Publications by authors named "A Onoe"
Background: Few prediction models for individuals with early-stage out-of-hospital cardiac arrest (OHCA) have undergone external validation. This study aimed to externally validate updated prediction models for OHCA outcomes using a large nationwide dataset.
Methods And Results: We performed a secondary analysis of the JAAM-OHCA (Comprehensive Registry of In-Hospital Intensive Care for Out-of-Hospital Cardiac Arrest Survival and the Japanese Association for Acute Medicine Out-of-Hospital Cardiac Arrest) registry.
Background: Prehospital identification of futile resuscitation efforts (defined as a predicted probability of survival lower than 1%) for out-of-hospital cardiac arrest (OHCA) may reduce unnecessary transport. Reliable prediction variables for OHCA 'termination of resuscitation' (TOR) rules are needed to guide treatment decisions. The Universal TOR rule uses only three variables (Absence of Prehospital ROSC, Event not witnessed by EMS and no shock delivered on the scene) has been externally validated and is used by many EMS systems.
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- ECPR is being explored as a potential life-saving treatment for patients who experience out-of-hospital cardiac arrest (OHCA), focusing on how it impacts survival and brain function outcomes.
- The study analyzed data from a large registry, comparing ECPR-treated patients with a control group and considering factors like initial heart rhythm (shockable vs. non-shockable) to evaluate the effectiveness of ECPR.
- Results indicated that ECPR significantly improved survival rates after 30 days, particularly for patients with non-shockable rhythms, suggesting further research is needed to explore its full potential and identify the best candidates for this treatment.
Article Synopsis
- * The research used data from a Japanese registry and found 2738 applicable patients from a larger group of 57,754 who had non-traumatic shockable OHCA.
- * Results indicated that while IABP appeared less effective in the original analysis, using a different statistical approach showed no significant difference in favorable outcomes between patients with and without IABP.
Efficacy of the shoelace technique for extremity fasciotomy wounds due to compartment syndrome.
BMC Musculoskelet Disord
September 2023
Background: The shoelace technique for compartment syndrome allows application of sustained tightening tension to an entire wound and intermittent tightening of the shoelace without requiring its replacement or anesthesia. We retrospectively evaluated the usefulness of the shoelace technique in the management of extremity fasciotomy wounds before and after its introduction in our institution.
Methods: We targeted 25 patients who were diagnosed as having compartment syndrome and underwent extremity fasciotomy at our hospital from April 2012 to December 2021.