Literature DB >> 31565076

Association of school hours with outcomes of out-of-hospital cardiac arrest in schoolchildren.

Akira Yamashita1,2, Hisanori Kurosaki1, Kohei Takada1, Yoshio Tanaka1,3, Yoshitaka Hamada4, Tetsuya Ishita5, Minoru Kubo6, Hideo Inaba1.   

Abstract

OBJECTIVE: To investigate the association of school hours with outcomes of schoolchildren with out-of-hospital cardiac arrest (OHCA).
METHODS: From the 2005-2014 nationwide databases, we extracted the data for 1660 schoolchildren (6-17 years) with bystander-witnessed OHCA. Univariate analyses followed by propensity-matching procedures and stepwise logistic regression analyses were applied. School hours were defined as 08:00 to 18:00.
RESULTS: The neurologically favourable 1-month survival rate during school hours was better than that during non-school hours only on school days: 18.4% and 10.5%, respectively. During school hours on school days, patients with OHCA more frequently received bystander cardiopulmonary resuscitation (CPR) and public access defibrillation (PAD), and had a shockable initial rhythm and presumed cardiac aetiology. The neurologically favourable 1-month survival rate did not significantly differ between school hours on school days and all other times of day after propensity score matching: 16.4% vs 16.1% (unadjusted OR 1.02; 95% CI 0.69 to 1.51). Stepwise logistic regression analysis during school hours on school days revealed that shockable initial rhythm (adjusted OR 2.44; 95% CI 1.12 to 5.42), PAD (adjusted OR 3.32; 95% CI 1.23 to 9.10), non-exogenous causes (adjusted OR 5.88; 95% CI 1.85 to 20.0) and a shorter emergency medical service (EMS) response time (adjusted OR 1.15; 95% CI 1.02 to 1.32) and witness-to-first CPR interval (adjusted OR 1.08; 95% CI 1.01 to 1.15) were major factors associated with an improved neurologically favourable 1-month survival rate.
CONCLUSIONS: School hours are not an independent factor associated with improved outcomes of OHCA in schoolchildren. The time delays in CPR and EMS arrival were independently associated with poor outcomes during school hours on school days. © Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and permissions. Published by BMJ.

Entities:  

Keywords:  automated external defibrillators; bystander cardiopulmonary resuscitation; children; out-of-hospital cardiac arrest; school hours; survival

Year:  2019        PMID： 31565076      PMCID： PMC6743612          DOI： 10.1136/heartasia-2019-011236

Source DB:  PubMed          Journal:  Heart Asia        ISSN： 1759-1104


  26 in total

1.  Response to cardiac arrest and selected life-threatening medical emergencies: the medical emergency response plan for schools: A statement for healthcare providers, policymakers, school administrators, and community leaders.

Authors:  Mary Fran Hazinski; David Markenson; Steven Neish; Mike Gerardi; Janis Hootman; Graham Nichol; Howard Taras; Robert Hickey; Robert OConnor; Jerry Potts; Elise van der Jagt; Stuart Berger; Steve Schexnayder; Arthur Garson; Alidene Doherty; Suzanne Smith
Journal:  Circulation       Date:  2004-01-05       Impact factor: 29.690

2.  Factors associated with quality of bystander CPR: the presence of multiple rescuers and bystander-initiated CPR without instruction.

Authors:  Yutaka Takei; Taiki Nishi; Hiroki Matsubara; Masaaki Hashimoto; Hideo Inaba
Journal:  Resuscitation       Date:  2013-12-30       Impact factor: 5.262

3.  Schoolchildren as BLS instructors for relatives and friends: Impact on attitude towards bystander CPR.

Authors:  Jan Stroobants; Koenraad Monsieurs; Bart Devriendt; Christa Dreezen; Philippe Vets; Pierre Mols
Journal:  Resuscitation       Date:  2014-12       Impact factor: 5.262

4.  CPR knowledge and attitude to performing bystander CPR among secondary school students in Norway.

Authors:  B K Kanstad; S Aa Nilsen; K Fredriksen
Journal:  Resuscitation       Date:  2011-04-13       Impact factor: 5.262

5.  Cardiac arrest and cardiopulmonary resuscitation outcome reports: update and simplification of the Utstein templates for resuscitation registries: a statement for healthcare professionals from a task force of the International Liaison Committee on Resuscitation (American Heart Association, European Resuscitation Council, Australian Resuscitation Council, New Zealand Resuscitation Council, Heart and Stroke Foundation of Canada, InterAmerican Heart Foundation, Resuscitation Councils of Southern Africa).

Authors:  Ian Jacobs; Vinay Nadkarni; Jan Bahr; Robert A Berg; John E Billi; Leo Bossaert; Pascal Cassan; Ashraf Coovadia; Kate D'Este; Judith Finn; Henry Halperin; Anthony Handley; Johan Herlitz; Robert Hickey; Ahamed Idris; Walter Kloeck; Gregory Luke Larkin; Mary Elizabeth Mancini; Pip Mason; Gregory Mears; Koenraad Monsieurs; William Montgomery; Peter Morley; Graham Nichol; Jerry Nolan; Kazuo Okada; Jeffrey Perlman; Michael Shuster; Petter Andreas Steen; Fritz Sterz; James Tibballs; Sergio Timerman; Tanya Truitt; David Zideman
Journal:  Circulation       Date:  2004-11-23       Impact factor: 29.690

Review 6.  Part 13: pediatric basic life support: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care.

Authors:  Marc D Berg; Stephen M Schexnayder; Leon Chameides; Mark Terry; Aaron Donoghue; Robert W Hickey; Robert A Berg; Robert M Sutton; Mary Fran Hazinski
Journal:  Circulation       Date:  2010-11-02       Impact factor: 29.690

7.  Incidence, causes, and outcomes of out-of-hospital cardiac arrest in children. A comprehensive, prospective, population-based study in the Netherlands.

Authors:  Abdennasser Bardai; Jocelyn Berdowski; Christian van der Werf; Marieke T Blom; Manon Ceelen; Irene M van Langen; Jan G P Tijssen; Arthur A M Wilde; Rudolph W Koster; Hanno L Tan
Journal:  J Am Coll Cardiol       Date:  2011-05-03       Impact factor: 24.094

8.  Augmented survival of out-of-hospital cardiac arrest victims with the use of mobile phones for emergency communication under the DA-CPR protocol getting information from callers beside the victim.

Authors:  Tetsuo Maeda; Akira Yamashita; Yasuhiro Myojo; Yukihiro Wato; Hideo Inaba
Journal:  Resuscitation       Date:  2016-08-22       Impact factor: 5.262

9.  Attitudes toward automated external defibrillator use in Japan.

Authors:  Takumi Taniguchi; Wataru Omi; Hideo Inaba
Journal:  Resuscitation       Date:  2008-07-17       Impact factor: 5.262

10.  Interaction between emergency medical dispatcher and caller in suspected out-of-hospital cardiac arrest calls with focus on agonal breathing. A review of 100 tape recordings of true cardiac arrest cases.

Authors:  Angela Bång; Johan Herlitz; Sven Martinell
Journal:  Resuscitation       Date:  2003-01       Impact factor: 5.262
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  2 in total

1.  Patient outcomes of school-age, out-of-hospital cardiac arrest in Japan: A nationwide study of schoolchildren as witnesses.

Authors:  Hisanori Kurosaki; Kohei Takada; Akira Yamashita; Yoshio Tanaka; Hideo Inaba
Journal:  Acute Med Surg       Date:  2020-11-28

Review 2.  Lay rescuer use of automated external defibrillators in infants, children and adolescents: A systematic review.

Authors:  Dianne L Atkins; Jason Acworth; Sung Phil Chung; Amelia Reis; Patrick Van de Voorde
Journal:  Resusc Plus       Date:  2022-08-10
  2 in total

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