title: Report from the Japanese registry of CPR for in-hospital cardiac arrest (J-RCPR).
abstract: BACKGROUND
  In-hospital cardiopulmonary arrest (CPA) is an important issue, but data in Japan are limited.
  
  
  RESULTS
  To investigate in-hospital CPA, we conducted a prospective multicenter observational registry of in-hospital CPA and resuscitation in Japan (J-RCPR). During January 2008 to December 2009, patients were registered from 12 participating hospitals. All patients, visitors and employees within the facility campus who experience a cardiopulmonary resuscitation event defined as either a pulseless or a pulse with inadequate perfusion requiring chest compressions and/or defibrillation of ventricular fibrillation (VF) or pulseless ventricular tachycardia (VT) were registered. Data were collected in 6 major categories of variables: facility data, patient demographic data, pre-event data, event data, outcome data, and quality improvement data. Data for 491 adults were analyzed. The prevalence of pulseless VT/VF as first documented rhythm was 28.1%, asystole was 29.5% and pulseless electrical activity was 41.1%. Immediate causes of event were arrhythmia 30.6%, acute respiratory insufficiency 26.7%, and hypotension 15.7%. Return of spontaneous circulation was 64.7%; the proportion of survival 24h after CPA was 49.8%, the proportion of survival to hospital discharge was 27.8% and proportion of favorable neurological outcome at 30 days was 21.4%.
  
  
  CONCLUSIONS
  This is the first report of the registry for in-hospital CPA in Japan and shows that the registry provides important observational data.
authors: Division of Cardiac Care Unit, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, 5-7-1 Fujishirodai, Suita 565-8565, Japan. hiyokoya@hsp.ncvc.go.jp
authors: Hiroyuki
authors: H
authors: Yokoyama
authors: Naohiro
authors: N
authors: Yonemoto
authors: Kazuya
authors: K
authors: Yonezawa
authors: Jun
authors: J
authors: Fuse
authors: Naoki
authors: N
authors: Shimizu
authors: Toshimasa
authors: T
authors: Hayashi
authors: Teppei
authors: T
authors: Tsuji
authors: Kei
authors: K
authors: Yoshikawa
authors: Hiroya
authors: H
authors: Wakamatsu
authors: Nozomu
authors: N
authors: Otani
authors: Satoru
authors: S
authors: Sakuragi
authors: Masahiko
authors: M
authors: Fukusaki
authors: Hideki
authors: H
authors: Tanaka
authors: Hiroshi
authors: H
authors: Nonogi
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D016887:Cardiopulmonary Resuscitation; D004554:Electric Countershock; D005260:Female; D006323:Heart Arrest / Q000401:mortality* / Q000628:therapy*; D017052:Hospital Mortality; D006801:Humans; D007564:Japan / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D012042:Registries