Impact of transport to critical care medical centers on outcomes after out-of-hospital cardiac arrest

Kentaro Kajino, Taku Iwami, Mohamud Ramzan Daya, Tatsuya Nishiuchi, Yasuyuki Hayashi, Tetsuhisa Kitamura, Taro Irisawa, Tomohiko Sakai, Yasuyuki Kuwagata, Atushi Hiraide, Masashi Kishi, Shigeru Yamayoshi

Research output: Contribution to journalArticle

61 Citations (Scopus)

Abstract

Background: Post-resuscitation care has emerged as an important predictor of survival from out-of-hospital cardiac arrest (OHCA). In Japan, selected hospitals are certified as Critical Care Medical Centers (CCMCs) based on their ability and expertise. Hypothesis: Outcome after OHCA is better in patients transported to a CCMC compared a non-critical care hospital (NCCH). Materials and methods: Adults with OHCA of presumed cardiac etiology, treated by emergency medical services systems, and transported in Osaka from January 1, 2005 to December 31, 2007 were registered using a prospective Utstein style population cohort database. Primary outcome measure was 1 month neurologically favorable survival (CPC ≤ 2). Outcomes of patients transported to CCMC were compared with patients transported to NCCH using multiple logistic regressions and stratified on the basis of stratified field ROSC. Results: 10,383 cases were transported. Of these, 2881 were transported to CCMC and 7502 to NCCH. Neurologically favorable 1-month survival was greater in the CCMC group [6.7% versus 2.8%, P

Original languageEnglish (US)
Pages (from-to)549-554
Number of pages6
JournalResuscitation
Volume81
Issue number5
DOIs
StatePublished - May 2010

Fingerprint

Out-of-Hospital Cardiac Arrest
Critical Care
Survival
Emergency Medical Services
Resuscitation
Japan
Logistic Models
Outcome Assessment (Health Care)
Databases
Population

Keywords

  • Cardiopulmonary resuscitation (CPR)
  • Emergency medical services (EMS)
  • Out-of-hospital cardiac arrest (OHCA)
  • Post-resuscitation care

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Emergency
  • Emergency Medicine

Cite this

Impact of transport to critical care medical centers on outcomes after out-of-hospital cardiac arrest. / Kajino, Kentaro; Iwami, Taku; Daya, Mohamud Ramzan; Nishiuchi, Tatsuya; Hayashi, Yasuyuki; Kitamura, Tetsuhisa; Irisawa, Taro; Sakai, Tomohiko; Kuwagata, Yasuyuki; Hiraide, Atushi; Kishi, Masashi; Yamayoshi, Shigeru.

In: Resuscitation, Vol. 81, No. 5, 05.2010, p. 549-554.

Research output: Contribution to journalArticle

Kajino, K, Iwami, T, Daya, MR, Nishiuchi, T, Hayashi, Y, Kitamura, T, Irisawa, T, Sakai, T, Kuwagata, Y, Hiraide, A, Kishi, M & Yamayoshi, S 2010, 'Impact of transport to critical care medical centers on outcomes after out-of-hospital cardiac arrest', Resuscitation, vol. 81, no. 5, pp. 549-554. https://doi.org/10.1016/j.resuscitation.2010.02.008
Kajino, Kentaro ; Iwami, Taku ; Daya, Mohamud Ramzan ; Nishiuchi, Tatsuya ; Hayashi, Yasuyuki ; Kitamura, Tetsuhisa ; Irisawa, Taro ; Sakai, Tomohiko ; Kuwagata, Yasuyuki ; Hiraide, Atushi ; Kishi, Masashi ; Yamayoshi, Shigeru. / Impact of transport to critical care medical centers on outcomes after out-of-hospital cardiac arrest. In: Resuscitation. 2010 ; Vol. 81, No. 5. pp. 549-554.
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