Acute cardiac care & resuscitation

Characteristics, outcomes, and prognostic factors in patients with hanging-induced out-of-hospital cardiac arrest: An analysis of a nationwide registry in Japan

ResuscitationPublished Retrospective cohort study

Authors' conclusion

Prognosis following hanging-induced OHCAs was significantly worse compared to OHCAs of other causes.

Study context

Population
Adults ≥18 years with out-of-hospital cardiac arrest (OHCA), Japanese nationwide OHCA registry, 2021–20227,878 (3.0 %) hanging-induced
Participants
263,426 adults
Exposure
Hanging-induced OHCA vs OHCA of other causes
  • Hanging-induced OHCAn = 7,878
Outcome
Favourable neurological outcomes
Follow-up
1 month
Methodological detailspopulation-based, nationwide registry, multivariable logistic regression
  • Population-based
  • Nationwide registry
  • Multivariable logistic regression

Main finding

As reported in the abstract

1-month favourable neurological outcomes

Observational data: associations, not effects.

Further findings

Patient characteristics

Median age Hanging-induced OHCA 58 years · Other OHCA causes 81 years

Male

Witnessed

Initial shockable rhythm

Incidence of hanging-induced OHCA

Incidence
3.1 per 100,000 person-years

Prognostic factors for favourable neurological outcomes after hanging-induced OHCA · 1 month

%

Probability of favourable outcome with initial non-asystole rhythm and prehospital return of spontaneous circulation (ROSC)
11.1
Patients lacking these characteristics
97.1
Probability of favourable outcome in patients lacking these characteristics
0.1
Associated factors: younger age, witnessed arrest, initial non-asystole rhythm, prehospital ROSC

Original publication

Characteristics, outcomes, and prognostic factors in patients with hanging-induced out-of-hospital cardiac arrest: An analysis of a nationwide registry in Japan. Resuscitation. Published 30 November 2024. doi:10.1016/j.resuscitation.2024.110448

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