Examination of out-of-hospital cardiac arrest patients with the Utstein style in Saga prefecture, Japan

T Iwamura,Y Sakamoto,Y Nishimura,K Yamada,N Kutsukata,M Koga,A Nakashima,M Yahata,T Yamashita,K Seki,T Hitomi

doi:10.1186/cc10874

Abstract

Saga Prefecture is a small prefecture with an area of 2,439 km2 (place-of-residence 1,339 km2), a population of 849,709, and is located in northwestern Kyushu in the western part of Japan. Saga University has the only medical department in Saga Prefecture, Japan, and it is in charge of both the online and offline medical control of Saga. This report examined the present status of OHCA in Saga, which should be improved, and it aimed at exploring policies that can contribute to the improvement in a ROSC rate.

Highlights

Sepsis is primarily a disease of the aged and 60% of sepsis occurs in patients older than 65 years, 80% of deaths due to sepsis occur in this age group
The purpose of the study is to elucidate the immunological changes that occur in Klotho mice after sepsis in order to identify therapeutic targets for sepsis that occurs in aged individuals
Poor survival in Klotho-septic mice may be associated with impaired bacterial clearance with decreased recruitment of neutrophils/macrophages in peritoneal cavity, elevated cytokines in serum, and increased apoptosis in thymus and spleen, following to impaired innate and adaptive immunity

Summary

Introduction

Sepsis is primarily a disease of the aged and 60% of sepsis occurs in patients older than 65 years, 80% of deaths due to sepsis occur in this age group. The aim of this study was to determine the reasons behind out-of-hours discharges in our hospital and the effect this has on mortality This audit reviewed the discharge process of patients from an adult general ICU to the general wards before and after the introduction of a liaison nurse post over a 3-year, 3-month time period. The aim of this study was to establish and compare the quality and value of the summaries as judged by ICU doctors and GPs. The relationship between provider volume and patient outcome has been demonstrated for many medical and surgical services, including critical care. Methods In this single-centre observational study we aimed to quantify functional dependency at three different time points: discharge from ICU (DI), discharge from hospital (DH) and discharge from nursing home rehabilitation unit (DR) To this end we retrospectively assed Barthel scores (BS) for individual patients [1], with a duration of mechanical ventilation >48 hours.

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