Stepwise multiple logistic regression analysis.

<p>Stepwise multiple logistic regression analysis.</p

Preceding physical and emotional stresses displayed by gender.

<p>Preceding physical and emotional stresses displayed by gender.</p

Electrocardiographic findings, echocardiographic findings, and laboratory data.

<p>Electrocardiographic findings, echocardiographic findings, and laboratory data.</p

Additional file 1: of Subsequent shock deliveries are associated with increased favorable neurological outcomes in cardiac arrest patients who had initially non-shockable rhythms

Presents a list of institutional review boards. (PDF 77 kb

Differences in clinical variables between patients with a composite cardiac event and those without an event.

<p>Differences in clinical variables between patients with a composite cardiac event and those without an event.</p

Cardiac complications and cardiopulmonary supportive therapies are shown by gender.

<p>Composite cardiac events are defined as cardiovascular death, severe pump failure, or serious ventricular arrhythmias (such as ventricular tachycardia/ventricular fibrillation (VT/VF)). Killip: Killip Class; ventricular arrhythmias: VT/VF; respiratory support: mechanical ventilation or non-invasive positive pressure ventilation; IABP: intra-aortic balloon pump; PMI/ICD: implantation of pacemaker or cardioverter-defibrillator; AF/AFL: atrial fibrillation or flutter. *<i>P</i> value: < 0.05.</p

Patient Characteristics.

<p>^a Physical stress included acute respiratory failure, central nervous system disorders, infection, post-surgery, trauma, etc.</p><p>Patient Characteristics.</p

Additional file 1: Table E1. of Nighttime is associated with decreased survival and resuscitation efforts for out-of-hospital cardiac arrests: a prospective observational study

The List of institutional reviewer boards approved the SOS-KANTO 2012 study. Online data supplement. (DOC 42 kb

Time Interval from Symptom Onset to Hospital Care in Patients with Acute Heart Failure: A Report from the Tokyo Cardiac Care Unit Network Emergency Medical Service Database

<div><p>Aims</p><p>There seems to be two distinct patterns in the presentation of acute heart failure (AHF) patients; early- vs. gradual-onset. However, whether time-dependent relationship exists in outcomes of patients with AHF remains unclear.</p><p>Methods</p><p>The Tokyo Cardiac Care Unit Network Database prospectively collects information of emergency admissions via EMS service to acute cardiac care facilities from 67 participating hospitals in the Tokyo metropolitan area. Between 2009 and 2011, a total of 3811 AHF patients were registered. The documentation of symptom onset time was mandated by the on-site ambulance team. We divided the patients into two groups according to the median onset-to-hospitalization (OH) time for those patients (2h); early- (presenting ≤2h after symptom onset) vs. gradual-onset (late) group (>2h). The primary outcome was in-hospital mortality.</p><p>Results</p><p>The early OH group had more urgent presentation, as demonstrated by a higher systolic blood pressure (SBP), respiratory rate, and higher incidence of pulmonary congestion (48.6% vs. 41.6%; <i>P</i><0.001); whereas medical comorbidities such as stroke (10.8% vs. 7.9%; <i>P</i><0.001) and atrial fibrillation (30.0% vs. 26.0%; <i>P</i><0.001) were more frequently seen in the late OH group. Overall, 242 (6.5%) patients died during hospitalization. Notably, a shorter OH time was associated with a better in-hospital mortality rate (odds ratio, 0.71; 95% confidence interval, 0.51−0.99; <i>P</i> = 0.043).</p><p>Conclusions</p><p>Early-onset patients had rather typical AHF presentations (e.g., higher SBP or pulmonary congestion) but had a better in-hospital outcome compared to gradual-onset patients.</p></div

Distribution of onset-to-hospitalization (OH) time.

<p>The median of OH time was 2 hours in AHF patients transferred through an ambulance.</p