@article{oai:shiga-med.repo.nii.ac.jp:00000172, author = {松村, 一弘 and 橋本, 賢吾 and 牛塲, 彩 and 岸本, 卓磨 and 大内, 政嗣 and 今宿, 康彦 and 山根, 哲信 and Matsushita, Mikiko and 浜本, 徹 and 藤野, 和典 and 田畑, 貴久 and 辻田, 靖之 and 高橋, 完 and 江口, 豊}, issue = {1}, journal = {滋賀医科大学雑誌}, month = {Mar}, note = {Departmental Bulletin Paper, We studied the mortality and mobility about patients with cardiac arrest (CA) at our hospital between January 1st 2010 andDecember 31th 2012. The conditions of patients were evaluated at the time of the hospital leaving. We defined the patientswho could survive with some partial supports or without any supports as good outcome patients, and the patients who neededall supports or were dead as poor outcome patients using Glasgow outcome scale.The average time to chest compression was about 9 minutes. The time to chest compression of the group with return ofspontaneous circulation (ROSC) was shorter than those of the group without ROSC (6.5 v.s.10.4 min). The time to chestcompression and the time to ROSC of the good outcome group were also shorter than those of the bad outcome group afterROSC. The patients treated with brain hypothermia therapy (brain HT) were younger than the patients treated without it afterROSC. There was no significant difference of time to chest compression and to ROSC between the patients with and withoutbrain HT. About 30% of the patients with brain HT were good outcome, but there was no good outcome patient without brainHT except 4 patients that did not have the indication of brain HT because those consciousnesses had immediately recoveredafter ROSC.In conclusion, the oral direction at emergency call and the ordinary education of resuscitation after CA are important forcitizen to do chest compression immediately. The connection between prehospital care and hospital cure is also important toreduce time to ROSC. Brain HT is effective to improve outcome after ROSC. The aggressive operation of brain HT seems tobe most important. Thus, the communication among hospitals may also be important for the treatment after ROSC.}, pages = {23--27}, title = {3年間の滋賀医科大学医学部附属病院における心肺停止症例の検討}, volume = {27}, year = {2014} }