Aiming for Zero Deaths: Prevention of Sudden Cardiac Death in Schools　– Statement From the AED Committee of the Japanese Circulation Society –

Mitamura, Hideo; Iwami, Taku; Mitani, Yoshihide; Takeda, Satoshi; Takatsuki, Seiji

doi:10.1253/circj.cj-15-0453

Cited by 20 publications

(19 citation statements)

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“…In 2015, the Japan Circulation Society released a statement “Aiming for Zero Deaths: Prevention of Sudden Cardiac Death in Schools” . The statement contains recommendations about introducing BLS education into schools, the proper use and location of AED, and the importance of BLS training for school staff.…”

mentioning

confidence: 99%

“…3 In 2015, the Japan Circulation Society released a statement "Aiming for Zero Deaths: Prevention of Sudden Cardiac Death in Schools". 4,5 The statement contains recommendations about introducing BLS education into schools, the proper use and location of AED, and the importance of BLS training for school staff. Although the installing of AED in school and implementation of BLS education are not currently a requirement in Japan, the government has strongly recommended these since 2004.…”

mentioning

confidence: 99%

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Quality of basic life support education and automated external defibrillator setting in schools in Ishikawa, Japan

Takamura

Ito

Maruyama

et al. 2016

Pediatrics International

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mentioning

confidence: 99%

mentioning

confidence: 99%

Quality of basic life support education and automated external defibrillator setting in schools in Ishikawa, Japan

Takamura

Ito

Maruyama

et al. 2016

Pediatrics International

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“…A study in Denmark has reported that educating schoolchildren on CPR is associated with an increase in lay CPR rates and survival following OHCA; the survival rate of OHCA has increased significantly since BLS education became mandatory for schoolchildren 19 . In 2015, the Japan Circulation Society published the statement “Aiming for Zero Deaths: Prevention of Sudden Cardiac Death in Schools and Sport Locations.” 20 As a result, CPR education and widespread AED installation have occurred, resulting in a higher proportion of bystander interventions 21 . The present study suggests that schoolchildren could contribute to improving outcomes in OHCA.…”

Section: Discussionmentioning

confidence: 74%

“…19 In 2015, the Japan Circulation Society published the statement "Aiming for Zero Deaths: Prevention of Sudden Cardiac Death in Schools and Sport Locations." 20 As a result, CPR education and widespread AED installation have occurred, resulting in a higher proportion of bystander interventions. 21 The present study suggests that schoolchildren could contribute to improving outcomes in OHCA.…”

Section: Clinical Implicationmentioning

confidence: 99%

Patient outcomes of school‐age, out‐of‐hospital cardiac arrest in Japan: A nationwide study of schoolchildren as witnesses

Kurosaki

Takada

Yamashita

et al. 2020

Acute Medicine & Surgery

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Using the data from the All-Japan Utstein Registry, this study evaluates the neurologically favourable patient outcomes and associated factors of out-of-hospital cardiac arrest (OHCA) with Japanese schoolchildren as witnesses. Methods: We analysed 1,068 school-age children (6-18 years old) who underwent OHCA from 2011 to 2016. Among the 1,068 cases, 179 were witnessed by schoolchildren and 889 were witnessed by other bystanders. Propensity score-matched and logistic regression analyses were used to evaluate the outcomes and associated factors. Results: The crude neurologically favourable outcome in the schoolchildren-witnessed group was considerably higher than that in the other-bystander-witnessed group (19.6% versus 12.3%; P < 0.010). However, the difference was not significant in the propensity score-matched analysis (19.6% versus 21.8%; P = 0.602). The multivariable logistic regression analyses of school-age OHCA with schoolchildren as witnesses demonstrated that bystander cardiopulmonary resuscitation (CPR) provision (odds ratio [OR] 4.12, 95% confidence interval [CI] 1.44-11.75), shockable initial rhythm (OR 3.39, 95% CI 1.43-8.04), and defibrillation (OR 4.58, 95% CI 1.65-12.71) provided by any bystander were positively associated with favourable outcomes. By contrast, dispatcher-assisted CPR provision (OR 0.28, 95% CI 0.11-0.70), exogenous cause (OR 0.16, 95% CI 0.03-0.86), adrenaline administration (0.25; 95% CI 0.07-0.92), and prolonged response time (OR 0.86; 95% CI 0.75-0.98) were negatively associated with favourable outcomes. Conclusions: Patient outcomes did not differ significantly between schoolchildren-and other-bystander-witnessed cases of schoolage OHCA. Although schoolchildren as witnesses might not be inferior to other bystanders in school-age OHCA, further studies are needed to examine the effect of bystander CPR by schoolchildren and basic life support education in schools.

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“…These public locations were more likely to have factors associated with a favourable neurological outcome, such as witness of arrest, bystander CPR, and shocks by a public-access AED compared to other public locations [4, 11–13]. In Japan, the statement “Aiming for zero deaths: Prevention of sudden cardiac death in schools and sport locations” published by the Japan Circulation Society [35, 36], CPR education, and widespread installation of AEDs in those locations are specific strategies that could result in a higher proportion of bystander interventions.…”

Section: Discussionmentioning

confidence: 99%

Prehospital cardiopulmonary resuscitation duration and neurological outcome after out-of-hospital cardiac arrest among children by location of arrest: a Nationwide cohort study

Shida

Matsuyama

Kiyohara

et al. 2019

Scand J Trauma Resusc Emerg Med

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Background Little is known about the associations between the duration of prehospital cardiopulmonary resuscitation (CPR) by emergency medical services (EMS) and outcomes among paediatric patients with out-of-hospital cardiac arrests (OHCAs). We investigated these associations and the optimal prehospital EMS CPR duration by the location of arrests. Methods We included paediatric patients aged 0–17 years with OHCAs before EMS arrival who were transported to medical institutions after resuscitation by bystanders or EMS personnel. We excluded paediatric OHCA patients for whom CPR was not performed, who had cardiac arrest after EMS arrival, whose EMS CPR duration were < 0 min or ≥120 min and who had cardiac arrest in healthcare facilities. Prehospital EMS CPR duration was defined as the time from CPR initiation by EMS personnel to the time of prehospital return of spontaneous circulation or to the time of hospital arrival. The primary outcome was 1-month survival with a favourable neurological outcome (cerebral performance category scale 1 or 2). Statistical analysis was performed with Mann-Whitney U tests for numerical variables and chi-squared test for categorical variables. Univariable and multivariable logistic regression analyses were applied to assess the association between prehospital EMS CPR duration and a favourable neurological outcome, and crude and adjusted odds ratios and their 95% confidence intervals were calculated. Results The proportion of patients with a favourable neurological outcome was lower in residential locations than in public locations (2.3% [66/2865] vs 10.8% [113/1048]; P < .001). In both univariable and multivariable logistic regression analyses, the proportion of patients with a favourable neurological outcome decreased as prehospital EMS CPR duration increased, regardless of the location of arrests ( P for trend <.001). However, some patients achieved a favourable neurological outcome after a prolonged prehospital EMS CPR duration (> 30 min) in both groups (1.4% [6/417] in residential locations and 0.6% [1/170] in public locations). Conclusions A longer prehospital EMS CPR duration is independently associated with a lower proportion of patients with a favourable neurological outcome. The association between prehospital EMS CPR duration and neurological outcome differed significantly by location of arrests.

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Aiming for Zero Deaths: Prevention of Sudden Cardiac Death in Schools　– Statement From the AED Committee of the Japanese Circulation Society –

Cited by 20 publications

References 5 publications

Quality of basic life support education and automated external defibrillator setting in schools in Ishikawa, Japan

Quality of basic life support education and automated external defibrillator setting in schools in Ishikawa, Japan

Patient outcomes of school‐age, out‐of‐hospital cardiac arrest in Japan: A nationwide study of schoolchildren as witnesses

Prehospital cardiopulmonary resuscitation duration and neurological outcome after out-of-hospital cardiac arrest among children by location of arrest: a Nationwide cohort study

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Aiming for Zero Deaths: Prevention of Sudden Cardiac Death in Schools – Statement From the AED Committee of the Japanese Circulation Society –

Cited by 20 publications

References 5 publications

Quality of basic life support education and automated external defibrillator setting in schools in Ishikawa, Japan

Quality of basic life support education and automated external defibrillator setting in schools in Ishikawa, Japan

Patient outcomes of school‐age, out‐of‐hospital cardiac arrest in Japan: A nationwide study of schoolchildren as witnesses

Prehospital cardiopulmonary resuscitation duration and neurological outcome after out-of-hospital cardiac arrest among children by location of arrest: a Nationwide cohort study

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Aiming for Zero Deaths: Prevention of Sudden Cardiac Death in Schools　– Statement From the AED Committee of the Japanese Circulation Society –