Cardiac Arrest and Cardiopulmonary Resuscitation Outcome Reports: Update of the Utstein Resuscitation Registry Templates for Out-of-Hospital Cardiac Arrest A Statement for Healthcare Professionals From a Task Force of the International Liaison Committee on Resuscitation (American Heart Association, European Resuscitation Council, Australian and New Zealand Council on Resuscitation, Heart and Stroke Foundation of Canada, InterAmerican Heart Foundation, Resuscitation Council of Southern Africa, Resuscitation Council of Asia); and the American Heart Association Emergency Cardiovascular Care Committee and the Council on Cardiopulmonary, Critical Care, Perioperative and Resuscitation

被引：958

作者：

Perkins, Gavin D. ^{[1
,2
]}

Jacobs, Ian G. ^{[13
]}

Nadkarni, Vinay M. ^{[3
]}

Berg, Robert A. ^{[3
]}

Bhanji, Farhan ^{[4
]}

Biarent, Dominique ^{[5
]}

Bossaert, Leo L. ^{[6
]}

Brett, Stephen J. ^{[7
]}

Chamberlain, Douglas ^{[8
]}

de Caen, Allan R. ^{[9
,10
]}

Deakin, Charles D. ^{[11
]}

Finn, Judith C. ^{[13
]}

Graesner, Jan-Thorsten ^{[14
]}

Hazinski, Mary Fran ^{[15
]}

Iwami, Taku ^{[17
]}

Koster, Rudolph W. ^{[18
]}

Lim, Swee Han ^{[12
]}

Ma, Matthew Huei-Ming ^{[16
]}

McNally, Bryan F. ^{[19
]}

Morley, Peter T. ^{[21
]}

Morrison, Laurie J. ^{[22
]}

Monsieurs, Koenraad G. ^{[20
]}

Montgomery, William

Nichol, Graham ^{[23
]}

Okada, Kazuo ^{[25
]}

Ong, Marcus Eng Hock ^{[12
]}

Travers, Andrew H. ^{[26
]}

Nolan, Jerry P. ^{[24
]}

机构：

[1] Warwick Med Sch, Coventry, W Midlands, England

[2] Heart England NHS Fdn Trust, Birmingham, W Midlands, England

[3] Childrens Hosp Philadelphia, Philadelphia, PA USA

[4] McGill Univ, Montreal, PQ H3A 2T5, Canada

[5] Hop Univ Enfants Reine Fabiola, Brussels, Belgium

[6] Univ Antwerp, Antwerp, Belgium

[7] Imperial Coll London, London, England

[8] Univ Wales Coll Cardiff, Coll Med, Cardiff CF1 3NS, S Glam, Wales

[9] Univ Alberta, Edmonton, AB T6G 2M7, Canada

[10] Stollery Childrens Hosp, Edmonton, AB, Canada

[11] NIHR Southampton Resp Biomed Res Unit, Southampton, Hants, England

[12] Singapore Gen Hosp, Singapore, Singapore

[13] Curtin Univ, Bentley, WA, Australia

[14] Univ Kiel, Kiel, Germany

[15] Vanderbilt Univ, Nashville, TN USA

[16] Natl Taiwan Univ Hosp, Taipei, Taiwan

[17] Kyoto Univ, Hlth Serv, Kyoto 6068501, Japan

[18] Acad Med Ctr, Amsterdam, Netherlands

[19] Emory Univ, Sch Med, Rollins Sch Publ Hlth, Atlanta, GA 30322 USA

[20] Univ Antwerp Hosp, Edegem, Belgium

[21] Univ Melbourne, Melbourne, Vic 3010, Australia

[22] St Michaels Hosp, Li Ka Shing Knowledge Inst, Rescu, Toronto, ON, Canada

[23] Univ Washington, Seattle, WA 98195 USA

[24] Royal United Hosp, Bath BA1 3NG, Avon, England

[25] Resuscitat Council Asia, Singapore, Singapore

[26] Emergency Hlth Serv, Halifax, NS, Canada

来源：

CIRCULATION | 2015年 / 132卷 / 13期

基金：

澳大利亚国家健康与医学研究理事会;

关键词：

AHA Scientific Statements; cardiac arrest; cardiopulmonary resuscitation; out-of-hospital cardiac arrest; registry; resuscitation; Utstein; PUBLIC-ACCESS DEFIBRILLATION; RECOMMENDED GUIDELINES; CONDUCTING RESEARCH; SCIENTIFIC STATEMENT; SURVIVAL; QUALITY; STYLE; POPULATION; MANAGEMENT; ACCURACY;

D O I：

10.1161/CIR.0000000000000144

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Utstein-style guidelines contribute to improved public health internationally by providing a structured framework with which to compare emergency medical services systems. Advances in resuscitation science, new insights into important predictors of outcome from out-of-hospital cardiac arrest, and lessons learned from methodological research prompted this review and update of the 2004 Utstein guidelines. Representatives of the International Liaison Committee on Resuscitation developed an updated Utstein reporting framework iteratively by meeting face to face, by teleconference, and by Web survey during 2012 through 2014. Herein are recommendations for reporting out-of-hospital cardiac arrest. Data elements were grouped by system factors, dispatch/recognition, patient variables, resuscitation/postresuscitation processes, and outcomes. Elements were classified as core or supplemental using a modified Delphi process primarily based on respondents' assessment of the evidence-based importance of capturing those elements, tempered by the challenges to collect them. New or modified elements reflected consensus on the need to account for emergency medical services system factors, increasing availability of automated external defibrillators, data collection processes, epidemiology trends, increasing use of dispatcher-assisted cardiopulmonary resuscitation, emerging field treatments, postresuscitation care, prognostication tools, and trends in organ recovery. A standard reporting template is recommended to promote standardized reporting. This template facilitates reporting of the bystander-witnessed, shockable rhythm as a measure of emergency medical services system efficacy and all emergency medical services system-treated arrests as a measure of system effectiveness. Several additional important subgroups are identified that enable an estimate of the specific contribution of rhythm and bystander actions that are key determinants of outcome.

引用

页码：1286 / 1300

页数：15

共 66 条

[1] Improving the quality of reporting of randomized controlled trials - The CONSORT statement [J].

Begg, C ;

Cho, M ;

Eastwood, S ;

Horton, R ;

Moher, D ;

Olkin, I ;

Pitkin, R ;

Rennie, D ;

Schulz, KF ;

Simel, D ;

Stroup, DF .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1996, 276 (08) :637-639

[2] Global incidences of out-of-hospital cardiac arrest and survival rates: Systematic review of 67 prospective studies [J].

Berdowski, Jocelyn ;

Berg, Robert A. ;

Tijssen, Jan G. P. ;

Koster, Rudolph W. .

RESUSCITATION, 2010, 81 (11) :1479-1487

[3] In patients with out-of-hospital cardiac arrest, does the provision of dispatch cardiopulmonary resuscitation instructions as opposed to no instructions improve outcome: A systematic review of the literature [J].

Bohm, Katarina ;

Vaillancourt, Christian ;

Charette, Manya L. ;

Dunford, James ;

Castren, Maaret .

RESUSCITATION, 2011, 82 (12) :1490-1495

[4]

Brabrand M, 2012, DAN MED J, V59

[5] Reporting of data from out-of-hospital cardiac arrest has to involve emergency medical dispatching-Taking the recommendations on reporting OHCA the Utstein style a step further [J].

Castren, M. ;

Bohm, K. ;

Kvam, A. M. ;

Bovim, E. ;

Christensene, E. F. ;

Steen-Hansen, J. -E. ;

Karlsten, R. .

RESUSCITATION, 2011, 82 (12) :1496-1500

[6] Recommended guidelines for reporting on emergency medical dispatch when conducting research in emergency medicine: The Utstein style [J].

Castren, M. ;

Karlsten, R. ;

Lippert, F. ;

Christensen, E. F. ;

Bovim, E. ;

Kvam, A. M. ;

Robertson-Steel, I. ;

Overton, J. ;

Kraft, T. ;

Engerstrom, L. ;

Garcia-Castrill Riego, L. .

RESUSCITATION, 2008, 79 (02) :193-197

[7] Education in resuscitation - An ILCOR Symposium - Utstein Abbey - Stavanger, Norway - June 22-24, 2001 [J].

Chamberlain, DA ;

Hazinski, MF .

CIRCULATION, 2003, 108 (20) :2575-2594

[8] Changing incidence,of out-of-hospital ventricular fibrillation. 1980-2000 [J].

Cobb, LA ;

Fahrenbruch, CE ;

Olsufka, M ;

Copass, MK .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2002, 288 (23) :3008-3013

[9] THE UTSTEIN ABBEY AND SURVIVAL FROM CARDIAC-ARREST - WHAT IS THE CONNECTION [J].

CUMMINS, RO ;

CHAMBERLAIN, DA .

ANNALS OF EMERGENCY MEDICINE, 1991, 20 (08) :918-919

CUMMINS, RO ;

CHAMBERLAIN, DA ;

ABRAMSON, NS ;

ALLEN, M ;

BASKETT, PJ ;

BECKER, L ;

BOSSAERT, L ;

DELOOZ, HH ;

DICK, WF ;

EISENBERG, MS ;

EVANS, TR ;

HOLMBERG, S ;

KERBER, R ;

MULLIE, A ;

ORNATO, JP ;

SANDOE, E ;

SKULBERG, A ;

TUNSTALLPEDOE, H ;

SWANSON, R ;

THIES, WH .

CIRCULATION, 1991, 84 (02) :960-975

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