{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T03:17:23Z","timestamp":1776309443322,"version":"3.50.1"},"reference-count":38,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2014,3,24]]},"abstract":"<jats:sec xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              The strategy to place public\u2010access automated external defibrillators (\n              <jats:styled-content style=\"fixed-case\">AED<\/jats:styled-content>\n              s) has not yet been established in real settings.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              This, prospective, population\u2010based observational study in Osaka, Japan, included consecutive out\u2010of\u2010hospital cardiac arrest (\n              <jats:styled-content style=\"fixed-case\">OHCA<\/jats:styled-content>\n              ) patients with resuscitation attempts during 7\u00a0years, from January 2005 through December 2011. The trends in the proportion of public\u2010access\n              <jats:styled-content style=\"fixed-case\">AED<\/jats:styled-content>\n              use and 1\u2010month survival with neurologically favorable outcome were evaluated by location. Factors associated with neurologically favorable outcome (defined as cerebral performance category 1 or 2) after ventricular fibrillation were also assessed using multiple logistic regression analysis. A total of 9453 bystander\u2010witnessed\n              <jats:styled-content style=\"fixed-case\">OHCA<\/jats:styled-content>\n              s of cardiac origin were documented and 894 (9.5%) of them occurred at public places. The proportion of public\u2010access\n              <jats:styled-content style=\"fixed-case\">AED<\/jats:styled-content>\n              use significantly increased from 0.0% (0\/20) in 2005 to 41.2% (7\/17) in 2011 at railway stations and from 0.0% (0\/7) to 56.5% (13\/23) at sports facilities. Mean time from collapse to shock was 5.0\u00a0minutes among those who received shocks with public\u2010access\n              <jats:styled-content style=\"fixed-case\">AED<\/jats:styled-content>\n              s. The proportion of neurologically favorable outcome was 28.0% (33\/118) at railway stations, 51.6% (48\/93) at sports facilities, 23.3% (20\/86) in public buildings, and 41.9% (13\/31) in schools. In multivariate analysis, early defibrillation, irrespective of bystander or emergency medical service (EMS) personnel, was significantly associated with neurologically favorable outcome (adjusted odds ratio for 1\u2010minute increment, 0.89; 95% confidence interval, 0.87 to 0.92).\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              This large, population\u2010based\n              <jats:styled-content style=\"fixed-case\">OHCA<\/jats:styled-content>\n              registry demonstrated that earlier shock, irrespective the shock provider (bystander or\n              <jats:styled-content style=\"fixed-case\">EMS<\/jats:styled-content>\n              personnel), contributed to improving outcome, and a public\u2010access defibrillation program was successfully implemented so that shocks with public\u2010access\n              <jats:styled-content style=\"fixed-case\">AED<\/jats:styled-content>\n              s were delivered to over 40% of bystander\u2010witnessed\n              <jats:styled-content style=\"fixed-case\">OHCA<\/jats:styled-content>\n              s and time to shock was shortened in some kinds of public places.\n            <\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.113.000533","type":"journal-article","created":{"date-parts":[[2014,4,23]],"date-time":"2014-04-23T06:36:51Z","timestamp":1398235011000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":104,"title":["Outcomes of Out\u2010of\u2010Hospital Cardiac Arrest by Public Location in the Public\u2010Access Defibrillation Era"],"prefix":"10.1161","volume":"3","author":[{"given":"Yukiko","family":"Murakami","sequence":"first","affiliation":[{"name":"Department of Preventive Services, Kyoto University School of Public Health, Kyoto, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Taku","family":"Iwami","sequence":"additional","affiliation":[{"name":"Department of Preventive Services, Kyoto University School of Public Health, Kyoto, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tetsuhisa","family":"Kitamura","sequence":"additional","affiliation":[{"name":"Division of Environmental Medicine and Population Sciences, Department of Social and Environmental Medicine, Osaka University Graduate School of Medicine, Suita, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chika","family":"Nishiyama","sequence":"additional","affiliation":[{"name":"Department of Pharmacoepidemiology, Kyoto University Graduate School of Medicine and Public Health, Kyoto, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tatsuya","family":"Nishiuchi","sequence":"additional","affiliation":[{"name":"Department of Acute Medicine, Kinki University Faculty of Medicine, Osaka\u2010Sayama, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasuyuki","family":"Hayashi","sequence":"additional","affiliation":[{"name":"Senri Critical Care Medical Center, Osaka Saiseikai Senri Hospital, Suita, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takashi","family":"Kawamura","sequence":"additional","affiliation":[{"name":"Department of Preventive Services, Kyoto University School of Public Health, Kyoto, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"the Utstein Osaka Project","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1161\/circulationaha.110.970897"},{"key":"e_1_3_5_3_2","unstructured":"Ambulance Service Planning Office of Fire and Disaster Management Agency of Japan . 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