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在医院外心脏骤停的脑功能结果的区域比较:全日本Utstein注册表

Ryuhei Igeta^1,2, Shunichi Otaka^1,2, Takahiro Imaizumi³

¹Emergency Medicine, International University of Health and Welfare, Narita Hospital, Narita, JPN.

|November 29, 2024

概括

在日本,医院外心脏骤停 (OHCA) 神经预后的区域差异仍然存在. 虽然差异已经缩小,但需要进一步调查,以了解和改善所有地区的结果.

科学领域:

心脏病学和紧急医疗医学
公共卫生和流行病学
神经学和重症监护中心

背景情况:

之前的研究发现,日本境内的非医院心肺骤停 (OHCA) 预后存在区域差异.
在了解不同地区OHCA患者神经结果的时间演变方面存在差距.

研究的目的:

分析和比较日本七个不同地区的非创伤性OHCA患者的神经预后.
评估OHCA后有利的神经结果和一个月生存率的区域差异.

主要方法:

利用全日本Utstein注册表,这是2011年至2017年OHCA案件的全国人口数据库.
包括非创伤性OHCA患者,由紧急响应人员恢复生命.
主要终点:一个月后有利的神经结果;次要终点:一个月的存活率.

主要成果:

分析包括721,455名OHCA患者;2.45%的人取得了有利的神经结果.
观察到有利的神经结果的显著区域差异,即使对患者和医院前因素进行调整后,这种差异仍然存在.
与中西部地区相比,东部和东北地区的生存率明显低于中西部地区;在一个月的生存率上也出现了类似的区域差异.

结论:

在日本,OHCA患者的神经预后的区域差异仍然是一个持续的问题.
虽然这些差异的幅度与前几年相比有所减少,但根本原因需要进一步调查.
未来的努力应专注于理解和解决这些差异,以改善全国范围内的OHCA患者结果.

关键词:

心脏骤停的结果大脑性能类别的大脑性能类别.紧急医疗服务紧急医疗服务神经学的结果.在医院外,心脏骤停.地区差异地区差异重生结果的复苏结果.

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