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
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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