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タナカ リョウジロウ
Ryojiro Tanaka
田中 亮二郎 所属 川崎医科大学 医学部 臨床医学 小児科学 職種 特任教授 |
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| 論文種別 | 原著 |
| 言語種別 | 英語 |
| 査読の有無 | 査読あり |
| 表題 | Annual patterns in the outcomes and post-arrest care for pediatric out-of-hospital cardiac arrest: A nationwide multicenter prospective registry in Japan. |
| 掲載誌名 | 正式名：Resuscitation 略 称：Resuscitation ISSNコード：18731570/03009572 |
| 掲載区分 | 国外 |
| 巻・号・頁 | 191,pp.109942 |
| 著者・共著者 | Satoshi Matsui, Hiroshi Kurosawa, Takuro Hayashi, Hirokazu Takei, Naoko Tanizawa, Yasuhiro Ohnishi, Satoshi Murata, Masahumi Ohnishi, Takuma Henry Yoshii, Kosuke Miyawaki, Taisuke Matsumoto, Ryojiro Tanaka, Kosuke Kiyohara, Ling Zha, Tetsuhisa Kitamura, Tomotaka Sobue, Masahiko Nitta |
| 発行年月 | 2023/10 |
| 概要 | AIM:Out-of-hospital cardiac arrest (OHCA) has a poor prognosis in children; however, the annual patterns of prognosis and treatment have not been fully investigated.METHODS:From the Japanese Association for Acute Medicine OHCA registry, a multicenter prospective observational registry in Japan, we identified pediatric patients (zero to 17 years old) between June 2014 and December 2019. The primary outcome was one-month survival. We investigated the annual patterns in patient characteristics, treatment, and one-month prognosis.RESULTS:During the study period, 1188 patients were eligible for analysis. For all years, the zero-year-old group accounted for a large percentage of the total population (between 30% and 40%). There were significant increases in the rates of bystander-initiated cardiopulmonary resuscitation (CPR; from 50.6% to 62.3%, p = 0.003), dispatcher instructions (from 44.7% to 65.7%, p = 0.001), and adrenaline administration (from 2.4% to 6.9%, p = 0.014) over time, whereas the rate of advanced airway management decreased significantly (from 17.7% to 8.8%, p = 0.003). The odds ratios for one-month survival adjusted for potential resuscitation factors also did not change significantly (from 7.1% to 10.3%, adjusted odds ratio for one-year increment = 0.98, confidence interval: 0.86-1.11).CONCLUSION:Despite an increase in the rate of bystander-initiated CPR and pre-hospital adrenaline administration, there was no significant change in one-month survival. |
| DOI | 10.1016/j.resuscitation.2023.109942 |
| PMID | 37625577 |