Cardiac arrest & resuscitation
Evaluation of interventions in prehospital and in-hospital settings and outcomes for out-of-hospital cardiac arrest patients meeting the termination of resuscitation rule in Japan: A nationwide database study (The Japanese Association for Acute Medicine Out-of-Hospital Cardiac Arrest (JAAM-OHCA) Registry)
Authors' conclusion
OHCA patients who met TOR rule showed a decrease in in-hospital interventions.
Study context
- Population
- Adult out-of-hospital cardiac arrest (OHCA) patients with medical causes meeting all advanced life support (ALS) termination of resuscitation (TOR) rule criteria (unwitnessed arrest, no ROSC, no bystander CPR, no AED use or defibrillation), JAAM-OHCA registry, June 2014-December 2021
- Participants
- 11,334 patients
- Outcome
- Temporal trends in prehospital and in-hospital interventions
Methodological detailsnationwide registry
- Nationwide registry
Main finding
As reported in the abstract
Prehospital and in-hospital interventions over time
- Received all three ALS interventions (advanced airway, IV access, epinephrine)
- 2,447
- In-hospital endotracheal intubation decreased over time
- 56%
- In-hospital epinephrine administration decreased over time
- 82%
- Advanced therapies (coronary angiography, ECMO, TTM) remained rare
- <1%
- Median time to TOR after hospital arrival shortened to
- 18 min
Observational data: associations, not effects.
Original publication
Evaluation of interventions in prehospital and in-hospital settings and outcomes for out-of-hospital cardiac arrest patients meeting the termination of resuscitation rule in Japan: A nationwide database study (The JAAM-OHCA Registry). Resuscitation. Published 5 February 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →