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Public-Access Defibrillation and Out-of-Hospital Cardiac Arrest in Japan.

N Engl J Med

October 2016

From the Division of Environmental Medicine and Population Sciences, Department of Social and Environmental Medicine, Graduate School of Medicine, Osaka University, Osaka (T. Kitamura), the Department of Public Health, Tokyo Women's Medical University, Tokyo (K.K.), the Department of Traumatology and Acute Critical Medicine, Osaka University Graduate School of Medicine, Suita (T. Sakai), and the Department of Emergency Medicine, Kyoto Prefectural University of Medicine (T.M.), Kyoto University Health Service (T.H., T. Shimamoto, J.I., T.F., T. Kawamura, T.I.), and the Department of Critical Care Nursing, Graduate School of Medicine and School of Health Sciences, Kyoto University (C.N.), Kyoto - all in Japan.

Background: Early defibrillation plays a key role in improving survival in patients with out-of-hospital cardiac arrests due to ventricular fibrillation (ventricular-fibrillation cardiac arrests), and the use of publicly accessible automated external defibrillators (AEDs) can help to reduce the time to defibrillation for such patients. However, the effect of dissemination of public-access AEDs for ventricular-fibrillation cardiac arrest at the population level has not been extensively investigated.

Methods: From a nationwide, prospective, population-based registry of patients with out-of-hospital cardiac arrest in Japan, we identified patients from 2005 through 2013 with bystander-witnessed ventricular-fibrillation arrests of presumed cardiac origin in whom resuscitation was attempted.

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