Epidemiology of out of hospital cardiac arrest in school children and the role of school ECG screening

2013 Fiscal Year Final Research Report

• Project/Area Number: 24791056
• Research Category: Grant-in-Aid for Young Scientists (B)
• Allocation Type: Multi-year Fund
• Research Field: Pediatrics
• Research Institution: Mie University
• Principal Investigator: OHASHI Hiroyuki 三重大学, 医学部附属病院, 助教 (70397511)
• Project Period (FY): 2012-04-01 – 2014-03-31
• Keywords: 心臓性突然死 / 自動体外式除細動器 / 学校心臓検診 / 救急体制 / 学校保健

Research Abstract

Hypothesis: We hypothesized that public-access defibrillation (PAD) at school was associated with the improved outcome after out-of-hospital cardiac arrest (OHCA) of cardiac origin (OHCA) in such students at the national level. Methods: We analyzed Japanese Utstein registry and nation-wide survey data of school children during 2005-9. Results: The proportion of patients initially shocked by a bystander among total eligible patients and the proportion of patients with a favorable neurological outcome after OHCA increased. The collapse to defibrillation time was independently associated with a favorable neurological outcome after OHCA. 50% of patients had OHCA at school, which was associated with the event during exercise. OHCA at school was associated with a favorable neurological outcome. Conclusions:PAD at school is associated with a favorable neurological outcome after OHCA in elementary and middle school students at the national level in Japan.

Research Products

• [Journal Article] Circumstances and Outcomes of Out-Of-Hospital Cardiac Arrest in Elementary and Middle School Students in the Era of Public-Access Defibrillation : Implications for Emergency Preparedness in Schools (2014)
  • Author(s): Mitani Y, Ohta K, Ichida F, Nii M, Arakaki Y, Ushinohama H, Takahashi T, Ohashi H, Yodoya N, Fuj ii E, Ishikura K, Tateno S, Sato S, Suzuki T, Higaki T, Iwamoto M, Yoshinaga M, Nagashima M, Sumitomo N
  • Journal Title: Circulation J Volume: 78(3) Pages: 701-707
  • Peer Reviewed
• [Journal Article] Public access defibrillation improved the outcome after out-of-hospital cardiac arrest in school-age children : a nationwide, population-based, Utstein registry study in Japan (2013)
  • Author(s): Mitani Y, Ohta K, Yodoya N, Otsuki S, Ohashi H, Sawada H, Nagashima M, Sumitomo N, Komada Y
  • Journal Title: Europace Volume: 15(9) Pages: 1259-1266
  • Peer Reviewed
• [Presentation] Early detection of pediatric idiopathic pulmonary arterial hypertension by school electrocardiography screening : a nationwide survey in Japan (2013)
  • Author(s): Sawada H, Mitani Y, Nakayama T, Fukushima H, Kogaki S, Igarashi T, Ichida F, Ono Y, Nakanishi T, Doi S, Ishikawa S, Matsushima M, Yamada O, Saji T
  • Organizer: American Heart Association
  • Place of Presentation: Dallas, USA
  • Year and Date: 2013-11-18
• [Presentation] Public access defibrillation improved the outcome after out-of-hospital cardiac arrests in school-age children : a nationwide, population-based, Utstein registry study in Japan (2012)
  • Author(s): Mitani Y, Ohta K, Yodoya N, Otsuki S, Ohashi H, Sawada H, Nagashima M, Sumitomo N, Komada Y
  • Organizer: American Heart Association
  • Place of Presentation: Los Angeles, USA
  • Year and Date: 2012-11-07