Identification of Predictors in Cases of Out-of-Hospital Cardiac Arrest Without a Bystander Witness: A Case‒Control Study

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  • Kato Shunichi
    Division of Public Health, Department of Social Medicine Nihon University School of Medicine Department of Cardiology, Japanese Red Cross Saitama Hospital Advanced Emergency and Critical Care Center, Japanese Red Cross Saitama Hospital
  • Itani Osamu
    Division of Public Health, Department of Social Medicine Nihon University School of Medicine
  • Matsumoto Yuuki
    Division of Public Health, Department of Social Medicine Nihon University School of Medicine
  • Otsuka Yuichiro
    Division of Public Health, Department of Social Medicine Nihon University School of Medicine
  • Kaneita Yoshitaka
    Division of Public Health, Department of Social Medicine Nihon University School of Medicine
  • Narita Gaku
    Department of Cardiology, Japanese Red Cross Saitama Hospital
  • Hada Yasuaki
    Department of Cardiology, Japanese Red Cross Saitama Hospital
  • Negi Ken
    Department of Cardiology, Japanese Red Cross Saitama Hospital
  • Inaba Osamu
    Department of Cardiology, Japanese Red Cross Saitama Hospital
  • Matsumura Yutaka
    Department of Cardiology, Japanese Red Cross Saitama Hospital
  • Yasaka Gouichi
    Advanced Emergency and Critical Care Center, Japanese Red Cross Saitama Hospital
  • Taguchi Shigemasa
    Advanced Emergency and Critical Care Center, Japanese Red Cross Saitama Hospital
  • Kiyota Kazuya
    Advanced Emergency and Critical Care Center, Japanese Red Cross Saitama Hospital

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Other Title
  • 目撃の無い院外心停止症例における予後予測因子の同定：後方視的研究
  • モクゲキ ノ ナイ イン ガイシン テイシ ショウレイ ニ オケル ヨゴ ヨソク インシ ノ ドウテイ : コウホウ シテキ ケンキュウ

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Abstract

<p>Very few previous studies have been conducted on the prognostic factors among postcardiac arrest patientswho were not witnessed. Therefore, we investigated the factors governing the prognosis of postcardiac arrestresuscitation patients without witnesses: we retrospectively investigated the predictive factors governing the vitaland neurological prognosis of out-of-hospital postcardiac arrest resuscitation patients admitted between January2015 and May 2019 who had no witnesses. A total of 857 cases were analyzed. It was found that the predictors ofgood vital and neurological prognosis in postresuscitation patients with unwitnessed out-of-hospital cardiac arrestwere young age, return of spontaneous circulation during transport, bystander cardiopulmonary resuscitation, andshockable initial rhythm. Considering these results, we believe these measures should be considered to improvethe life-saving rate.</p>

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