Characteristics of prehospital cardiac arrest patients in Japan and determinant factors for survival |
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| Institution: | 1. Department of Emergency Medicine, Faculty of Medicine Karabuk University, Karabuk, Turkey;2. Department of Emergency Medicine, Prof. Dr. Cemil Tascioglu City Hospital, University of Health Science, Istanbul, Turkey;3. Department of Emergency Medicine, Konya City Hospital, Konya, Turkey;1. Nursing Care Research Center, Semnan University of Medical Sciences, Semnan, Iran;2. Social Determinants of Health Research Center, Semnan University of Medical Sciences, Semnan, Iran;3. Department of Nursing, Faculty of Nursing and Midwifery, Semnan University of Medical Sciences, Semnan, Iran;4. Department of Epidemiology and Biostatistics, Faculty of Medicine, Semnan University of Medical Sciences, Semnan, Iran;1. University of Miami Leonard M. Miller School of Medicine, Miami, FL, United States;2. Universidad Nacional Pedro Henriquez Urena (UNPHU) Postgraduate Studies, Santo Domingo. Dominican Republic;3. US Acute Care Solutions, Florida Hospital Tampa, Tampa, FL, United States |
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| Abstract: | Two hundred forty-seven consecutive patients who had prehospital cardiac arrest and were transferred to a municipal hospital were studied to elucidate the characteristics of these patients and to investigate factors for improving the survival rate among prehospital cardiac arrest patients. Detailed information on 130 patients with cardiac etiology was analyzed: 110 were confirmed dead in the emergency department (group A); 14 survived less than 1 week (group B); 6 survived longer than 1 week (group C). Only one patient received cardiopulmonary resuscitation (CPR) from a bystander, and none received electrical defibrillation before arriving at hospital because, at the time, emergency personnel were not allowed to perform advanced life support (ALS) in Japan. The three characteristics for better prognosis after prehospital cardiac arrest were found to be as follows: being witnessed on collapse, receiving prompt ALS, and ventricular fibrillation on arrival at hospital. The survival rate would have been higher if more lay people could have performed CPR and if emergency unit personnel had been allowed to perform ALS. |
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