Abstract 14527: Impact with Child and Adolescence on Time of the Chain of Survival in Out-of Hospital Cardiac Arrest from All-Japan Utstein Registry Data
[Background] The study investigated impacts of time from collapse to bystander CPR and defibrillator with child and adolescence on survival in out-of hospital cardiac arrest in Guideline 2005. Several studies of child and adolescence had the impact on survival from out-of hospital cardiac arrest, however those were few for the influence of the time.
[Method] We used All-Japan Utstein Registry of the Fire and Disaster Management Agency with a prospective, population based, involving consecutive patients with an out-of cardiac arrest with witness and layperson, from 5 to 24 ages and from January 1, 2008 to December 31 2010. The primary outcome measure was survival and good neurological outcome CPC 1 or 2. We evaluated the effect from collapse to bystander CPR and defibrillator time for the outcome with multivariate logistic regression with sex, age, years and local regions.
[Results] 320 were child and adolescence in the analysis. (figure) Adjusted odds ratio of the average effect of the time per five minutes by defibrillator was 4.95 and 95% confidence intervals (CI) 1.46 to 20.09, p=0.009. Also the effect of the time by defibrillator was 3.75 and 95%CI: 1.64 to 8.77, p=0.002.
[Conclusion] Our results suggested significant large impacts of the time per five minutes by bystander CPR and defibrillator for improvement of the outcome with child and adolescence. We need more improvement to the delay of bystander CPR and defibrillator with child and adolescence than adult.
- Cardiopulmonary resuscitation
- Pediatric cardiac intensive care
- Cardiac arrest
- © 2012 by American Heart Association, Inc.