Quality indicators for post-resuscitation care after out-of-hospital cardiac arrest: a joint statement from the Association for Acute Cardiovascular Care of the European Society of Cardiology, the European Resuscitation Council, the European Society of Intensive Care Medicine, and the European Society for Emergency Medicine

被引：6

作者：

Grand, Johannes ^{[1
,2
]}

Schiele, Francois ^{[3
]}

Hassager, Christian ^{[2
]}

Nolan, Jerry P. ^{[4
,5
]}

Khoury, Abdo ^{[6
,7
]}

Sionis, Alessandro ^{[8
,9
]}

Nikolaou, Nikolaos ^{[10
]}

Donadello, Katia ^{[11
,12
]}

Behringer, Wilhelm ^{[13
]}

Boettiger, Bernd W. ^{[14
,15
,16
,17
]}

Combes, Alain ^{[18
,19
]}

Quinn, Tom ^{[20
,21
]}

Price, Susanna ^{[22
,23
,24
]}

Jorge-Perez, Pablo ^{[25
]}

Tavazzi, Guido ^{[26
]}

Ristagno, Giuseppe ^{[27
,28
]}

Cariou, Alain ^{[29
]}

Cudraz, Eric Bonnefoy ^{[30
]}

机构：

[1] Univ Hosp Copenhagen, Amager Hvidovre Hosp, Dept Cardiol, Copenhagen, Denmark

[2] Univ Hosp Copenhagen, Heart Ctr, Dept Cardiol, Rigshosp, Copenhagen, Denmark

[3] Besancon Univ Hosp, Cardiol Dept, Besancon, France

[4] Univ Warwick, Warwick Med Sch, Coventry, England

[5] Royal United Hosp, Dept Anaesthesia & Intens Care Med, Bath, England

[6] Besancon Univ Hosp, Dept Emergency Med & Crit Care, Besancon, France

[7] Besancon Univ Hosp, INSERM CIC 1431, Besancon, France

[8] Univ Autonoma Barcelona, Hosp Sant Pau, Cardiol Dept, Intens Cardiac Care Unit,IIB Sant Pau, Barcelona, Spain

[9] Ctr Invest Biomed Red Enfermedades Cardiovasc, CIBE, CV, Madrid, Spain

[10] Konstantopouleio Gen Hosp, Cardiol Dept, Intens Cardiac Care Unit, Dept Med Univ Urgences & Reanimat,UFR Med, Athens, Greece

[11] Univ Verona, Univ Hosp Integrated Trust Verona, Dept Anesthesia & Intens Care Med B, AOUI,Policlin GB Rossi, Ple L Scuro, Verona, Italy

[12] Univ Verona, Univ Hosp Integrated Trust Verona, Dept Surg Dent Gynaecol & Paediat, AOUI,Policlin GB Rossi, Ple L Scuro, Verona, Italy

[13] Med Univ Vienna, Dept Emergency Med, Vienna, Austria

[14] Univ Cologne, Univ Hosp, Cologne, Germany

[15] Univ Cologne, Med Fac, Cologne, Germany

[16] European Resuscitat Council ERC, Niel, Belgium

[17] German Resusc Council GRC, Ulm, Germany

[18] Sorbonne Univ, Inst Cardiometab & Nutr, INSERM, Unite Mixte Rech UMRS 1166, Paris, France

[19] Sorbonne Univ, Hop Pitie Salpetriere, Assistance Publ Hop Paris, Inst Cardiometab & Nutr,INSERM,UMRS 1166,ICAN,Ser, Paris, France

[20] St Georges Univ London, London, England

[21] Kingston Univ, London, England

[22] Royal Brompton & Harefield Hosp, Dept Cardiol, London, England

[23] Royal Brompton & Harefield Hosp, Dept Crit Care, London, England

[24] Imperial Coll London, Natl Heart & Lung Inst, London, England

[25] Canary Isl Univ Hosp, Dept Cardiol, Santa Cruz De Tenerife 38320, Spain

[26] Univ Pavia, Intens Care, Pavia, Italy

[27] Fdn IRCCS CaGranda Osped Maggiore Policlin, Dept Anesthesiol Intens Care & Emergency, Milan, Italy

[28] Univ Milan, Dept Pathophysiol & Transplantat, Milan, Italy

[29] Univ Paris, APHP Ctr, Fac Sante, Dpt Med Univ Urgences & Reanimat,UFR Med, Paris, France

[30] Hospices Civils Lyon, Serv Urgences & Soins Crit Cardiolog, Hop Cardiovasculaire & Pneumolog, Lyon, France

来源：

EUROPEAN HEART JOURNAL-ACUTE CARDIOVASCULAR CARE | 2023年 / 12卷 / 03期

关键词：

Quality of care; Acute cardiovascular care; Quality indicators; Cardiac arrest; Resuscitation; Intensive care; Post-resuscitation care; ELEVATION MYOCARDIAL-INFARCTION; TARGETED TEMPERATURE MANAGEMENT; 2020 INTERNATIONAL CONSENSUS; MEAN ARTERIAL-PRESSURE; ST-ELEVATION; PERFORMANCE-MEASURES; AMERICAN-COLLEGE; POSITION PAPER; TASK-FORCE; CARDIOPULMONARY-RESUSCITATION;

D O I：

10.1093/ehjacc/zuad006

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Aims Quality of care (QoC) is a fundamental tenet of modern healthcare and has become an important assessment tool for healthcare authorities, stakeholders and the public. However, QoC is difficult to measure and quantify because it is a multifactorial and multidimensional concept. Comparison of clinical institutions can be challenging when QoC is estimated solely based on clinical outcomes. Thus, measuring quality through quality indicators (QIs) can provide a foundation for quality assessment and has become widely used in this context. QIs for the evaluation of QoC in acute myocardial infarction are now well-established, but no such indicators exist for the process from resuscitation of cardiac arrest and post-resuscitation care in Europe. Methods and results The Association of Acute Cardiovascular Care of the European Society Cardiology, the European Resuscitation Council, European Society of Intensive Care Medicine and the European Society for Emergency Medicine, have reflected on the measurement of QoC in cardiac arrest. A set of QIs have been proposed, with the scope to unify and evolve QoC for the management of cardiac arrest across Europe. Conclusion We present here the list of QIs (6 primary QIs and 12 secondary Qis), with descriptions of the methodology used, scientific justification and motives for the choice for each measure with the aim that this set of QIs will enable assessment of the quality of postout-of-hospital cardiac arrest management across Europe.

引用

页码：197 / 210

页数：14

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