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Changes in pre- and in-hospital management and outcomes among children with out-of-hospital cardiac arrest between 2012 and 2017 in Kanto, Japan.
Ishihara, Tadashi; Sasaki, Ryuji; Enomoto, Yuki; Amagasa, Shunsuke; Yasuda, Masato; Ohnishi, Shima.
Afiliación
  • Ishihara T; Department of Emergency and Critical Care Medicine, Urayasu Hospital, Juntendo University, 2-1-1, Tomioka, Urayasu, Chiba, 279-0021, Japan. ta-shi.0517@hotmail.co.jp.
  • Sasaki R; Division of Emergency and Transport Services, National Center for Child Health and Development, Tokyo, Japan.
  • Enomoto Y; Department of Emergency and Critical Care Medicine, University of Tsukuba, Ibaragi, Japan.
  • Amagasa S; Division of Emergency and Transport Services, National Center for Child Health and Development, Tokyo, Japan.
  • Yasuda M; Division of Emergency Medicine, Aichi Children's Health and Medical Center, Aichi, Japan.
  • Ohnishi S; Division of Emergency and Transport Services, National Center for Child Health and Development, Tokyo, Japan.
Sci Rep ; 13(1): 10092, 2023 06 21.
Article en En | MEDLINE | ID: mdl-37344630
Previously, the SOS-KANTO 2012 studies, conducted in the Kanto area of Japan, reported a summary of outcomes in patients with out-of-hospital cardiac arrest (OHCA). This sub-analysis of the SOS-KANTO study 2017 aimed to evaluate the neurological outcomes of paediatric OHCA patients, by comparing the SOS-KANTO 2012 and 2017 studies. All OHCA patients, aged < 18 years, who were transported to the participating hospitals by EMS personnel were included in both SOS-KANTO studies (2012 and 2017). The number of survival patients with favourable neurological outcomes (paediatric cerebral performance category 1 or 2) at 1 month did not improve between 2012 and 2017. There was no significant difference in achievement of pre-hospital return of spontaneous circulation (ROSC) [odds ratio (OR): 2.00, 95% confidence interval (95% CI): 0.50-7.99, p = 0.50] and favourable outcome at 1 month [OR: 0.67, 95% CI: 0.11-3.99, p = 1] between the two studies, matched by age, witnessed arrest, bystander CPR, aetiology of OHCA, and time from call to EMS arrival. Multivariable logistic regression showed no significant difference in the achievement of pre-hospital ROSC and favourable outcomes at 1 month between the two studies.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Reanimación Cardiopulmonar / Servicios Médicos de Urgencia / Paro Cardíaco Extrahospitalario Límite: Child / Humans País/Región como asunto: Asia Idioma: En Revista: Sci Rep Año: 2023 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Reanimación Cardiopulmonar / Servicios Médicos de Urgencia / Paro Cardíaco Extrahospitalario Límite: Child / Humans País/Región como asunto: Asia Idioma: En Revista: Sci Rep Año: 2023 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Reino Unido