The profile of Japanese Association for Acute Medicine-out-of-hospital cardiac arrest registry in 2014-2015

被引：100

作者：

Kitamura, Tetsuhisa ^{[1
]}

Iwami, Taku ^{[2
]}

Atsumi, Takahiro ^{[3
]}

Endo, Tomoyuki ^{[4
]}

Kanna, Tomoo ^{[5
]}

Kuroda, Yasuhiro ^{[6
]}

Sakurai, Atsushi ^{[7
]}

Tasaki, Osamu ^{[8
]}

Tahara, Yoshio ^{[9
]}

Tsuruta, Ryosuke ^{[10
]}

Tomio, Jun ^{[11
]}

Nakata, Kazuyuki ^{[12
]}

Nachi, Sho ^{[13
]}

Hase, Mamoru ^{[14
]}

Hayakawa, Mineji ^{[15
]}

Hiruma, Takahiro ^{[16
]}

Hiasa, Kenichi ^{[17
]}

Muguruma, Takashi ^{[18
]}

Yano, Takao ^{[19
]}

Shimazu, Takeshi ^{[20
]}

Morimura, Naoto ^{[16
]}

机构：

[1] Osaka Univ, Grad Sch Med, Div Environm Med & Populat Sci, Dept Social & Environm Med, 2-2 Yamada Oka, Suita, Osaka, Japan

[2] Kyoto Univ Hlth Serv, Kyoto, Japan

[3] Seirei Hamamatsu Gen Hosp, Emergency & Crit Care Med, Hamamatsu, Shizuoka, Japan

[4] Tohoku Med & Pharmaceut Univ, Dept Emergency & Disaster Med, Sendai, Miyagi, Japan

[5] St Marys Hosp, Div Anesthesiol, Kurume, Fukuoka, Japan

[6] Kagawa Univ, Fac Med, Dept Emergency Disaster & Crit Care Med, Takamatsu, Kagawa, Japan

[7] Nihon Univ, Sch Med, Dept Acute Med, Div Emergency & Crit Care Med, Tokyo, Japan

[8] Nagasaki Univ Hosp Emergency Med Ctr, Nagasaki, Japan

[9] Natl Cerebral & Cardiovasc Ctr Hosp, Dept Cardiovasc Med, Suita, Osaka, Japan

[10] Yamaguchi Univ, Adv Med Emergency & Crit Care Ctr, Ube, Yamaguchi, Japan

[11] Univ Tokyo, Grad Sch Med, Dept Publ Hlth, Tokyo, Japan

[12] Saitama Med Univ, Dept Emergency & Crit Care Med, Saitama Med Ctr, Kawagoe, Saitama, Japan

[13] Gifu Univ, Dept Emergency & Disaster Med, Grad Sch Med, Yanagi, Japan

[14] Sapporo Teishinkai Hosp, Cardiovasc Ctr, Sapporo, Hokkaido, Japan

[15] Hokkaido Univ Hosp, Emergency & Crit Care Ctr, Sapporo, Hokkaido, Japan

[16] Univ Tokyo, Grad Sch Med, Dept Acute Med, Tokyo, Japan

[17] Kyushu Univ Hosp, Dept Cardiovasc Med, Fukuoka, Fukuoka, Japan

[18] Yokohama City Univ, Adv Crit Care & Emergency Ctr, Med Ctr, Yokohama, Kanagawa, Japan

[19] Miyazaki Prefectural Nobeoka Hosp, Dept Emergency Med & Crit Care Med, Nobeoka, Japan

[20] Osaka Univ, Dept Traumatol & Acute Crit Med, Grad Sch Med, Suita, Osaka, Japan

来源：

ACUTE MEDICINE & SURGERY | 2018年 / 5卷 / 03期

关键词：

In-hospital intensive care; Japanese Association for Acute Medicine; outcome; out-of-hospital cardiac arrest; registry;

D O I：

10.1002/ams2.340

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Aim: To describe the registry design of the Japanese Association for Acute Medicine - out-of-hospital cardiac arrest (JAAM-OHCA) Registry as well as its profile on hospital information, patient and emergency medical service characteristics, and in-hospital procedures and outcomes among patients with OHCA who were transported to the participating institutions. Methods: The special committee aiming to improve the survival after OHCA by providing evidence-based therapeutic strategies and emergency medical systems from the JAAM has launched a multicenter, prospective registry that enrolled OHCA patients who were transported to critical care medical centers or hospitals with an emergency care department. The primary outcome was a favorable neurological status 1 month after OHCA. Results: Between June 2014 and December 2015, a total of 12,024 eligible patients with OHCA were registered in 73 participating institutions. The mean age of the patients was 69.2 years, and 61.0% of them were male. The first documented shockable rhythm on arrival of emergency medical services was 9.0%. After hospital arrival, 9.4% underwent defibrillation, 68.9% tracheal intubation, 3.7% extracorporeal cardiopulmonary resuscitation, 3.0% intra-aortic balloon pumping, 6.4% coronary angiography, 3.0% percutaneous coronary intervention, 6.4% targeted temperature management, and 81.1% adrenaline administration. The proportion of cerebral performance category 1 or 2 at 1 month after OHCA was 3.9% among adult patients and 5.5% among pediatric patients. Conclusions: The special committee of the JAAM launched the JAAM-OHCA Registry in June 2014 and continuously gathers data on OHCA patients. This registry can provide valuable information to establish appropriate therapeutic strategies for OHCA patients in the near future.

引用

页码：249 / 258

页数：10

共 17 条

[1]

Ambulance Service Planning Office of Fire and Disaster Management Agency of Japan, 2008, EFF 1 AID CARD ARR

[2] A descriptive analysis of emergency medical service systems participating in the resuscitation outcomes consortium (ROC) network [J].