Neurological outcomes of out-of-hospital cardiac arrest occurring in Tokyo train and subway stations

Objectives: The purpose of this study was to identify a relationship between the background environment, bystander and emergency medical services intervention, and favourable neurological outcomes (CPC1-2) one-month after out-of-hospital cardiac arrest (OHCA) occurred at Tokyo train and subway stati...

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Autores principales:	J. Miyako, K. Nakagawa, R. Sagisaka, S. Tanaka, H. Takeuchi, H. Takyu, H. Tanaka
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	OHCA Station Public access defibrillation Tokyo Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/cf6b1e1457d0433193f160b0ed74cbe6
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spelling	oai:doaj.org-article:cf6b1e1457d0433193f160b0ed74cbe62021-11-10T04:41:54ZNeurological outcomes of out-of-hospital cardiac arrest occurring in Tokyo train and subway stations2666-520410.1016/j.resplu.2021.100175https://doaj.org/article/cf6b1e1457d0433193f160b0ed74cbe62021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2666520421001004https://doaj.org/toc/2666-5204Objectives: The purpose of this study was to identify a relationship between the background environment, bystander and emergency medical services intervention, and favourable neurological outcomes (CPC1-2) one-month after out-of-hospital cardiac arrest (OHCA) occurred at Tokyo train and subway stations. Methods: This retrospective observational study used OHCA data between 2014 and 2018 that occurred at train stations in Tokyo. The eligible 954 patients were analysed for correlation between background, time frame, and location. Multivariable logistic regression models were used to estimate factors associated with CPC1-2 in patients with cardiogenic OHCA. Results: A total of 886 OHCA cases, cardiogenic (n=562) and non-cardiogenic (n=324), met the inclusion criteria. Of the cardiogenic cases, 71.9% occurred at the platform and on-a-train. One-month CPC1-2 was achieved in 32.0% of cardiogenic OHCAs, which included 47.3% during morning rush hour, 24.7% during daytime hours, 40.2% during evening rush hour, and 20.5% during night-time/early morning hours. CPC1-2 had significant correlation with morning rush hour (adjusted odds ratio [AOR],4.52; 95% confidence interval [CI], 1.09–18.78), evening rush hour (AOR, 6.85; 95% CI, 1.51–31.15), public access defibrillation (AOR, 5.19; 95% CI, 1.38–19.51), and ventricular fibrillation or pulseless ventricular tachycardia (AOR, 7.56; 95% CI, 1.35–42.43). Conclusion: A total of 71.9% of cardiogenic OHCAs occurred at platforms and on trains. To improve neurological outcomes of OHCAs at stations, AED installations on train platforms are necessary. Additionally, using artificial intelligence-based platform monitoring for early detection of OHCAs and offering CPR training are required.J. MiyakoK. NakagawaR. SagisakaS. TanakaH. TakeuchiH. TakyuH. TanakaElsevierarticleOHCAStationPublic access defibrillationTokyoSpecialties of internal medicineRC581-951ENResuscitation Plus, Vol 8, Iss , Pp 100175- (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	OHCA Station Public access defibrillation Tokyo Specialties of internal medicine RC581-951
spellingShingle	OHCA Station Public access defibrillation Tokyo Specialties of internal medicine RC581-951 J. Miyako K. Nakagawa R. Sagisaka S. Tanaka H. Takeuchi H. Takyu H. Tanaka Neurological outcomes of out-of-hospital cardiac arrest occurring in Tokyo train and subway stations
description	Objectives: The purpose of this study was to identify a relationship between the background environment, bystander and emergency medical services intervention, and favourable neurological outcomes (CPC1-2) one-month after out-of-hospital cardiac arrest (OHCA) occurred at Tokyo train and subway stations. Methods: This retrospective observational study used OHCA data between 2014 and 2018 that occurred at train stations in Tokyo. The eligible 954 patients were analysed for correlation between background, time frame, and location. Multivariable logistic regression models were used to estimate factors associated with CPC1-2 in patients with cardiogenic OHCA. Results: A total of 886 OHCA cases, cardiogenic (n=562) and non-cardiogenic (n=324), met the inclusion criteria. Of the cardiogenic cases, 71.9% occurred at the platform and on-a-train. One-month CPC1-2 was achieved in 32.0% of cardiogenic OHCAs, which included 47.3% during morning rush hour, 24.7% during daytime hours, 40.2% during evening rush hour, and 20.5% during night-time/early morning hours. CPC1-2 had significant correlation with morning rush hour (adjusted odds ratio [AOR],4.52; 95% confidence interval [CI], 1.09–18.78), evening rush hour (AOR, 6.85; 95% CI, 1.51–31.15), public access defibrillation (AOR, 5.19; 95% CI, 1.38–19.51), and ventricular fibrillation or pulseless ventricular tachycardia (AOR, 7.56; 95% CI, 1.35–42.43). Conclusion: A total of 71.9% of cardiogenic OHCAs occurred at platforms and on trains. To improve neurological outcomes of OHCAs at stations, AED installations on train platforms are necessary. Additionally, using artificial intelligence-based platform monitoring for early detection of OHCAs and offering CPR training are required.
format	article
author	J. Miyako K. Nakagawa R. Sagisaka S. Tanaka H. Takeuchi H. Takyu H. Tanaka
author_facet	J. Miyako K. Nakagawa R. Sagisaka S. Tanaka H. Takeuchi H. Takyu H. Tanaka
author_sort	J. Miyako
title	Neurological outcomes of out-of-hospital cardiac arrest occurring in Tokyo train and subway stations
title_short	Neurological outcomes of out-of-hospital cardiac arrest occurring in Tokyo train and subway stations
title_full	Neurological outcomes of out-of-hospital cardiac arrest occurring in Tokyo train and subway stations
title_fullStr	Neurological outcomes of out-of-hospital cardiac arrest occurring in Tokyo train and subway stations
title_full_unstemmed	Neurological outcomes of out-of-hospital cardiac arrest occurring in Tokyo train and subway stations
title_sort	neurological outcomes of out-of-hospital cardiac arrest occurring in tokyo train and subway stations
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/cf6b1e1457d0433193f160b0ed74cbe6
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Neurological outcomes of out-of-hospital cardiac arrest occurring in Tokyo train and subway stations

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