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首页> 外文期刊>Resuscitation. >Outcome and characteristics of out-of-hospital cardiac arrest according to location of arrest: A report from a large-scale, population-based study in Osaka, Japan.
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Outcome and characteristics of out-of-hospital cardiac arrest according to location of arrest: A report from a large-scale, population-based study in Osaka, Japan.

机译：根据停搏地点不同，院外心脏骤停的结果和特征：来自日本大阪的一项大规模的基于人群的研究报告。

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OBJECTIVE: To evaluate the outcome and the factors concerned with of out-of-hospital cardiac arrest patients according to the location of the collapse. METHODS: From May 1st, 1998 to April 30th, 2001, 15,211 consecutive out-of-hospital cardiac arrest cases considered for resuscitation were recorded. Of these cases 7540 arrests in subjects aged 18 years or older with cardiac aetiology were analyzed. The outcome and the related-factors, particularly incidence of ventricular fibrillation, were evaluated according to the location of the cardiac arrest. To analyze the factors that affect the incidence of ventricular fibrillation, a logistic regression model was used. RESULTS: About three-quarters of out-of-hospital cardiac arrests occurred at private residences. The outcome and characteristics were significantly different according to the location of the arrest. Arrest patients in public or in the work place had a higher chance of being found in ventricular fibrillation and survival than those at a private residence. The multivariate adjusted odds ratios for ventricular fibrillation in a public or work place were significantly higher than that in private residences, after adjusting for covariates affecting initial rhythm, such as age, sex, witnessed status, bystander cardiopulmonary resuscitation, and response interval. CONCLUSION: Although the majority of out-of-hospital cardiac arrests occur at private residences, arrests in public or in the work place had a higher chance of being found in ventricular fibrillation and survival than those at private residences. In order to establish a system to improve the outcome of out-of-hospital cardiac arrest, a well-considered strategy considering the location of arrest is necessary.
机译：目的：根据塌陷的位置，评估院外心脏骤停患者的结局及相关因素。方法：从1998年5月1日至2001年4月30日，共记录了15211例考虑进行复苏的院外心脏骤停病例。在这些病例中，对年龄在18岁或以上的心脏病患者的7540例发作进行了分析。根据心脏骤停的位置评估结局和相关因素，尤其是心室纤颤的发生率。为了分析影响心室纤颤发生率的因素，使用了逻辑回归模型。结果：大约四分之三的院外心脏骤停发生在私人住宅。根据逮捕地点的不同，结果和特征也有明显不同。在公共场所或在工作场所中被捕的患者发生心室纤颤和存活的机会要比在私人住宅中的更高。在校正影响初始节奏的协变量（例如年龄，性别，见证状态，旁观者心肺复苏和反应间隔）后，在公共或工作场所，经心室颤动的多元调整比值比显着高于私人住宅。结论：尽管院外心脏骤停的大多数发生在私人住宅，但在公共场所或工作场所的心脏骤停的发生率高于私人住宅。为了建立一个改善院外心脏骤停结果的系统，考虑到骤停位置的考虑周全的策略是必要的。

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