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10.1186/s13054-016-1323-4

http://scihub22266oqcxt.onion/10.1186/s13054-016-1323-4
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C4862118!4862118!27160587
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suck abstract from ncbi


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pmid27160587      Crit+Care 2016 ; 20 (ä): ä
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  • Nighttime is associated with decreased survival and resuscitation efforts for out-of-hospital cardiac arrests: a prospective observational study #MMPMID27160587
  • Matsumura Y; Nakada Ta; Shinozaki K; Tagami T; Nomura T; Tahara Y; Sakurai A; Yonemoto N; Nagao K; Yaguchi A; Morimura N
  • Crit Care 2016[]; 20 (ä): ä PMID27160587show ga
  • Background: Whether temporal differences alter the clinical outcomes of patients with out-of-hospital cardiac arrest (OHCA) remains inconclusive. Furthermore, the relationship between time of day and resuscitation efforts is unknown. Methods: We studied adult OHCA patients in the Survey of Survivors after Out-of-Hospital Cardiac Arrest in the Kanto Region (SOS-KANTO) 2012 study from January 2012 to March 2013 in Japan. The primary variable was 1-month survival. The secondary outcome variables were prehospital and in-hospital resuscitation efforts by bystanders, emergency medical services personnel, and in-hospital healthcare providers. Daytime was defined as 0701 to 1500 h, evening was defined as 1501 to 2300 h, and night was defined as 2301 to 0700 h. Results: During the study period, 13,780 patients were included in the analysis. The patients with night OHCA had significantly lower 1-month survival compared to the patients with daytime OHCA (night vs. daytime, adjusted odds ratio (OR) 1.66; 95 % confidence interval (CI), 1.34?2.07; P?
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