Public-access defibrillation and survival of out-of-hospital cardiac arrest in public vs. Residential locations in Japan

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

doi:https://doi.org/10.1253/circj.CJ-19-0065

Public-access defibrillation and survival of out-of-hospital cardiac arrest in public vs. Residential locations in Japan

Kiguchi, Takeyuki; Kiyohara, Kosuke; Kitamura, Tetsuhisa et al.

Circulation Journal, 2019, 83(8), 1682-1688

アクセス数:1,143件（2025-12-10 10:12 集計）

固定URL: https://hdl.handle.net/11094/78925

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タイトル	Public-access defibrillation and survival of out-of-hospital cardiac arrest in public vs. Residential locations in Japan
著者	NRID 1000030724380 1000030724380 著者名 Kiguchi, Takeyuki
	NRID 1000080581834 1000080581834 著者名 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 著者名 Kitamura, Tetsuhisa
	NRID 1000040584842 1000040584842 著者名 Nishiyama, Chika
	NRID 1000000764911 1000000764911 著者名 Kobayashi, Daisuke
	NRID 1000070526805 1000070526805 著者名 Okabayashi, Satoe
	NRID 1000010828411 1000010828411 著者名 Shimamoto, Tomonari
	NRID 1000050829025 1000050829025 著者名 Matsuyama, Tasuku
	NRID 1000010252230 1000010252230 著者名 Kawamura, Takashi
	NRID 1000060437291 1000060437291 著者名 Iwami, Taku
キーワード等	Automated external defibrillator
	Cardiopulmonary resuscitation
	Out-of-hospital cardiac arrest
	Public-access defibrillation
	Ventricular fibrillation
内容	Takeyuki Kiguchi, Kosuke Kiyohara, Tetsuhisa Kitamura, Chika Nishiyama, Daisuke Kobayashi, Satoe Okabayashi, Tomonari Shimamoto, Tasuku Matsuyama, Takashi Kawamura, Taku Iwami, Public-Access Defibrillation and Survival of Out-of-Hospital Cardiac Arrest in Public vs. Residential Locations in Japan, Circulation Journal, 2019, Volume 83, Issue 8, Pages 1682-1688, Released July 25, 2019, [Advance publication] Released June 15, 2019, Online ISSN 1347-4820, Print ISSN 1346-9843, https://doi.org/10.1253/circj.CJ-19-0065, https://www.jstage.jst.go.jp/article/circj/83/8/83_CJ-19-0065/_article/-char/en
抄録	Background: This study assessed whether the dissemination of public-access defibrillation (PAD) at the population level is associated with an increase in neurologically favorable outcomes among patients experiencing ventricular fibrillation (VF) in public vs. residential locations in Japan. Methods and Results: We enrolled adult patients with bystander-witnessed VF between 2013 and 2015. The primary outcome measure was 1-month neurologically favorable outcome defined by cerebral performance category 1 or 2. The number of survivors with neurologically favorable outcome attributed to PAD after VF arrest was estimated by location of arrest. A total of 16,252 adult patients with bystander-witnessed VF arrest were analyzed. In public locations, 29.3% (2,334/7,973) of out-of-hospital cardiac arrest (OHCA) patients received PAD, whereas 1.1% (89/8,279) of OHCA patients received PAD in residential locations. OHCA patients with PAD had significantly better neurological outcomes compared with those without PAD in public locations (51.8% vs. 25.5%, P<0.001), whereas there were no significant differences in neurologically favorable outcome between patients with or without PAD in residential locations (22.5% vs. 18.6%, P=0.357). The total number of patients with neurologically favorable outcomes attributed to PAD was estimated at 615 in public locations, but only 3 in residential locations. Conclusions: In Japan, when compared with residential locations, PAD works more successfully in public locations for adults with bystander-witnessed VF arrest.
出版者	Japanese Circulation Society
収録物名	Circulation Journal
巻(号)	83(8)
ページ	1682-1688
刊行年月	2019-07-25
言語	英語
ハンドルURL	https://hdl.handle.net/11094/78925
PISSN	13469843
eISSN	13474820
NCID	AA11591968
関連情報 (isIdenticalTo)	DOI (出版社版) https://doi.org/10.1253/circj.CJ-19-0065
関連情報 (isIdenticalTo)	PMID 31204367
アクセス権	open access
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
DCTERMS.bibliographicCitation	Circulation Journal. 2019, 83(8), p. 1682-1688
DC.title	Public-access defibrillation and survival of out-of-hospital cardiac arrest in public vs. Residential locations in Japan
DC.creator	Kiguchi, Takeyuki
	Kiyohara, Kosuke
	Kitamura, Tetsuhisa
	Nishiyama, Chika
	Kobayashi, Daisuke
	Okabayashi, Satoe
	Shimamoto, Tomonari
	Matsuyama, Tasuku
	Kawamura, Takashi
	Iwami, Taku
DC.publisher	Japanese Circulation Society
DC.language' scheme='DCTERMS.RFC1766	英語
DCTERMS.issued' scheme='DCTERMS.W3CDTF	2019-07-25
DC.identifier	https://doi.org/10.1253/circj.CJ-19-0065
DC.subject	Automated external defibrillator
	Cardiopulmonary resuscitation
	Out-of-hospital cardiac arrest
	Public-access defibrillation
	Ventricular fibrillation
DC.description	Takeyuki Kiguchi, Kosuke Kiyohara, Tetsuhisa Kitamura, Chika Nishiyama, Daisuke Kobayashi, Satoe Okabayashi, Tomonari Shimamoto, Tasuku Matsuyama, Takashi Kawamura, Taku Iwami, Public-Access Defibrillation and Survival of Out-of-Hospital Cardiac Arrest in Public vs. Residential Locations in Japan, Circulation Journal, 2019, Volume 83, Issue 8, Pages 1682-1688, Released July 25, 2019, [Advance publication] Released June 15, 2019, Online ISSN 1347-4820, Print ISSN 1346-9843, https://doi.org/10.1253/circj.CJ-19-0065, https://www.jstage.jst.go.jp/article/circj/83/8/83_CJ-19-0065/_article/-char/en
DCTERMS.abstract	Background: This study assessed whether the dissemination of public-access defibrillation (PAD) at the population level is associated with an increase in neurologically favorable outcomes among patients experiencing ventricular fibrillation (VF) in public vs. residential locations in Japan. Methods and Results: We enrolled adult patients with bystander-witnessed VF between 2013 and 2015. The primary outcome measure was 1-month neurologically favorable outcome defined by cerebral performance category 1 or 2. The number of survivors with neurologically favorable outcome attributed to PAD after VF arrest was estimated by location of arrest. A total of 16,252 adult patients with bystander-witnessed VF arrest were analyzed. In public locations, 29.3% (2,334/7,973) of out-of-hospital cardiac arrest (OHCA) patients received PAD, whereas 1.1% (89/8,279) of OHCA patients received PAD in residential locations. OHCA patients with PAD had significantly better neurological outcomes compared with those without PAD in public locations (51.8% vs. 25.5%, P<0.001), whereas there were no significant differences in neurologically favorable outcome between patients with or without PAD in residential locations (22.5% vs. 18.6%, P=0.357). The total number of patients with neurologically favorable outcomes attributed to PAD was estimated at 615 in public locations, but only 3 in residential locations. Conclusions: In Japan, when compared with residential locations, PAD works more successfully in public locations for adults with bystander-witnessed VF arrest.
DC.format	78925
citation_title	Public-access defibrillation and survival of out-of-hospital cardiac arrest in public vs. Residential locations in Japan
citation_author	Kiguchi, Takeyuki
	Kiyohara, Kosuke
	Kitamura, Tetsuhisa
	Nishiyama, Chika
	Kobayashi, Daisuke
	Okabayashi, Satoe
	Shimamoto, Tomonari
	Matsuyama, Tasuku
	Kawamura, Takashi
	Iwami, Taku
citation_publisher	Japanese Circulation Society
citation_language	英語
citation_date	2019-07-25
citation_journal_title	Circulation Journal
citation_volume	83
citation_issue	8
citation_firstpage	1682
citation_lastpage	1688
citation_doi	https://doi.org/10.1253/circj.CJ-19-0065
citation_pmid	31204367
citation_public_url	https://hdl.handle.net/11094/78925

Public-access defibrillation and survival of out-of-hospital cardiac arrest in public vs. Residential locations in Japan

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