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Overview And Future Prospects Of Out-of-hospital Cardiac Arrest Registries In Japan.

Home
Research Domains
Health Sciences
Health Services And Systems
Health Surveillance
Overview And Future Prospects Of Out-of-hospital Cardiac Arrest Registries In Japan.

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Overview and future prospects of out-of-hospital cardiac arrest registries in Japan.

Yohei Okada^1,2, Koshi Nakagawa³, Hideharu Tanaka³

¹Health Services and Systems Research, Duke-NUS Medical School, Singapore.

Resuscitation Plus

|February 16, 2024

View abstract on PubMed

Summary

This summary is machine-generated.

Japanese Out-of-hospital cardiac arrest (OHCA) registries are vital for improving survival. This review highlights their diverse approaches, strengths, and challenges in enhancing emergency medical services and resuscitation science.

Keywords:

Cardiac arrest Emergency medicine Epidemiology Resuscitation

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Area of Science:

Emergency Medicine
Resuscitation Science
Public Health Surveillance

Background:

Out-of-hospital cardiac arrest (OHCA) presents a critical public health challenge with high mortality rates.
The chain of survival framework emphasizes the importance of timely interventions for improving patient outcomes.
Effective quality assurance for resuscitation requires robust measurement and monitoring of processes and outcomes.

Purpose of the Study:

To review and summarize the conception, strengths, and challenges of Out-of-hospital cardiac arrest registries in Japan.
To provide an overview of existing OHCA data collection systems in Japan.
To inform future development and enhancement of resuscitation quality improvement initiatives.

Main Methods:

A review of prominent Out-of-hospital cardiac arrest registries in Japan was conducted.

Registries examined include the All-Japan Utstein registry, Utstein Osaka Project/Osaka-CRITICAL study, SOS-KANTO study, JAAM-OHCA study, and SAVE-J II study.

Data collection methods and scope of each registry were analyzed.

Main Results:

Japan hosts several successful local and national OHCA registries.
The All-Japan Utstein registry is a large, nationwide, population-based registry.
Regional and specialized registries (e.g., Osaka-CRITICAL, SOS-KANTO, JAAM-OHCA, SAVE-J II) collect detailed data, including those treated with extracorporeal cardiopulmonary resuscitation.

Conclusions:

Japanese OHCA registries, despite varying philosophies and structures, have successfully contributed to emergency medical service system improvements.
These registries are crucial for ongoing quality improvement in resuscitation.
Further utilization of these registries is expected to enhance EMS systems, improve OHCA patient outcomes, and advance resuscitation science.