Cardiac arrest & resuscitation
Temporal Trends in Outcomes After Out-of-Hospital Cardiac Arrest Transported to Critical Care Medical Centers in Japan, 2014–2022: A Nationwide Retrospective Observational Study
Authors' conclusion
Outcomes among OHCA patients transported to CCMCs remained stable until 2019 but declined during the COVID-19 pandemic period.
Study context
- Population
- Adults (≥ 18 yr) with nontraumatic out-of-hospital cardiac arrest (OHCA) transported to critical care medical centers (CCMCs) in Japan with Utstein-style prehospital data, Japanese Association for Acute Medicine OHCA (JAAM-OHCA) registry, June 2014–December 2022
- Participants
- 61,725 eligible patients
- Exposure
- Calendar periods 2017-2019 and 2020-2022 vs 2014-2016
- Outcome
- Favorable neurologic outcome
Methodological detailsnationwide multicentre registry
- Nationwide multicentre registry
Main finding
As reported in the abstract
Each group vs 2014-2016Adjusted odds ratio (95% CI)
2017-2019
1.01(0.89–1.15)
2020-2022
0.83(0.72–0.94)
Observational data: associations, not effects.
Further findings
| Outcome | aOR (95% CI) | |
|---|---|---|
| Favorable neurologic outcome, ECPR candidates (subgroup)2020-2022 vs 2014-2016 · neurologic outcomes improved | 1.43 (1.06–1.93) | |
| 0.512Adjusted odds ratio (log scale) |
30-day survival
- 30-day survival declined during the same period
- 6.9% to 6.8% and 5.4%
Favorable neurologic outcome, predefined subgroups (subgroup)
- Similar trends in most predefined subgroups
Original publication
Temporal Trends in Outcomes After Out-of-Hospital Cardiac Arrest Transported to Critical Care Medical Centers in Japan, 2014–2022: A Nationwide Retrospective Observational Study. Crit Care Med. Published 18 March 2026. doi:10. 1097/ ccm. 0000000000007104
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