Report From the Japanese Registry of CPR for In-Hospital Cardiac Arrest (J-RCPR)

Hiroyuki Yokoyama; Naohiro Yonemoto; Kazuya Yonezawa; Jun Fuse; Naoki Shimizu; Toshimasa Hayashi; Teppei Tsuji; Kei Yoshikawa; Hiroya Wakamatsu; Nozomu Otani; Satoru Sakuragi; Masahiko Fukusaki; Hideki Tanaka; Hiroshi Nonogi; the J-RCPR Investigators

doi:10.1253/circj.CJ-11-0136

Late Breaking Clinical Trials (JCS 2011)

Report From the Japanese Registry of CPR for In-Hospital Cardiac Arrest (J-RCPR)

Hiroyuki Yokoyama, Naohiro Yonemoto, Kazuya Yonezawa, Jun Fuse, Naoki Shimizu, Toshimasa Hayashi, Teppei Tsuji, Kei Yoshikawa, Hiroya Wakamatsu, Nozomu Otani, Satoru Sakuragi, Masahiko Fukusaki, Hideki Tanaka, Hiroshi Nonogi, the J-RCPR Investigators

Author information

Hiroyuki Yokoyama
Division of Cardiac Care Unit, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center
Naohiro Yonemoto
Department of Epidemiology and Biostatistics, National Center of Neurology and Psychiatry
Kazuya Yonezawa
Division of Cardiology, Hakodate National Hospital
Jun Fuse
Division of Cardiology, Tokyo Medical Center
Naoki Shimizu
Division of Pediatric, Tokyo Metropolitan Children's Medical Centre
Toshimasa Hayashi
Department of Emergency Medicine, Osaka Medical College Hospital
Teppei Tsuji
Division of Cardiology, Takamatsu Medical Center National Hospital
Kei Yoshikawa
Division of Cardiology, Sakaide City Hospital
Hiroya Wakamatsu
Advanced Medical Emergency and Critical Care Center, Yamaguchi University Hospital
Nozomu Otani
Division of Cardiology, Kanmon Medical Center
Satoru Sakuragi
Division of Cardiology, Iwakuni Clinical Center
Masahiko Fukusaki
Division of Cardiology, Kokubu Seikyo Hospital
Hideki Tanaka
Division of Cardiology, Kagoshima Medical Center
Hiroshi Nonogi
Division of Cardiac Care Unit, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center
the J-RCPR Investigators

Keywords: Favorable neurological outcome, In-hospital cardiac arrest, Multicenter registry

JOURNAL FREE ACCESS

2011 Volume 75 Issue 4 Pages 815-822

DOI https://doi.org/10.1253/circj.CJ-11-0136

View "Advance Publication" version (March 20, 2011).

Details

Abstract

Background: In-hospital cardiopulmonary arrest (CPA) is an important issue, but data in Japan are limited. Methods and Results: To investigate in-hospital CPA, we conducted a prospective multicenter observational registry of in-hospital CPA and resuscitation in Japan (J-RCPR). During January 2008 to December 2009, patients were registered from 12 participating hospitals. All patients, visitors and employees within the facility campus who experience a cardiopulmonary resuscitation event defined as either a pulseless or a pulse with inadequate perfusion requiring chest compressions and/or defibrillation of ventricular fibrillation (VF) or pulseless ventricular tachycardia (VT) were registered. Data were collected in 6 major categories of variables: facility data, patient demographic data, pre-event data, event data, outcome data, and quality improvement data. Data for 491 adults were analyzed. The prevalence of pulseless VT/VF as first documented rhythm was 28.1%, asystole was 29.5% and pulseless electrical activity was 41.1%. Immediate causes of event were arrhythmia 30.6%, acute respiratory insufficiency 26.7%, and hypotension 15.7%. Return of spontaneous circulation was 64.7%; the proportion of survival 24h after CPA was 49.8%, the proportion of survival to hospital discharge was 27.8% and proportion of favorable neurological outcome at 30 days was 21.4%. Conclusions: This is the first report of the registry for in-hospital CPA in Japan and shows that the registry provides important observational data. (Circ J 2011; 75: 815-822)

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