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Association of school hours with outcomes of out-of-hospital cardiac arrest in schoolchildren.
Yamashita, Akira; Kurosaki, Hisanori; Takada, Kohei; Tanaka, Yoshio; Hamada, Yoshitaka; Ishita, Tetsuya; Kubo, Minoru; Inaba, Hideo.
Afiliación
  • Yamashita A; Department of Circulatory Emergency and Resuscitation Science, Kanazawa University Graduate School of Medicine, Kanazawa, Japan.
  • Kurosaki H; Department of Cardiology, Noto General Hospital, Nanao, Japan.
  • Takada K; Department of Circulatory Emergency and Resuscitation Science, Kanazawa University Graduate School of Medicine, Kanazawa, Japan.
  • Tanaka Y; Department of Circulatory Emergency and Resuscitation Science, Kanazawa University Graduate School of Medicine, Kanazawa, Japan.
  • Hamada Y; Department of Circulatory Emergency and Resuscitation Science, Kanazawa University Graduate School of Medicine, Kanazawa, Japan.
  • Ishita T; Emergency Medical Centre, Ishikawa Prefecture Central Hospital, Kanazawa, Japan.
  • Kubo M; Department of Neurosurgery, Suzu General Hospital, Suzu, Japan.
  • Inaba H; Department of Surgery, Kaga Medical Centre, Kaga, Japan.
Heart Asia ; 11(2): e011236, 2019.
Article en En | MEDLINE | ID: mdl-31565076
OBJECTIVE: To investigate the association of school hours with outcomes of schoolchildren with out-of-hospital cardiac arrest (OHCA). METHODS: From the 2005-2014 nationwide databases, we extracted the data for 1660 schoolchildren (6-17 years) with bystander-witnessed OHCA. Univariate analyses followed by propensity-matching procedures and stepwise logistic regression analyses were applied. School hours were defined as 08:00 to 18:00. RESULTS: The neurologically favourable 1-month survival rate during school hours was better than that during non-school hours only on school days: 18.4% and 10.5%, respectively. During school hours on school days, patients with OHCA more frequently received bystander cardiopulmonary resuscitation (CPR) and public access defibrillation (PAD), and had a shockable initial rhythm and presumed cardiac aetiology. The neurologically favourable 1-month survival rate did not significantly differ between school hours on school days and all other times of day after propensity score matching: 16.4% vs 16.1% (unadjusted OR 1.02; 95% CI 0.69 to 1.51). Stepwise logistic regression analysis during school hours on school days revealed that shockable initial rhythm (adjusted OR 2.44; 95% CI 1.12 to 5.42), PAD (adjusted OR 3.32; 95% CI 1.23 to 9.10), non-exogenous causes (adjusted OR 5.88; 95% CI 1.85 to 20.0) and a shorter emergency medical service (EMS) response time (adjusted OR 1.15; 95% CI 1.02 to 1.32) and witness-to-first CPR interval (adjusted OR 1.08; 95% CI 1.01 to 1.15) were major factors associated with an improved neurologically favourable 1-month survival rate. CONCLUSIONS: School hours are not an independent factor associated with improved outcomes of OHCA in schoolchildren. The time delays in CPR and EMS arrival were independently associated with poor outcomes during school hours on school days.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Risk_factors_studies Idioma: En Revista: Heart Asia Año: 2019 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Risk_factors_studies Idioma: En Revista: Heart Asia Año: 2019 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Reino Unido