cost between regular unit and ICU of $3200, and assuming a 1-day ICU stay after unwarranted transfer, the decrease in ICU transfers equates to a monthly saving of $48,000. Conclusions: Tele-ICU consultation via tablet devices can be used for immediate expert assessment during rapid response calls. Patient care, and allocation of limited ICU resources (personnel and beds), can be positively impacted by tele-ICU support during rapid response calls.Learning Objectives: Centenarians, who are 100 yr old and older, used be special people. Little fact about centenarians is known although an increase in centenarians will become the new global issue of medicine. Our aim is to describe characteristics of centenarians who are survived from OHCA in Japan. Methods: Our study is a nationwide population based observational design, which involved consecutive patients with OHCA in Japan from 2005 to 2010. We compared patient and EMS characteristics between patients with neurologicly favorable outcome and those with neurologicly unfavorable outcome in all centenarians with OHCA. We also stratified centenarians with OHCA who were performed CPR by witnessed bystanders. Results: There were 2,943 centenarians. Patients with neurologicly favorable outcome were more witnessed and performed bystander CPR than the others (P=0.014, P<0.01, respectively). They got return of spontaneous circulation (ROSC) more at pre-hospital (87.5% (14/16) vs 2.6% (75/2,925), P<0.01) in short durations (median 7 (5-8) min vs 19 (6-10) min, P<0.01). There was no bystander who was a familiar layperson in the group with neurologicly favorable outcome. They were less performed airway protection by EMS than the others (37.5% (6/16) vs 81.2% (2,374/2,925), P<0.01). Stratified analysis also showed similar results with all patients although stratified population become one fifth of all. Rate of one-month survival and neurologicly favorable outcome were 1.9% (56/2,941) and 0.5% (16/2,943), respectively in all and 4.0% (26/646) and 1.5% (10/646), respectively, after stratification. Among 16 centenarians neurologicly favorably survived from OHCA, at least nine patients had gotten ROSC before EMS arrival. They were not performed advanced prehospital treatment at all. Conclusions: Surprisingly, there were 16 centenarians with neurologicly favorable outcome one month after collapsed. To get pre-hospital ROSC in a very short period with basic life support by witnessed bystander who was not a familiar person is an associated factor to get neurologicly favorable outcome for centenarians with OHCA.
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