Circumstances and Outcomes of Out-Of-Hospital Cardiac Arrest in Elementary and Middle School Students in the Era of Public-Access Defibrillation : Implications for Emergency Preparedness in Schools

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  • Mitani Yoshihide
    Department of Pediatrics, Mie University Graduate School of Medicine
  • Ohta Kunio
    Department of Pediatrics, Kanazawa University Graduate School of Medicine
  • Ichida Fukiko
    Department of Pediatrics, Toyama University Graduate School of Medicine
  • Nii Masaki
    Department of Cardiology, Sizuoka Children’s Hospital
  • Arakaki Yoshio
    Department of Pediatrics, Kurashiki Central Hospital
  • Ushinohama Hiroya
    Department of Cardiology, Fukuoka Children’s Hospital
  • Takahashi Tsutomu
    Department of Pediatrics, Saiseikai Utsunomiya Hospital
  • Ohashi Hiroyuki
    Department of Pediatrics, Mie University Graduate School of Medicine
  • Yodoya Noriko
    Department of Pediatrics, Mie University Graduate School of Medicine
  • Fujii Eitaro
    Department of Cardiology and Nephrology, Mie University Graduate School of Medicine
  • Ishikura Ken
    Emergency Critical Care Center, Mie University Graduate School of Medicine
  • Tateno Shigeru
    Department of Pediatrics, Chiba Cardiovascular Center
  • Sato Seiichi
    Department of Pediatrics, Niigata City General Hospital
  • Suzuki Tsugutoshi
    Department of Pediatric Electrophysiology, Osaka City General Hospital
  • Higaki Takashi
    Department of Pediatric Cardiology, Children’s Medical Center, Ehime University Hospital
  • Iwamoto Mari
    Department of Pediatric Cardiology, Yokohama City University
  • Yoshinaga Masao
    Department of Pediatrics, National Hospital Organization Kagoshima Medical Center
  • Nagashima Masami
    Department of Pediatric Cardiology, Aichi Children’s Health and Medical Center
  • Sumitomo Naokata
    Department of Pediatrics and Child Health, Nihon University School of Medicine

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タイトル別名
  • Circumstances and Outcomes of Out-Of-Hospital Cardiac Arrest in Elementary and Middle School Students in the Era of Public-Access Defibrillation
  • – Implications for Emergency Preparedness in Schools –

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Background: Circumstances and outcomes of out-of-hospital cardiac arrest (OHCA) in elementary and middle school students while at school in the era of public-access defibrillation are unknown. Methods and Results: We conducted a nationwide hospital-based survey of elementary and middle school students who had had OHCA of cardiac origin and received prehospital resuscitation in 2005–2009. Among 58 cases recruited, 90% were witnessed by bystanders; 86% had ventricular fibrillation as the initial rhythm; 74% were resuscitated by bystanders; 24% were defibrillated by bystanders; 55% occurred at school; 66% were exercise-related; 48% were followed up before the event; 67% had structural heart disease. In total, 53% of overall patients and 79% of those initially defibrillated by bystanders had a favorable neurological outcome. Patients were more likely to be defibrillated by bystanders (38% vs. 8%, P=0.012) and had a more favorable neurological outcome in schools (69% vs. 35%, P=0.017) than in other locations. The majority of arrests in schools were exercise-related (84% vs. 42%, P=0.001), occurred at sports venues, and students were resuscitated by teachers; half of the cases at school occurred in patients with a pre-event follow-up. Conclusions: After OHCA, children were more likely to be defibrillated by bystanders and had a better outcome in schools than in other locations, which may be relevant to the circumstances of events.  (Circ J 2014; 78: 701–707)<br>

収録刊行物

  • Circulation Journal

    Circulation Journal 78 (3), 701-707, 2014

    一般社団法人 日本循環器学会

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