Characteristics and outcomes of out-of-hospital cardiac arrest in educational institutions in Japan ― All-Japan Utstein registry ―

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

doi:https://doi.org/10.1253/circj.CJ-19-0920

Characteristics and outcomes of out-of-hospital cardiac arrest in educational institutions in Japan ― All-Japan Utstein registry ―

Nishiyama, Chika; Kiyohara, Kosuke; Matsuyama, Tasuku et al.

Circulation Journal, 2020, 84(4), 577-583

Number of Access:1,120（2025-10-21 01:31 Counts）

Identifier to cite or link to this item: https://hdl.handle.net/11094/78717

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Title	Characteristics and outcomes of out-of-hospital cardiac arrest in educational institutions in Japan ― All-Japan Utstein registry ―
Creator	NRID 1000040584842 1000040584842 CreatorName Nishiyama, Chika
	NRID 1000080581834 1000080581834 CreatorName Kiyohara, Kosuke
	NRID 1000050829025 1000050829025 CreatorName Matsuyama, Tasuku
	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 1000030724380 1000030724380 CreatorName Kiguchi, Takeyuki
	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	Cardiopulmonary resuscitation (CPR)
	Educational institution
	Epidemiology
	Out-of-hospital cardiac arrest
Description	Chika Nishiyama, Kosuke Kiyohara, Tasuku Matsuyama, Tetsuhisa Kitamura, Takeyuki Kiguchi, Daisuke Kobayashi, Satoe Okabayashi, Tomonari Shimamoto, Takashi Kawamura, Taku Iwami, Characteristics and Outcomes of Out-of-Hospital Cardiac Arrest in Educational Institutions in Japan　― All-Japan Utstein Registry ―, Circulation Journal, 2020, Volume 84, Issue 4, Pages 577-583, Released March 25, 2020, [Advance publication] Released February 20, 2020, Online ISSN 1347-4820, Print ISSN 1346-9843, https://doi.org/10.1253/circj.CJ-19-0920, https://www.jstage.jst.go.jp/article/circj/84/4/84_CJ-19-0920/_article/-char/en
Abstract	Background: Although schools are key places that conduct cardiopulmonary resuscitation (CPR) and public-access defibrillation (PAD) programs, out-of-hospital cardiac arrest (OHCA) in educational institutions is poorly understood. This study describes the characteristics and outcomes of such OHCAs. Methods and Results: Data for OHCAs of any cause occurring in educational institutions between 2013 and 2015 were extracted from the All-Japan Utstein Registry. Patient characteristics and outcomes were documented. Subjects were divided into 6 age groups (0–1, 2–5, 6–11, 12–14, 15–17, and ≥18 years). Among the 783 eligible OHCA patients, most received bystander CPR regardless of age, ranging from 73.9% in those aged ≥18 years to 90.0% in those aged 2–5 years. However, the proportion receiving PAD differed by age group, ranging from 2.9% in those aged 0–1 years to 66.7% in those aged 12–14 years. The proportion of patients with 1-month survival with favorable neurological outcome differed significantly by age group, being extremely low among patients aged 0–1 years (zero for OHCA of cardiac origin), but high among patients aged 6–11, 12–14, and 15–17 years (69.2%, 77.5%, and 70.0%, respectively) for OHCA of cardiac origin. Conclusions: The outcomes of OHCA occurring in educational institutions, where PAD is available, differed significantly by age.
Publisher	Japanese Circulation Society
Source Title	Circulation Journal
Volume (Issue)	84(4)
Page	577-583
Date of Issued	2020-03-25
Language	English
Handle URL	https://hdl.handle.net/11094/78717
PISSN	13469843
eISSN	13474820
NCID	AA11591968
Relation.isIdenticalTo	DOI (Publisher Version) https://doi.org/10.1253/circj.CJ-19-0920
Relation.isIdenticalTo	PMID 32074552
Access Rights	open access
CopyRight	© 2020 The Japanese Circulation Society. This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 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
DCTERMS.bibliographicCitation	Circulation Journal. 2020, 84(4), p. 577-583
DC.title	Characteristics and outcomes of out-of-hospital cardiac arrest in educational institutions in Japan ― All-Japan Utstein registry ―
DC.creator	Nishiyama, Chika
	Kiyohara, Kosuke
	Matsuyama, Tasuku
	Kitamura, Tetsuhisa
	Kiguchi, Takeyuki
	Kobayashi, Daisuke
	Okabayashi, Satoe
	Shimamoto, Tomonari
	Kawamura, Takashi
	Iwami, Taku
DC.publisher	Japanese Circulation Society
DC.language' scheme='DCTERMS.RFC1766	English
DCTERMS.issued' scheme='DCTERMS.W3CDTF	2020-03-25
DC.identifier	https://doi.org/10.1253/circj.CJ-19-0920
DC.subject	Cardiopulmonary resuscitation (CPR)
	Educational institution
	Epidemiology
	Out-of-hospital cardiac arrest
DC.description	Chika Nishiyama, Kosuke Kiyohara, Tasuku Matsuyama, Tetsuhisa Kitamura, Takeyuki Kiguchi, Daisuke Kobayashi, Satoe Okabayashi, Tomonari Shimamoto, Takashi Kawamura, Taku Iwami, Characteristics and Outcomes of Out-of-Hospital Cardiac Arrest in Educational Institutions in Japan　― All-Japan Utstein Registry ―, Circulation Journal, 2020, Volume 84, Issue 4, Pages 577-583, Released March 25, 2020, [Advance publication] Released February 20, 2020, Online ISSN 1347-4820, Print ISSN 1346-9843, https://doi.org/10.1253/circj.CJ-19-0920, https://www.jstage.jst.go.jp/article/circj/84/4/84_CJ-19-0920/_article/-char/en
DCTERMS.abstract	Background: Although schools are key places that conduct cardiopulmonary resuscitation (CPR) and public-access defibrillation (PAD) programs, out-of-hospital cardiac arrest (OHCA) in educational institutions is poorly understood. This study describes the characteristics and outcomes of such OHCAs. Methods and Results: Data for OHCAs of any cause occurring in educational institutions between 2013 and 2015 were extracted from the All-Japan Utstein Registry. Patient characteristics and outcomes were documented. Subjects were divided into 6 age groups (0–1, 2–5, 6–11, 12–14, 15–17, and ≥18 years). Among the 783 eligible OHCA patients, most received bystander CPR regardless of age, ranging from 73.9% in those aged ≥18 years to 90.0% in those aged 2–5 years. However, the proportion receiving PAD differed by age group, ranging from 2.9% in those aged 0–1 years to 66.7% in those aged 12–14 years. The proportion of patients with 1-month survival with favorable neurological outcome differed significantly by age group, being extremely low among patients aged 0–1 years (zero for OHCA of cardiac origin), but high among patients aged 6–11, 12–14, and 15–17 years (69.2%, 77.5%, and 70.0%, respectively) for OHCA of cardiac origin. Conclusions: The outcomes of OHCA occurring in educational institutions, where PAD is available, differed significantly by age.
DC.rights	© 2020 The Japanese Circulation Society. This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
DC.format	78717
citation_title	Characteristics and outcomes of out-of-hospital cardiac arrest in educational institutions in Japan ― All-Japan Utstein registry ―
citation_author	Nishiyama, Chika
	Kiyohara, Kosuke
	Matsuyama, Tasuku
	Kitamura, Tetsuhisa
	Kiguchi, Takeyuki
	Kobayashi, Daisuke
	Okabayashi, Satoe
	Shimamoto, Tomonari
	Kawamura, Takashi
	Iwami, Taku
citation_publisher	Japanese Circulation Society
citation_language	English
citation_date	2020-03-25
citation_journal_title	Circulation Journal
citation_volume	84
citation_issue	4
citation_firstpage	577
citation_lastpage	583
citation_doi	https://doi.org/10.1253/circj.CJ-19-0920
citation_pmid	32074552
citation_public_url	https://hdl.handle.net/11094/78717

Characteristics and outcomes of out-of-hospital cardiac arrest in educational institutions in Japan ― All-Japan Utstein registry ―

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