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Survival Trends in Adults with Out-of-Hospital Cardiac Arrests after Traffic Collisions in Japan: A Population-Based Study
 
 
Article

Epidemiology and Outcome of Pediatric Out-of-Hospital Cardiac Arrest after Traffic Collision in Japan: A Population-Based Study

1
Department of Traumatology and Acute Critical Medicine, Graduate School of Medicine, Osaka University, 2-15, Yamada-oka, Suita 565-0871, Japan
2
Division of Environmental Medicine and Population Sciences, Department of Social Medicine, Graduate School of Medicine, Osaka University, 2-2 Yamadaoka, Suita 565-0871, Japan
3
Department of Food Science, Faculty of Home Economics, Otsuma Women’s University, 12 Sanban-cho, Chiyoda-ku, Tokyo 102-8357, Japan
*
Author to whom correspondence should be addressed.
Academic Editor: Alexander Oskar Spiel
J. Clin. Med. 2022, 11(3), 831; https://doi.org/10.3390/jcm11030831
Received: 27 December 2021 / Revised: 29 January 2022 / Accepted: 3 February 2022 / Published: 4 February 2022
(This article belongs to the Special Issue Multiple Trauma: Clinical Updates and Perspectives)
The epidemiological and clinical characteristics, treatments, and outcomes of patients with traumatic out-of-hospital cardiac arrests (OHCAs) following traffic collisions have not been adequately investigated in Japan. We analyzed the All-Japan Utstein Registry data of 918 pediatric patients aged <20 years with OHCAs following traffic collisions who were resuscitated by bystanders or emergency medical service personnel and were subsequently transported to hospitals between 2013 and 2019. Multiple logistic regression analysis was used to assess factors potentially associated with 1-month survival after OHCA. The 1-month survival rate was 3.3% (30/918), and the rate of neurologically favorable outcomes was 0.7% (60/918). The proportion of 1-month survival of all OHCAs after traffic collision origin did not significantly increase (from 1.9% (3/162) in 2013 to 4.5% (5/111) in 2019), and the adjusted odds ratio (OR) for a 1-year increment was 1.13 (95% confidence interval (CI) 0.93 to 1.37). In a multivariate analysis, ventricular fibrillation arrests and pulseless electrical activity (PEA) were significant predictors of 1-month outcome after OHCAs due to traffic collision. From a large OHCA registry in Japan, we demonstrated that 1-month survival after OHCAs due to traffic collision origin was approximately 3%, and some children even gained full recovery of neurological function. View Full-Text
Keywords: traffic collision; mortality; out-of-hospital cardiac arrest; trauma; Japan traffic collision; mortality; out-of-hospital cardiac arrest; trauma; Japan
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MDPI and ACS Style

Hosomi, S.; Kitamura, T.; Sobue, T.; Zha, L.; Kiyohara, K.; Oda, J. Epidemiology and Outcome of Pediatric Out-of-Hospital Cardiac Arrest after Traffic Collision in Japan: A Population-Based Study. J. Clin. Med. 2022, 11, 831. https://doi.org/10.3390/jcm11030831

AMA Style

Hosomi S, Kitamura T, Sobue T, Zha L, Kiyohara K, Oda J. Epidemiology and Outcome of Pediatric Out-of-Hospital Cardiac Arrest after Traffic Collision in Japan: A Population-Based Study. Journal of Clinical Medicine. 2022; 11(3):831. https://doi.org/10.3390/jcm11030831

Chicago/Turabian Style

Hosomi, Sanae, Tetsuhisa Kitamura, Tomotaka Sobue, Ling Zha, Kosuke Kiyohara, and Jun Oda. 2022. "Epidemiology and Outcome of Pediatric Out-of-Hospital Cardiac Arrest after Traffic Collision in Japan: A Population-Based Study" Journal of Clinical Medicine 11, no. 3: 831. https://doi.org/10.3390/jcm11030831

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