{"id":699,"date":"2017-03-14T11:56:57","date_gmt":"2017-03-14T02:56:57","guid":{"rendered":"http:\/\/www2.med.osaka-u.ac.jp\/wwwmed\/eng\/activities\/results\/2016year\/kitamura-tetsuhisa"},"modified":"2017-04-28T16:13:13","modified_gmt":"2017-04-28T07:13:13","slug":"article09","status":"publish","type":"page","link":"https:\/\/www.med.osaka-u.ac.jp\/eng\/activities\/results\/2016year\/article09","title":{"rendered":"KITAMURA Tetsuhisa \u226aEnvironmental Medicine and Population Sciences\u226b <span>\u201cPublic-Access Defibrillation and Out-of-Hospital Cardiac Arrest in Japan\u201d<\/span>"},"content":{"rendered":"<ul class=\"linkBar clearfix\">\n<li> <a href=\"http:\/\/www.med.osaka-u.ac.jp\/activities\/results\/2016year\/article09\">Text in Japanese<\/a><\/li>\n<\/ul>\n<p><!-- \n\n<h1> KITAMURA Tetsuhisa &lt;Environmental Medicine and Population Sciences&gt;<\/h1>\n\n --><\/p>\n<p>2016-10-27<br \/>\n  <span class=\"lineFrame\">Publish<\/span> The New England Journal of Medicine\uff082016\uff09 doi:10.1056\/NEJMsa1600011<\/p>\n<p class=\"figure\"><a href=\"http:\/\/www.med.osaka-u.ac.jp\/eng\/wp-content\/uploads\/\/activities\/results\/2016\/kitamura20161027eng.jpeg\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/www.med.osaka-u.ac.jp\/eng\/wp-content\/uploads\/\/activities\/results\/2016\/kitamura20161027eng.jpeg\" alt=\"\" height=\"288\" width=\"384\" \/><br \/>\n  <span class=\"click\">Click to enlarge<\/span><\/a><\/p>\n<p><!-- \n\n<h3> Public-Access Defibrillation and Out-of-Hospital Cardiac Arrest in Japan<\/h3>\n\n --><\/p>\n<p> Earlier defibrillation plays a key role in improving survival from out-of-hospital ventricular fibrillation (VF) arrest. The cumulative number of public-access automated external defibrillators (AEDs) in Japan reached over 420,000 in 2013. However, the impact of dissemination of public-access AEDs for VF arrest at the population level has not been sufficiently investigated. From the All-Japan Utstein Registry, we identified 43,762 bystander-witnessed VF of presumed cardiac origin with resuscitation attempts from 2005 through 2013. The proportion of favorable neurological outcome after bystander-witnessed VF arrest of cardiac origin was significantly higher in the public-access defibrillation (PAD) group than in the non-PAD group (38.5% versus 18.2%, adjusted odds ratio after propensity score matching 1.99). The estimated number of survivors with favorable neurological outcome attributed to PAD significantly increased from 6 in 2005 to 201 in 2013. In Japan, increased PAD by laypersons was associated with an increase in the number of survivors with favorable neurological outcome after VF arrest.<br \/>\n  Kitamura T, Kiyohara K, Sakai T, Matsuyama T, Hatakeyama T, Shimamoto T, Izawa J, Fujii T, Nishiyama C, Kawamura T, Iwami T. Public-access defibrillation and out-of-hospital cardiac arrest in Japan. The New England Journal of Medicine 2016;375(17):1649-1659. DOI: 10.1056\/NEJMsa1600011<\/p>\n<p><span class=\"lineFrame\">URL<\/span><a href=\"http:\/\/www2.med.osaka-u.ac.jp\/envi\/home-e\/\" target=\"_blank\">http:\/\/www2.med.osaka-u.ac.jp\/envi\/home-e\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Text in Japanese 2016-10-27 Publish The New England Journal of Medicine\uff082016\uff09 doi:10.1056\/NEJMsa1600011 Click  [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1693,"parent":455,"menu_order":187,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"_links":{"self":[{"href":"https:\/\/www.med.osaka-u.ac.jp\/eng\/wp-json\/wp\/v2\/pages\/699"}],"collection":[{"href":"https:\/\/www.med.osaka-u.ac.jp\/eng\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.med.osaka-u.ac.jp\/eng\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.med.osaka-u.ac.jp\/eng\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.med.osaka-u.ac.jp\/eng\/wp-json\/wp\/v2\/comments?post=699"}],"version-history":[{"count":8,"href":"https:\/\/www.med.osaka-u.ac.jp\/eng\/wp-json\/wp\/v2\/pages\/699\/revisions"}],"predecessor-version":[{"id":2411,"href":"https:\/\/www.med.osaka-u.ac.jp\/eng\/wp-json\/wp\/v2\/pages\/699\/revisions\/2411"}],"up":[{"embeddable":true,"href":"https:\/\/www.med.osaka-u.ac.jp\/eng\/wp-json\/wp\/v2\/pages\/455"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.med.osaka-u.ac.jp\/eng\/wp-json\/wp\/v2\/media\/1693"}],"wp:attachment":[{"href":"https:\/\/www.med.osaka-u.ac.jp\/eng\/wp-json\/wp\/v2\/media?parent=699"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}