Cost-effectiveness of cardiopulmonary resuscitation training

• Project/Area Number: 26860347
• Research Category: Grant-in-Aid for Young Scientists (B)
• Allocation Type: Multi-year Fund
• Research Field: Medical sociology
• Research Institution: Kyoto University
• Principal Investigator: Nishiyama Chika 京都大学, 医学研究科, 講師 (40584842)
• Project Period (FY): 2014-04-01 – 2017-03-31
• Project Status: Completed (Fiscal Year 2016)
• Budget Amount: ¥2,340,000 (Direct Cost: ¥1,800,000、Indirect Cost: ¥540,000); Fiscal Year 2016: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000); Fiscal Year 2015: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000); Fiscal Year 2014: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
• Keywords: 心停止 / 医療費 / 心臓突然死 / 心肺蘇生 / 救急医療 / 費用対効果 / 医療経済 / 自動体外式除細動器 / 蘇生 / 病院外心停止 / 心肺蘇生法教育 / AED

Outline of Final Research Achievements

The aim of this study is to analyze acute medical care costs related to out-of-hospital cardiac arrest (OHCA) patients using the Japanese Diagnosis Procedure Combination database. We identified OHCA patients who were 18 years or older and were transported to seven designated hospital between November and December in 2012. We assessed patients’ cost in-hospital care. A total of 128 OHCA cases, mean age was 71 years old and median cost was 219,669 Yen. Of them, patients who spent less than 1,000,000 Yen accounted for 10% of the total cost. We divided the patients into those aged <65 and >=65 years old. Patients aged >=65 showed higher median total cost of survival per person than those aged <65 (23,449,223 Yen v.s. 9,829,079 Yen).

Research Products

• [Journal Article] Compression-only CPR training in elementary schools and students’ attitude toward CPR. (2015)
  • Author(s): Kitamura T, Nishiyama C, Murakami Y, Yonezawa T, Nakai S, Hamanishi M, Marukawa S, Sakamoto T, Iwami T.
  • Journal Title: Pediatrics International Volume: 未定 Issue: 8 Pages: 698-704
  • DOI: 10.1111/ped.12881
  • Peer Reviewed
• [Journal Article] Dispatcher instruction of chest compression-only CPR increases actual provision of bystander CPR (2015)
  • Author(s): Shimamoto T, Iwami T, Kitamura T, Nishiyama C, Sakai T, Nishiuchi T, Hayashi Y, Kawamura T; Utstein Osaka Project.
  • Journal Title: Resuscitation Volume: 96 Pages: 9-15
  • DOI: 10.1016/j.resuscitation.2015.07.009
  • Peer Reviewed
• [Journal Article] Cardiopulmonary Resuscitation Support Application on a Smartphone. (2015)
  • Author(s): Sakai T, Kitamura T, Nishiyama C, Murakami Y, Ando M, Kawamura T, Tasaki O, Kuwagata Y, Shimazu T, Iwami T.
  • Journal Title: Circulation Journal Volume: Epub ahead of print
  • Peer Reviewed
• [Journal Article] Effectiveness of simplified 15-min refresher CPR training program: a randomized controlled trial (2015)
  • Author(s): Nishiyama C, Iwami T, Murakami Y, Kitamura T, Okamoto Y, Marukawa S, Sakamoto T, Kawamura T
  • Journal Title: Resuscitation Volume: 90(5) Pages: 56-60
  • DOI: 10.1016/j.resuscitation.2015.02.015
  • Peer Reviewed
• [Journal Article] Epidemiology and outcome of adult out-of-hospital cardiac arrest with non-cardiac origin in Osaka: a population-based study (2014)
  • Author(s): Kitamura T, Kiyohara K, Sakai T, Iwami T, Nishiyama C, Kajino K, Nishiuchi T, Hayashi Y, Katayama Y, Yoshiya K, Shimazu T
  • Journal Title: BMJ Open Volume: 4(12) Issue: 12 Pages: e006462-e006462
  • DOI: 10.1136/bmjopen-2014-006462
  • Peer Reviewed / Open Access / Acknowledgement Compliant
• [Journal Article] Impact of the Great East Japan Earthquake on out-of-hospital cardiac arrest with cardiac origin in non-disaster areas (2014)
  • Author(s): Kiyohara K, Kitamura T, Iwami T, Nishiyama C, Kawamura T
  • Journal Title: Journal of Epidemiology and Community Health Volume: 69(2) Issue: 2 Pages: 185-188
  • DOI: 10.1136/jech-2014-204380
  • Peer Reviewed / Acknowledgement Compliant
• [Journal Article] Trends in survival among elderly patients with out-of-hospital cardiac arrest: a prospective, population-based observation from 1999 to 2011 in Osaka (2014)
  • Author(s): Kitamura T, Morita S, Kiyohara K, Nishiyama C, Kajino K, Sakai T, Nishiuchi T, Hayashi Y, Shimazu T, Iwami T
  • Journal Title: Resuscitation Volume: 85(11) Issue: 11 Pages: 1432-1438
  • DOI: 10.1016/j.resuscitation.2014.07.017
  • Peer Reviewed
• [Journal Article] Epidemiological characteristics of sudden cardiac arrest in schools. (2014)
  • Author(s): Nishiuchi T., Hayashino Y., Iwami T., Kitamura T., Nishiyama C., Kajino K., Nitta M., Hayashi Y., Hiraide A., Utstein Osaka Project Investigators.
  • Journal Title: Resuscitation Volume: 85 Issue: 8 Pages: 1001-6
  • DOI: 10.1016/j.resuscitation.2014.04.027
  • Peer Reviewed
• [Journal Article] Outcomes of out-of-hospital cardiac arrest by public location in the public-access defibrillation era (2014)
  • Author(s): Murakami Y, Iwami T, Kitamura T, Nishiyama C, Nishiuchi T, Hayashi Y, Kawamura T
  • Journal Title: Journal of the American Heart Association Volume: 3(2) Issue: 2
  • DOI: 10.1161/jaha.113.000533
  • NAID: 120006955479
  • Peer Reviewed / Open Access / Acknowledgement Compliant
• [Journal Article] Long-term retention of CPR skills after shortened chest compression-only CPR training and conventional CPR training: a randomized controlled trial (2014)
  • Author(s): Nishiyama C, Iwami T, Kitamura T, Ando M, Sakamoto T, Marukawa S, Kawamura T
  • Journal Title: Academic Emergency Medicine Volume: 21(1) Issue: 1 Pages: 47-54
  • DOI: 10.1111/acem.12293
  • Peer Reviewed
• [Presentation] 年齢別にみた内因性院外心停止患者に対する医療費の検討 (2017)
  • Author(s): 西山知佳
  • Organizer: 第81回日本循環器学会
  • Place of Presentation: 金沢
  • Year and Date: 2017-03-17
• [Presentation] Effectiveness of a new smartphone application to call co-rescuers carrying an AED for cardiac arrests: a randomized controlled trial. (2015)
  • Author(s): 1.Hatakeyama T, Nishiyama C, Shimamoto T, Kiyohara K, Kitamura T, Kawamura T, Iwami T.
  • Organizer: 2015 American Heart Association Scientific Session, Resuscitation Science Symposium
  • Place of Presentation: Orland, Fla
  • Year and Date: 2015-11-07
  • Int'l Joint Research
• [Presentation] 新入学生3000人への心肺蘇生法講習会の実施と大学教育における課題 (2015)
  • Author(s): 2.西山 知佳、黒木 裕士、馬場 正昭、川村 孝、石見 拓、小池 薫、田中 真介、内藤 知佐子
  • Organizer: 第17回日本救急看護学会学術集会
  • Place of Presentation: 佐賀県佐賀市
  • Year and Date: 2015-10-16
  • Int'l Joint Research
• [Presentation] Quality of Cardiopulmonary Resuscitation by Bystanders and Survival after Out-of-Hospital Cardiac Arrests. (2014)
  • Author(s): Nishiama C, Kitamura T, Shimamoto T, Kawamura T, Sakamoto T, Iwami T.
  • Organizer: 2014 American Heart Association Scientific Session, Resuscitation Science Symposium
  • Place of Presentation: Chicago, Illinois, US
  • Year and Date: 2014-11-15 – 2014-11-19
• [Presentation] Effectiveness of Refresher Self-Training of Chest Compression-only Cardiopulmonary Resuscitation: a Randomized Controlled Trail. (2014)
  • Author(s): Shimamoto T, Nishiyama C, Kawamura T, Kiyohara K, Kitamura T, Sakamoto T, Iwami T
  • Organizer: 2014 American Heart Association Scientific Session, Resuscitation Science Symposium
  • Place of Presentation: Chicago, Illinois, US
  • Year and Date: 2014-11-15 – 2014-11-19
• [Presentation] Wider Dissemination of CPR Training with Chest Compression-only CPR and Changes in Bystander CPR in a Community. (2014)
  • Author(s): Iwami T, Kitamura T, Nishiyama C, Shimamoto T, Kawamura T, Marukawa S, Sakamoto T
  • Organizer: 2014 American Heart Association Scientific Session, Resuscitation Science Symposium
  • Place of Presentation: Chicago, Illinois, US
  • Year and Date: 2014-11-15 – 2014-11-19
• [Presentation] 学校・地域へのBLS教育導入に向けた課題―看護師だからこそできること (2014)
  • Author(s): 西山知佳
  • Organizer: 第16回日本救急看護学会学術集会
  • Place of Presentation: 大阪
  • Year and Date: 2014-10-10 – 2014-10-11
• [Presentation] 学校教育における心肺蘇生授業の実態と大学教育における課題 (2014)
  • Author(s): 西山 知佳、黒木 裕士、馬場 正昭、田中 真介
  • Organizer: 第16回日本救急看護学会学術集会
  • Place of Presentation: 大阪
  • Year and Date: 2014-10-10 – 2014-10-11
• [Remarks] CC-RESUS 心肺蘇生研究グループ
  • URL: http://cc-resus.com/