Incidence and outcome of out-of-hospital cardiac arrest with public-access defibrillation: A descriptive epidemiological study in a large urban community

Sasaki, Mie; Iwami, Taku; Kitamura, Tetsuhisa; Nomoto, Shinichi; Nishiyama, Chika; Sakai, Tomohiko; Tanigawa, Kayo; Kajino, Kentaro; Irisawa, Taro; Nishiuchi, Tatsuya; Hayashida, Sumito; Hiraide, Atsushi; Kawamura, Takashi

doi:https://doi.org/10.1253/circj.CJ-11-0316

Incidence and outcome of out-of-hospital cardiac arrest with public-access defibrillation: A descriptive epidemiological study in a large urban community

Sasaki, Mie; Iwami, Taku; Kitamura, Tetsuhisa et al.

Circulation Journal, 2011, 75(12), 2821-2826

Number of Access:468（2025-06-17 14:39 Counts）

Identifier to cite or link to this item: https://hdl.handle.net/11094/78936

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Title	Incidence and outcome of out-of-hospital cardiac arrest with public-access defibrillation: A descriptive epidemiological study in a large urban community
Creator	CreatorName Sasaki, Mie
	NRID 1000060437291 1000060437291 CreatorName Iwami, Taku
	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 1000000172825 1000000172825 CreatorName Nomoto, Shinichi
	NRID 1000040584842 1000040584842 CreatorName Nishiyama, Chika
	NRID 1000050456985 1000050456985 researchmap permalink sakaitomohiko sakaitomohiko Scopus Author ID 35746769000 35746769000 CreatorName Sakai, Tomohiko
	CreatorName Tanigawa, Kayo
	CreatorName Kajino, Kentaro
	NRID 1000050379202 1000050379202 researchmap permalink taroiri taroiri Scopus Author ID 7006596493 7006596493 CreatorName Irisawa, Taro
	NRID 1000060588804 1000060588804 CreatorName Nishiuchi, Tatsuya
	CreatorName Hayashida, Sumito
	NRID 1000020199037 1000020199037 CreatorName Hiraide, Atsushi
	NRID 1000010252230 1000010252230 CreatorName Kawamura, Takashi
Subject	Automated external defibrillator
	Cardiopulmonary resuscitation
	Out-of-hospital cardiac arrest
	Publicaccess defibrillation
	Survival
Description	Mie Sasaki, Taku Iwami, Tetsuhisa Kitamura, Shinichi Nomoto, Chika Nishiyama, Tomohiko Sakai, Kayo Tanigawa, Kentaro Kajino, Taro Irisawa, Tatsuya Nishiuchi, Sumito Hayashida, Atsushi Hiraide, Takashi Kawamura, Incidence and Outcome of Out-of-Hospital Cardiac Arrest With Public-Access Defibrillation, Circulation Journal, 2011, Volume 75, Issue 12, Pages 2821-2826, Released November 25, 2011, [Advance publication] Released September 29, 2011, Online ISSN 1347-4820, Print ISSN 1346-9843, https://doi.org/10.1253/circj.CJ-11-0316, https://www.jstage.jst.go.jp/article/circj/75/12/75_CJ-11-0316/_article/-char/en
Abstract	Background: Detailed characteristics of those who experience an out-of-hospital cardiac arrest (OHCA) with public-access defibrillation (PAD) are unknown. Methods and Results: A prospective, population-based observational study involving consecutive OHCA patients with emergency responder resuscitation attempts was conducted from July 1, 2004 through December 31, 2008 in Osaka City. We extracted data for OHCA patients shocked by a public-access automated external defibrillator (AED) and evaluated the patients' and rescuers' characteristics. The main outcome measure was neurologically favorable 1-month survival. During the study period, 10,375 OHCA patients were registered and of 908 patients suffering ventricular fibrillation arrest, 53 (6%) received public-access AED shocks by lay-rescuers, with the proportion increasing from 0% in 2004 to 11% in 2008 (P for trend<0.001). Railway stations (34%) were the places where PAD shocks were most frequently delivered, followed by nursing homes (11%), medical facilities (9%), and fitness facilities (7%). In 57% of cases, the subject received public-access AED shocks delivered by non-medical persons, including employees of railway companies (13%), school teachers (6%), employees of fitness facilities (6%), and security guards (6%). The proportion of neurologically favorable 1-month survival tended to increase from 0% in 2005 to 58% in 2008 (P for trend =0.081). Conclusions: Railway stations are the most common places where shocks by public-access AEDs were delivered in large urban communities of Japan, and among lay-rescuers railway station workers use AEDs more frequently.
Publisher	Japanese Circulation Society
Source Title	Circulation Journal
Volume (Issue)	75(12)
Page	2821-2826
Date of Issued	2011-11-25
Language	English
Handle URL	https://hdl.handle.net/11094/78936
PISSN	13469843
eISSN	13474820
NCID	AA11591968
Relation.isIdenticalTo	DOI (Publisher Version) https://doi.org/10.1253/circj.CJ-11-0316
Relation.isIdenticalTo	PMID 21959265
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. 2011, 75(12), p. 2821-2826
DC.title	Incidence and outcome of out-of-hospital cardiac arrest with public-access defibrillation: A descriptive epidemiological study in a large urban community
DC.creator	Sasaki, Mie
	Iwami, Taku
	Kitamura, Tetsuhisa
	Nomoto, Shinichi
	Nishiyama, Chika
	Sakai, Tomohiko
	Tanigawa, Kayo
	Kajino, Kentaro
	Irisawa, Taro
	Nishiuchi, Tatsuya
	Hayashida, Sumito
	Hiraide, Atsushi
	Kawamura, Takashi
DC.publisher	Japanese Circulation Society
DC.language' scheme='DCTERMS.RFC1766	English
DCTERMS.issued' scheme='DCTERMS.W3CDTF	2011-11-25
DC.identifier	https://doi.org/10.1253/circj.CJ-11-0316
DC.subject	Automated external defibrillator
	Cardiopulmonary resuscitation
	Out-of-hospital cardiac arrest
	Publicaccess defibrillation
	Survival
DC.description	Mie Sasaki, Taku Iwami, Tetsuhisa Kitamura, Shinichi Nomoto, Chika Nishiyama, Tomohiko Sakai, Kayo Tanigawa, Kentaro Kajino, Taro Irisawa, Tatsuya Nishiuchi, Sumito Hayashida, Atsushi Hiraide, Takashi Kawamura, Incidence and Outcome of Out-of-Hospital Cardiac Arrest With Public-Access Defibrillation, Circulation Journal, 2011, Volume 75, Issue 12, Pages 2821-2826, Released November 25, 2011, [Advance publication] Released September 29, 2011, Online ISSN 1347-4820, Print ISSN 1346-9843, https://doi.org/10.1253/circj.CJ-11-0316, https://www.jstage.jst.go.jp/article/circj/75/12/75_CJ-11-0316/_article/-char/en
DCTERMS.abstract	Background: Detailed characteristics of those who experience an out-of-hospital cardiac arrest (OHCA) with public-access defibrillation (PAD) are unknown. Methods and Results: A prospective, population-based observational study involving consecutive OHCA patients with emergency responder resuscitation attempts was conducted from July 1, 2004 through December 31, 2008 in Osaka City. We extracted data for OHCA patients shocked by a public-access automated external defibrillator (AED) and evaluated the patients' and rescuers' characteristics. The main outcome measure was neurologically favorable 1-month survival. During the study period, 10,375 OHCA patients were registered and of 908 patients suffering ventricular fibrillation arrest, 53 (6%) received public-access AED shocks by lay-rescuers, with the proportion increasing from 0% in 2004 to 11% in 2008 (P for trend<0.001). Railway stations (34%) were the places where PAD shocks were most frequently delivered, followed by nursing homes (11%), medical facilities (9%), and fitness facilities (7%). In 57% of cases, the subject received public-access AED shocks delivered by non-medical persons, including employees of railway companies (13%), school teachers (6%), employees of fitness facilities (6%), and security guards (6%). The proportion of neurologically favorable 1-month survival tended to increase from 0% in 2005 to 58% in 2008 (P for trend =0.081). Conclusions: Railway stations are the most common places where shocks by public-access AEDs were delivered in large urban communities of Japan, and among lay-rescuers railway station workers use AEDs more frequently.
DC.format	78936
citation_title	Incidence and outcome of out-of-hospital cardiac arrest with public-access defibrillation: A descriptive epidemiological study in a large urban community
citation_author	Sasaki, Mie
	Iwami, Taku
	Kitamura, Tetsuhisa
	Nomoto, Shinichi
	Nishiyama, Chika
	Sakai, Tomohiko
	Tanigawa, Kayo
	Kajino, Kentaro
	Irisawa, Taro
	Nishiuchi, Tatsuya
	Hayashida, Sumito
	Hiraide, Atsushi
	Kawamura, Takashi
citation_publisher	Japanese Circulation Society
citation_language	English
citation_date	2011-11-25
citation_journal_title	Circulation Journal
citation_volume	75
citation_issue	12
citation_firstpage	2821
citation_lastpage	2826
citation_doi	https://doi.org/10.1253/circj.CJ-11-0316
citation_pmid	21959265
citation_public_url	https://hdl.handle.net/11094/78936

Incidence and outcome of out-of-hospital cardiac arrest with public-access defibrillation: A descriptive epidemiological study in a large urban community

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