Epidemiology of pediatric out-of-hospital cardiac arrest at school : An investigation of a nationwide registry in Japan

Kiyohara, Kosuke; Sado, Junya; Kitamura, Tetsuhisa; Ayusawa, Mamoru; Nitta, Masahiko; Iwami, Taku; Nakata, Ken; Sato, Yasuto; Kojimahara, Noriko; Yamaguchi, Naohito; Sobue, Tomotaka; Kitamura, Yuri

doi:https://doi.org/10.1253/circj.CJ-17-1237

Epidemiology of pediatric out-of-hospital cardiac arrest at school : An investigation of a nationwide registry in Japan

Kiyohara, Kosuke; Sado, Junya; Kitamura, Tetsuhisa et al.

Circulation Journal, 2018, 82(4), 1026-1032

Number of Access:1,249（2025-10-21 20:19 Counts）

Identifier to cite or link to this item: https://hdl.handle.net/11094/78927

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Title	Epidemiology of pediatric out-of-hospital cardiac arrest at school : An investigation of a nationwide registry in Japan
Creator	NRID 1000080581834 1000080581834 CreatorName Kiyohara, Kosuke
	CreatorName Sado, Junya
	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 1000040287610 1000040287610 CreatorName Ayusawa, Mamoru
	NRID 1000010411349 1000010411349 CreatorName Nitta, Masahiko
	NRID 1000060437291 1000060437291 CreatorName Iwami, Taku
	NRID 1000000283747 1000000283747 researchmap permalink ken-nakata ken-nakata Scopus Author ID 7402151308 7402151308 CreatorName Nakata, Ken
	NRID 1000030349774 1000030349774 CreatorName Sato, Yasuto
	NRID 1000050226867 1000050226867 CreatorName Kojimahara, Noriko
	NRID 1000080119031 1000080119031 CreatorName Yamaguchi, Naohito
	NRID 1000050270674 1000050270674 researchmap permalink read_0159567 read_0159567 Scopus Author ID 7005649935 7005649935 CreatorName Sobue, Tomotaka
	NRID 1000090294074 1000090294074 CreatorName Kitamura, Yuri
Subject	Children
	Schools
	Students
Description	Kosuke Kiyohara, Junya Sado, Tetsuhisa Kitamura, Mamoru Ayusawa, Masahiko Nitta, Taku Iwami, Ken Nakata, Yasuto Sato, Noriko Kojimahara, Naohito Yamaguchi, Tomotaka Sobue, Yuri Kitamura, for the SPIRITS Investigators, Epidemiology of Pediatric Out-of-Hospital Cardiac Arrest at School　― An Investigation of a Nationwide Registry in Japan ―, Circulation Journal, 2018, Volume 82, Issue 4, Pages 1026-1032, Released March 23, 2018, [Advance publication] Released February 15, 2018, Online ISSN 1347-4820, Print ISSN 1346-9843, https://doi.org/10.1253/circj.CJ-17-1237, https://www.jstage.jst.go.jp/article/circj/82/4/82_CJ-17-1237/_article/-char/en
Abstract	Background: A better understanding of the epidemiology of pediatric out-of-hospital cardiac arrest (OHCA) occurring in school settings is important to establish an evidence-based strategy for prevention and better prognosis. Methods and Results: The Stop and Prevent cardIac aRrest, Injury, and Trauma in Schools (SPIRITS) is a nationwide prospective observational study linking databases from 2 nationally representative registries, the Injury and the Accident Mutual Aid Benefit System of The Japan Sport Council and the All-Japan Utstein Registry of the Fire and Disaster Management Agency. Using these databases, we described the detailed characteristics and outcomes of pediatric OHCAs that occurred in school settings in Japan between 2009 and 2014. During the 6-year study period, 295 OHCA cases were confirmed. Overall incidence rate was 0.4 per 100,000 students per year. The majority of OHCA cases had a cardiac origin (71%), occurred during exercise (65%), were witnessed by bystanders (70%), and received bystander-initiated cardiopulmonary resuscitation (73%). In approximately one-third of cases the student was defibrillated by public-access automated external defibrillator (38%). The proportion of patients with 1-month survival and a favorable neurological outcome was 34% among all OHCAs and 43% among OHCAs of cardiac origin. Conclusions: In Japan, approximately 50 pediatric cases of OHCA consistently occur yearly in school settings. The majority of students received basic life support from bystanders, and patients with OHCA of cardiac origin had a relatively good prognosis.
Publisher	Japanese Circulation Society
Source Title	Circulation Journal
Volume (Issue)	82(4)
Page	1026-1032
Date of Issued	2018-03-23
Language	English
Handle URL	https://hdl.handle.net/11094/78927
PISSN	13469843
eISSN	13474820
NCID	AA11591968
Relation.isIdenticalTo	DOI (Publisher Version) https://doi.org/10.1253/circj.CJ-17-1237
Relation.isIdenticalTo	PMID 29445066
Access Rights	open access
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. 2018, 82(4), p. 1026-1032
DC.title	Epidemiology of pediatric out-of-hospital cardiac arrest at school : An investigation of a nationwide registry in Japan
DC.creator	Kiyohara, Kosuke
	Sado, Junya
	Kitamura, Tetsuhisa
	Ayusawa, Mamoru
	Nitta, Masahiko
	Iwami, Taku
	Nakata, Ken
	Sato, Yasuto
	Kojimahara, Noriko
	Yamaguchi, Naohito
	Sobue, Tomotaka
	Kitamura, Yuri
DC.publisher	Japanese Circulation Society
DC.language' scheme='DCTERMS.RFC1766	English
DCTERMS.issued' scheme='DCTERMS.W3CDTF	2018-03-23
DC.identifier	https://doi.org/10.1253/circj.CJ-17-1237
DC.subject	Children
	Schools
	Students
DC.description	Kosuke Kiyohara, Junya Sado, Tetsuhisa Kitamura, Mamoru Ayusawa, Masahiko Nitta, Taku Iwami, Ken Nakata, Yasuto Sato, Noriko Kojimahara, Naohito Yamaguchi, Tomotaka Sobue, Yuri Kitamura, for the SPIRITS Investigators, Epidemiology of Pediatric Out-of-Hospital Cardiac Arrest at School　― An Investigation of a Nationwide Registry in Japan ―, Circulation Journal, 2018, Volume 82, Issue 4, Pages 1026-1032, Released March 23, 2018, [Advance publication] Released February 15, 2018, Online ISSN 1347-4820, Print ISSN 1346-9843, https://doi.org/10.1253/circj.CJ-17-1237, https://www.jstage.jst.go.jp/article/circj/82/4/82_CJ-17-1237/_article/-char/en
DCTERMS.abstract	Background: A better understanding of the epidemiology of pediatric out-of-hospital cardiac arrest (OHCA) occurring in school settings is important to establish an evidence-based strategy for prevention and better prognosis. Methods and Results: The Stop and Prevent cardIac aRrest, Injury, and Trauma in Schools (SPIRITS) is a nationwide prospective observational study linking databases from 2 nationally representative registries, the Injury and the Accident Mutual Aid Benefit System of The Japan Sport Council and the All-Japan Utstein Registry of the Fire and Disaster Management Agency. Using these databases, we described the detailed characteristics and outcomes of pediatric OHCAs that occurred in school settings in Japan between 2009 and 2014. During the 6-year study period, 295 OHCA cases were confirmed. Overall incidence rate was 0.4 per 100,000 students per year. The majority of OHCA cases had a cardiac origin (71%), occurred during exercise (65%), were witnessed by bystanders (70%), and received bystander-initiated cardiopulmonary resuscitation (73%). In approximately one-third of cases the student was defibrillated by public-access automated external defibrillator (38%). The proportion of patients with 1-month survival and a favorable neurological outcome was 34% among all OHCAs and 43% among OHCAs of cardiac origin. Conclusions: In Japan, approximately 50 pediatric cases of OHCA consistently occur yearly in school settings. The majority of students received basic life support from bystanders, and patients with OHCA of cardiac origin had a relatively good prognosis.
DC.format	78927
citation_title	Epidemiology of pediatric out-of-hospital cardiac arrest at school : An investigation of a nationwide registry in Japan
citation_author	Kiyohara, Kosuke
	Sado, Junya
	Kitamura, Tetsuhisa
	Ayusawa, Mamoru
	Nitta, Masahiko
	Iwami, Taku
	Nakata, Ken
	Sato, Yasuto
	Kojimahara, Noriko
	Yamaguchi, Naohito
	Sobue, Tomotaka
	Kitamura, Yuri
citation_publisher	Japanese Circulation Society
citation_language	English
citation_date	2018-03-23
citation_journal_title	Circulation Journal
citation_volume	82
citation_issue	4
citation_firstpage	1026
citation_lastpage	1032
citation_doi	https://doi.org/10.1253/circj.CJ-17-1237
citation_pmid	29445066
citation_public_url	https://hdl.handle.net/11094/78927

Epidemiology of pediatric out-of-hospital cardiac arrest at school : An investigation of a nationwide registry in Japan

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