We use cookies to ensure that we give you the best experience on our website Learn more

Sep 13, 2018

ERC congress - Resuscitation 2018

7 - The ten-year transition of the favorable neurological outcomes by dispatcher-assisted cardiopulmonary resuscitation in Japan.

;

Dispatch-assisted

CPR

Cardiogenic

Abstract

Abstract

thumbnail

Keywords

Dispatch-assisted

CPR

Cardiogenic

Abstract

Background: Since 2005, dispatcher-assisted cardiopulmonary resuscitation (DA-CPR) was started in Japan. Several notices about the request to the implement of DA-CPR from Fire and Disaster Management Agency had been announced to all of the fire departments. However, the transition effect of DA-CPR for out-of-hospital cardiac arrest patients (OHCAs) has not been verified. Purpose: To evaluate the ten-year transition of the favorable neurological outcomes by dispatcher-assisted cardiopulmonary resuscitation in Japan. Method: A cohort study using 1,176,363 OHCAs from Japan’s nationwide Utstein-style registry between 2005 and 2014. Eligible 204,204 adults with bystander-witness of cardiogenic arrests were analyzed. The cases divided into four groups (i.e., CPR with DA, CPR without DA, Non-CPR with CPR and Non-CPR without DA). The number of patients in whom survival with favorable cerebral function was attributable to DA-CPR was estimated. Multivariable logistic regression was applied to evaluate the effect of DA-CPR to good cerebral functions (CPC1-2). Result: The number of receiving CPR with DA increased from 3,323 (19.6%) in 2005 to 8,257 (35.6%) in 2014. The patients who were survival with favorable cerebral function also improved from 125(20.7%) in 2005 to 840(44.1%) in 2014(adjusted odds ratio based on 2005, 3.08; 95% confidence interval, 2.53-3.78). The estimated number of survivors with favorable cerebral function was attributable to DA-CPR increased from 35 in 2005 to 481 in 2014. Conclusion: The result showed that increased the number of DA-CPR by the efforts of FDMA influenced with a progressively improved in the number of survivors with favorable cerebral function after the experience of OHCAs in Japan. The systematic education for dispatchers is expected to improve long-term outcome after OHCAs further.

Discover over 20,000 new abstracts, posters and presentations from leading academic conferences every month. Stay on top of the latest findings, methodologies and discussions happening in your research field around the world.

Company

Legal

Follow us

© Copyright 2019 Morressier GmbH. All rights reserved.

© Copyright 2019 Morressier GmbH.
All rights reserved.