Epidemiology and outcome of adult out-of-hospital cardiac arrest of non-cardiac origin in Osaka: A population-based study

Kitamura, Tetsuhisa; Kiyohara, Kosuke; Sakai, Tomohiko; Iwami, Taku; Nishiyama, Chika; Kajino, Kentaro; Nishiuchi, Tatsuya; Hayashi, Yasuyuki; Katayama, Yusuke; Yoshiya, Kazuhisa; Shimazu, Takeshi

doi:https://doi.org/10.1136/bmjopen-2014-006462

Epidemiology and outcome of adult out-of-hospital cardiac arrest of non-cardiac origin in Osaka: A population-based study

Kitamura, Tetsuhisa; Kiyohara, Kosuke; Sakai, Tomohiko et al.

BMJ Open, 2014, 4(12), e006462

Number of Access:1,253（2025-10-21 01:31 Counts）

Identifier to cite or link to this item: https://hdl.handle.net/11094/78413

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Title	Epidemiology and outcome of adult out-of-hospital cardiac arrest of non-cardiac origin in Osaka: A population-based study
Creator	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
	NRID 1000050456985 1000050456985 researchmap permalink sakaitomohiko sakaitomohiko Scopus Author ID 35746769000 35746769000 CreatorName Sakai, Tomohiko
	NRID 1000060437291 1000060437291 CreatorName Iwami, Taku
	NRID 1000040584842 1000040584842 CreatorName Nishiyama, Chika
	CreatorName Kajino, Kentaro
	NRID 1000060588804 1000060588804 CreatorName Nishiuchi, Tatsuya
	CreatorName Hayashi, Yasuyuki
	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 1000040379201 1000040379201 CreatorName Yoshiya, Kazuhisa
	NRID 1000050196474 1000050196474 CreatorName Shimazu, Takeshi
Description	Kitamura T, Kiyohara K, Sakai T, et alEpidemiology and outcome of adult out-of-hospital cardiac arrest of non-cardiac origin in Osaka: a population-based study. BMJ Open 2014;4:e006462. doi: 10.1136/bmjopen-2014-006462
Abstract	Objectives: To evaluate epidemiological characteristics of out-of-hospital cardiac arrests (OHCAs) by detailed non-cardiac cause and factors associated with the outcomes after OHCAs of non-cardiac origin. Design: A prospective, population-based observational study. Setting: The Utstein Osaka Project. Participants: 14 164 adult patients aged ?20 years old with OHCAs due to non-cardiac origin who were resuscitated by emergency-medical-service personnel or bystanders, and then were transported to medical institutions from January 2005 to December 2011. Primary outcome measures: One-month survival after OHCA. Multiple logistic regression analysis was used to assess factors that were potentially associated with the outcome. Results: During the study period, the 1-month survival rate was 5.3% (755/14 164). The proportion of 1-month survival was 6.2% (510/8239) in external causes, 6.5% (94/1148) in respiratory diseases, 0.8% (11/1309) in malignant tumours, 4.9% (55/1114) in strokes and 4.1% (85/2054) in others. As for external causes, the proportion of 1-month survival was 14.3% (382/2670) in asphyxia, 4.2% (84/1999) in hanging, 0.7% (9/1300) in fall, 1.1% (12/1062) in drowning, 1.6% (12/765) in traffic injury, 3.7% (7/187) in drug overuse and 1.6% (4/256) in unclassified external causes. In a multivariate analysis, adults aged <65 years old with arrests witnessed by bystanders, with normal activities of daily living before the arrests, having ventricular fibrillation arrests, having arrests in public places, intravenous fluid levels and early Emergency Medical Service response time were significant predictors for 1-month outcome after OHCAs of non-cardiac origin. The proportion of 1-month survival of all OHCAs of non-cardiac origin did not significantly increase (from 4.3% (86/2023) in 2005 to 4.9% (105/2126) in 2011) and the adjusted OR for one-increment of year was 1.01 (95% CI 0.97 to 1.06). Conclusions: From a large OHCA registry in Osaka, we demonstrated that 1-month survival after OHCAs of non-cardiac origin was poor and stable.
Publisher	BMJ Publishing Group
Source Title	BMJ Open
Volume (Issue)	4(12)
Page	e006462
Date of Issued	2014-12-22
Language	English
Handle URL	https://hdl.handle.net/11094/78413
eISSN	20446055
Relation.isIdenticalTo	DOI (Publisher Version) https://doi.org/10.1136/bmjopen-2014-006462
Relation.isIdenticalTo	PMID 25534213
Access Rights	open access
CopyRight	© 2014 BMJ Publishing Group Ltd. 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. 2014, 4(12), p. e006462
DC.title	Epidemiology and outcome of adult out-of-hospital cardiac arrest of non-cardiac origin in Osaka: A population-based study
DC.creator	Kitamura, Tetsuhisa
	Kiyohara, Kosuke
	Sakai, Tomohiko
	Iwami, Taku
	Nishiyama, Chika
	Kajino, Kentaro
	Nishiuchi, Tatsuya
	Hayashi, Yasuyuki
	Katayama, Yusuke
	Yoshiya, Kazuhisa
	Shimazu, Takeshi
DC.publisher	BMJ Publishing Group
DC.language' scheme='DCTERMS.RFC1766	English
DC.type' scheme='DCTERMS.DCMIType	Text
DCTERMS.issued' scheme='DCTERMS.W3CDTF	2014-12-22
DC.identifier	https://doi.org/10.1136/bmjopen-2014-006462
DC.description	Kitamura T, Kiyohara K, Sakai T, et alEpidemiology and outcome of adult out-of-hospital cardiac arrest of non-cardiac origin in Osaka: a population-based study. BMJ Open 2014;4:e006462. doi: 10.1136/bmjopen-2014-006462
DCTERMS.abstract	Objectives: To evaluate epidemiological characteristics of out-of-hospital cardiac arrests (OHCAs) by detailed non-cardiac cause and factors associated with the outcomes after OHCAs of non-cardiac origin. Design: A prospective, population-based observational study. Setting: The Utstein Osaka Project. Participants: 14 164 adult patients aged ?20 years old with OHCAs due to non-cardiac origin who were resuscitated by emergency-medical-service personnel or bystanders, and then were transported to medical institutions from January 2005 to December 2011. Primary outcome measures: One-month survival after OHCA. Multiple logistic regression analysis was used to assess factors that were potentially associated with the outcome. Results: During the study period, the 1-month survival rate was 5.3% (755/14 164). The proportion of 1-month survival was 6.2% (510/8239) in external causes, 6.5% (94/1148) in respiratory diseases, 0.8% (11/1309) in malignant tumours, 4.9% (55/1114) in strokes and 4.1% (85/2054) in others. As for external causes, the proportion of 1-month survival was 14.3% (382/2670) in asphyxia, 4.2% (84/1999) in hanging, 0.7% (9/1300) in fall, 1.1% (12/1062) in drowning, 1.6% (12/765) in traffic injury, 3.7% (7/187) in drug overuse and 1.6% (4/256) in unclassified external causes. In a multivariate analysis, adults aged <65 years old with arrests witnessed by bystanders, with normal activities of daily living before the arrests, having ventricular fibrillation arrests, having arrests in public places, intravenous fluid levels and early Emergency Medical Service response time were significant predictors for 1-month outcome after OHCAs of non-cardiac origin. The proportion of 1-month survival of all OHCAs of non-cardiac origin did not significantly increase (from 4.3% (86/2023) in 2005 to 4.9% (105/2126) in 2011) and the adjusted OR for one-increment of year was 1.01 (95% CI 0.97 to 1.06). Conclusions: From a large OHCA registry in Osaka, we demonstrated that 1-month survival after OHCAs of non-cardiac origin was poor and stable.
DC.rights	© 2014 BMJ Publishing Group Ltd. This article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
DC.format	78413
citation_title	Epidemiology and outcome of adult out-of-hospital cardiac arrest of non-cardiac origin in Osaka: A population-based study
citation_author	Kitamura, Tetsuhisa
	Kiyohara, Kosuke
	Sakai, Tomohiko
	Iwami, Taku
	Nishiyama, Chika
	Kajino, Kentaro
	Nishiuchi, Tatsuya
	Hayashi, Yasuyuki
	Katayama, Yusuke
	Yoshiya, Kazuhisa
	Shimazu, Takeshi
citation_publisher	BMJ Publishing Group
citation_language	English
citation_date	2014-12-22
citation_journal_title	BMJ Open
citation_volume	4
citation_issue	12
citation_firstpage	e006462
citation_doi	https://doi.org/10.1136/bmjopen-2014-006462
citation_pmid	25534213
citation_public_url	https://hdl.handle.net/11094/78413

Epidemiology and outcome of adult out-of-hospital cardiac arrest of non-cardiac origin in Osaka: A population-based study

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