negatively associated with survival with a favourable neurological outcome after OHCA. Subsequent epinephrine administration might be effective for non-VF OHCAs.
DC.rights	© 2017 Article author(s) (or their employer(s) unless otherwise stated in the text of the article). This article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
DC.format	78395
citation_title	Prehospital intravenous access for survival from out-of-hospital cardiac arrest: Propensity score matched analyses from a population-based cohort study in Osaka, Japan
citation_author	Fujii, Tomoko
	Kitamura, Tetsuhisa
	Kajino, Kentaro
	Kiyohara, Kosuke
	Nishiyama, Chika
	Nishiuchi, Tatsuya
	Hayashi, Yasuyuki
	Kawamura, Takashi
	Iwami, Taku
citation_publisher	BMJ Publishing Group
citation_language	英語
citation_date	2017-12-01
citation_journal_title	BMJ Open
citation_volume	7
citation_issue	12
citation_firstpage	e015055
citation_doi	https://doi.org/10.1136/bmjopen-2016-015055
citation_pmid	29197833
citation_public_url	https://hdl.handle.net/11094/78395

Prehospital intravenous access for survival from out-of-hospital cardiac arrest: Propensity score matched analyses from a population-based cohort study in Osaka, Japan

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