Cardiac arrest & resuscitation

Characteristics, outcomes, and prognostic factors in patients with hanging-induced out-of-hospital cardiac arrest: An analysis of a nationwide registry in Japan

ResuscitationPublished Retrospective cohort study

Authors' conclusion

Prognosis following hanging-induced OHCAs was significantly worse compared to OHCAs of other causes.

Study context

Population
Adults (≥18 years) with out-of-hospital cardiac arrest (OHCA), Japanese nationwide OHCA registry, 2021–2022
Participants
263,426 OHCAs
Exposure
Hanging-induced OHCA vs OHCA of other causes
  • Hanging-induced OHCAn = 7,878
Outcome
Favourable neurological outcomes
Follow-up
1 month
Methodological detailspopulation-based, nationwide registry, multivariable logistic regression
  • Population-based
  • Nationwide registry
  • Multivariable logistic regression

Main finding

As reported in the abstract

1-month favourable neurological outcomes

Observational data: associations, not effects.

Further findings

Proportion and incidence of hanging-induced OHCA
3.0 % · 7,878

Patient characteristics

Median age, hanging-induced vs other causes
58 vs. 81 years
Male, hanging-induced vs other causes
60.2 % vs. 57.5 %
Witnessed, hanging-induced vs other causes
1.7 % vs. 42.1 %
Initial shockable rhythm, hanging-induced vs other causes
0.4 % vs. 5.9 %

Prognostic factors for favourable neurological outcomes in hanging-induced OHCA · 1 month

%

Probability with initial non-asystole rhythm and prehospital return of spontaneous circulation (ROSC)
11.1
Patients lacking these characteristics
97.1
Probability in patients lacking these characteristics
0.1
Associated factors: younger age, witnessed arrest, initial non-asystole rhythm, prehospital ROSC
  • Multivariable logistic regression

Original publication

Characteristics, outcomes, and prognostic factors in patients with hanging-induced out-of-hospital cardiac arrest: An analysis of a nationwide registry in Japan. Resuscitation. Published 30 November 2024. doi:10.1016/j.resuscitation.2024.110448

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