Dissemination of Chest Compression-Only Cardiopulmonary Resuscitation by Bystanders for Out-of-Hospital Cardiac Arrest in Students: A Nationwide Investigation in Japan

被引：4

作者：

Kiyohara, Kosuke ^{[1
]}

Kitamura, Yuri ^{[2
]}

Ayusawa, Mamoru ^{[3
]}

Nitta, Masahiko ^{[4
,5
]}

Iwami, Taku ^{[6
]}

Nakata, Ken ^{[7
]}

Sobue, Tomotaka ^{[2
]}

Kitamura, Tetsuhisa ^{[2
]}

机构：

[1] Otsuma Womens Univ, Fac Home Econ, Dept Food Sci, Chiyoda Ku, 12 Sanbancho, Tokyo 1028357, Japan

[2] Osaka Univ, Grad Sch Med, Dept Social & Environm Med, Div Environm Med & Populat Sci, 2-2 Yamadaoka, Suita, Osaka 5650871, Japan

[3] Nihon Univ, Sch Med, Dept Pediat & Child Hlth, Itabashi Ku, 30-1 Oyaguchi Kamicho, Tokyo 1738610, Japan

[4] Osaka Med Coll, Dept Emergency Med, 2-7 Daigakumachi, Takatsuki, Osaka 5698686, Japan

[5] Osaka Med Coll, Dept Pediat, 2-7 Daigakumachi, Takatsuki, Osaka 5698686, Japan

[6] Kyoto Univ, Hlth Serv, Sakyo Ku, Kyoto 6068501, Japan

[7] Osaka Univ, Grad Sch Med, Dept Hlth & Sport Sci, Med Sports & Performing Arts, 2-2 Yamadaoka, Suita, Osaka 5650871, Japan

来源：

JOURNAL OF CLINICAL MEDICINE | 2022年 / 11卷 / 04期

基金：

日本学术振兴会;

关键词：

out-of-hospital cardiac arrest; school; students; chest compression-only cardiopulmonary resuscitation; cardiopulmonary resuscitation with rescue breathing; AMERICAN-HEART-ASSOCIATION; STROKE-FOUNDATION; TASK-FORCE; CHILDREN; CPR; OUTCOMES; STATEMENT; SURVIVAL; PROFESSIONALS; GUIDELINES;

D O I：

10.3390/jcm11040928

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We aimed to investigate how the types of bystander-initiated cardiopulmonary resuscitation (CPR) for out-of-hospital cardiac arrest (OHCA) among students have changed recently. We also determined the association between two types of bystander-CPRs (i.e., chest compression-only CPR [CCCPR] and conventional CPR with rescue breathing [CCRB]) and survival after OHCA. From a nationwide registry of pediatric OHCAs occurring in school settings in Japan, the data of 253 non-traumatic OHCA patients (elementary, junior high, and high school/technical college students) receiving bystander-CPR between April 2008 and December 2017 were analyzed. Multivariable logistic regression analysis was conducted to assess the impact of different types of bystander-CPR on 30-day survival with favorable neurological outcomes. The proportion of patients receiving CCCPR increased from 25.0% during 2008-2009 to 55.3% during 2016-2017 (p for trend < 0.001). Overall, 53.2% (50/94) of patients receiving CCCPR and 46.5% (74/159) of those receiving CCRB survived for 30 days with favorable neurological outcomes. Multivariable analysis showed no significant difference in outcomes between the two groups (adjusted odds ratio: 1.23, 95% confidence interval: 0.67-2.28). In this setting, CCCPR is a common type of bystander-CPR for OHCA in students, and the effectiveness of CCCPR and CCRB on survival outcomes seems comparable.

引用

页数：12

共 37 条

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