大阪北摂地域における院外心停止症例のＵｔｓｔｅｉｎ様式に基づいた記録集計結果

DOI 被引用文献3件 参考文献16件

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  • Report of Out-of-Hospital Cardiac Arrests in Northern Osaka Prefecture (Hokusetsu Area) According to the "Utstein style".

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The outcomes of pre-hospital cardiac arrests were examined according to the “Utstein style” in the emergency medical system of northern Osaka prefecture (a 340km2 area with a population of 1, 680, 000). The task force consisted of doctors from three medical centers and paramedics from seven dispatch centers situated in the area. A population based and prospective report from out-of-hospital cardiac arrest cases was conducted in cooperation with other hospitals located in this area. The number of resuscitation cases was determined among 784 cardiac arrests during a one year period (Nov. 1996∼Oct. 1997). This number is equivalent to 46.8 cases per 100, 000 population per year. Resuscitation was attempted in 615 of the 784 cases (36.7 attempts per 100, 000 population per year). Cardiac arrest due to cardiac etiology occurred in 308 patients, while 307 cases had a non-cardiac etiology. Cardiac arrests were witnessed byby standers in an estimated 112 of the 308 cardiac etiology cases. The number of cases witnessed by emergency personnel was estimated to be 23. Of the 308 cases, 201 achieved a return of spontaneous circulation, and 163 were admitted to hospital. Although 8 cases survived without any deficits, only one of the 308 cases was recognized as a survivor with full recovery.

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