TY  - JOUR
PY  - 2018//
TI  - Characteristics and outcomes of out-of-hospital cardiac arrest occurring while in a motor vehicle
JO  - American journal of cardiology
A1  - Sado, Junya
A1  - Kiyohara, Kosuke
A1  - Hayashida, Sumito
A1  - Matsuyama, Tasuku
A1  - Katayama, Yusuke
A1  - Hirose, Tomoya
A1  - Kiguchi, Takeyuki
A1  - Nishiyama, Chika
A1  - Iwami, Taku
A1  - Kitamura, Yuri
A1  - Sobue, Tomotaka
A1  - Kitamura, Tetsuhisa
SP  - 1387
EP  - 1392
VL  - 121
IS  - 11
N2  - This study aimed to investigate the incidence, patient characteristics, and outcomes of out-of-hospital cardiac arrest (OHCA) occurring while in a motor vehicle in Osaka City, Japan (with a population of 2.6 million), from 2009 to 2015. The OHCA data used in this study were obtained from the population-based Utstein-style registry in Osaka City. Patients who had OHCA occurring while in a motor vehicle were included. The primary end point was 1-month survival with favorable neurologic outcome after OHCA. During the study period, 18,458 OHCAs were observed, and 264 of them (1.4%) occurred while on or in a motor vehicle (drivers, n = 179; nondrivers, n = 85). The overall incidence rate of OHCAs occurring while in a motor vehicle was 14.0 per million population per year (drivers, 9.5; nondrivers, 4.5). In the drivers with OHCAs, 78 (43.6%) and 101 (56.4%) cases were of medical origin and traffic injuries, respectively. Approximately half of OHCAs with a medical origin in drivers presumably occurred while driving (46.2%, 36 of 78). The overall proportion of 1-month survival with favorable neurologic outcome after OHCA was 6.4% (17 of 264). In the drivers, the proportion of OHCAs with a medical origin and because of traffic injuries were 11.5% (9 of 78) and 2.0% (2 of 101) (p = 0.008), respectively. In conclusion, although OHCAs occurring while in a motor vehicle represented a small subset of the overall OHCA burden, a relatively large number of cardiac arrests with a medical origin occurred in drivers.<br><br>Copyright © 2018 Elsevier Inc. All rights reserved.<p />  <p>Language: en</p>
LA  - en
SN  - 0002-9149
UR  - http://dx.doi.org/10.1016/j.amjcard.2018.02.018
ID  - ref1
ER  -