Department of Critical Care Nursing, Kyoto University Graduate School of Human Health Science.
Department of Food Science, Otsuma Women's University.
Circ J. 2020 Mar 25;84(4):577-583. doi: 10.1253/circj.CJ-19-0920. Epub 2020 Feb 20.
Although schools are key places that conduct cardiopulmonary resuscitation (CPR) and public-access defibrillation (PAD) programs, out-of-hospital cardiac arrest (OHCA) in educational institutions is poorly understood. This study describes the characteristics and outcomes of such OHCAs.
Data for OHCAs of any cause occurring in educational institutions between 2013 and 2015 were extracted from the All-Japan Utstein Registry. Patient characteristics and outcomes were documented. Subjects were divided into 6 age groups (0-1, 2-5, 6-11, 12-14, 15-17, and ≥18 years). Among the 783 eligible OHCA patients, most received bystander CPR regardless of age, ranging from 73.9% in those aged ≥18 years to 90.0% in those aged 2-5 years. However, the proportion receiving PAD differed by age group, ranging from 2.9% in those aged 0-1 years to 66.7% in those aged 12-14 years. The proportion of patients with 1-month survival with favorable neurological outcome differed significantly by age group, being extremely low among patients aged 0-1 years (zero for OHCA of cardiac origin), but high among patients aged 6-11, 12-14, and 15-17 years (69.2%, 77.5%, and 70.0%, respectively) for OHCA of cardiac origin.
The outcomes of OHCA occurring in educational institutions, where PAD is available, differed significantly by age.
尽管学校是开展心肺复苏（CPR）和公众可获取除颤（PAD）计划的重要场所，但教育机构外的心脏骤停（OHCA）情况仍了解甚少。本研究描述了此类 OHCA 的特征和结局。
从全日本 Utstein 注册中心提取了 2013 年至 2015 年期间发生在教育机构的任何原因引起的 OHCA 的数据。记录了患者特征和结局。受试者分为 6 个年龄组（0-1 岁、2-5 岁、6-11 岁、12-14 岁、15-17 岁和≥18 岁）。在 783 名符合条件的 OHCA 患者中，大多数患者无论年龄大小均接受了旁观者 CPR，≥18 岁患者的比例为 73.9%，2-5 岁患者的比例为 90.0%。然而，接受 PAD 的比例因年龄组而异，0-1 岁患者的比例为 2.9%，12-14 岁患者的比例为 66.7%。1 个月时具有良好神经结局的存活患者比例因年龄组而异，0-1 岁患者（心源性 OHCA 为零）的比例极低，但 6-11 岁、12-14 岁和 15-17 岁患者（心源性 OHCA 分别为 69.2%、77.5%和 70.0%）的比例则很高。
在有 PAD 可用的教育机构中发生的 OHCA 的结局因年龄而异。
