Out-of-hospital cardiac arrest across the World: First report from the International Liaison Committee on Resuscitation (ILCOR).

Aged Cardiopulmonary Resuscitation Defibrillators Emergency Medical Services Female Humans Male Middle Aged Out-of-Hospital Cardiac Arrest / epidemiology Registries
Epidemiology Out-of-hospital cardiac arrest Registry Resuscitation Utstein template

Journal

Resuscitation
ISSN: 1873-1570
Titre abrégé: Resuscitation
Pays: Ireland
ID NLM: 0332173

Informations de publication

Date de publication:
07 2020
Historique:
received: 04 11 2019
revised: 07 02 2020
accepted: 24 02 2020
pubmed: 10 4 2020
medline: 22 6 2021
entrez: 10 4 2020
Statut: ppublish

Résumé

Since development of the Utstein style recommendations for the uniform reporting of cardiac arrest, increasing numbers of national and regional out-of-hospital cardiac arrest (OHCA) registries have been established worldwide. The International Liaison Committee on Resuscitation (ILCOR) created the Research and Registries Working Group and aimed to systematically report data collected from these registries. We conducted two surveys of voluntarily participating national and regional registries. The first survey aimed to identify which core elements of the current Utstein style for OHCA were collected by each registry. The second survey collected descriptive summary data from each registry. We chose the data collected for the second survey based on the availability of core elements identified by the first survey. Seven national and four regional registries were included in the first survey and nine national and seven regional registries in the second survey. The estimated annual incidence of emergency medical services (EMS)-treated OHCA was 30.0-97.1 individuals per 100,000 population. The combined data showed the median age varied from 64 to 79 years and more than half were male in all 16 registries. The provision of bystander cardiopulmonary resuscitation (CPR) and bystander automated external defibrillator (AED) use was 19.1-79.0% in all registries and 2.0-37.4% among 11 registries, respectively. Survival to hospital discharge or 30-day survival after EMS-treated OHCA was 3.1-20.4% across all registries. Favorable neurological outcome at hospital discharge or 30 days after EMS-treated OHCA was 2.8-18.2%. Survival to hospital discharge or 30-day survival after bystander-witnessed shockable OHCA ranged from 11.7% to 47.4% and favorable neurological outcome from 9.9% to 33.3%. This report from ILCOR describes data on systems of care and outcomes following OHCA from nine national and seven regional registries across the world. We found variation in reported survival outcomes and other core elements of the current Utstein style recommendations for OHCA across nations and regions.

Sections du résumé

BACKGROUND
Since development of the Utstein style recommendations for the uniform reporting of cardiac arrest, increasing numbers of national and regional out-of-hospital cardiac arrest (OHCA) registries have been established worldwide. The International Liaison Committee on Resuscitation (ILCOR) created the Research and Registries Working Group and aimed to systematically report data collected from these registries.
METHODS
We conducted two surveys of voluntarily participating national and regional registries. The first survey aimed to identify which core elements of the current Utstein style for OHCA were collected by each registry. The second survey collected descriptive summary data from each registry. We chose the data collected for the second survey based on the availability of core elements identified by the first survey.
RESULTS
Seven national and four regional registries were included in the first survey and nine national and seven regional registries in the second survey. The estimated annual incidence of emergency medical services (EMS)-treated OHCA was 30.0-97.1 individuals per 100,000 population. The combined data showed the median age varied from 64 to 79 years and more than half were male in all 16 registries. The provision of bystander cardiopulmonary resuscitation (CPR) and bystander automated external defibrillator (AED) use was 19.1-79.0% in all registries and 2.0-37.4% among 11 registries, respectively. Survival to hospital discharge or 30-day survival after EMS-treated OHCA was 3.1-20.4% across all registries. Favorable neurological outcome at hospital discharge or 30 days after EMS-treated OHCA was 2.8-18.2%. Survival to hospital discharge or 30-day survival after bystander-witnessed shockable OHCA ranged from 11.7% to 47.4% and favorable neurological outcome from 9.9% to 33.3%.
CONCLUSION
This report from ILCOR describes data on systems of care and outcomes following OHCA from nine national and seven regional registries across the world. We found variation in reported survival outcomes and other core elements of the current Utstein style recommendations for OHCA across nations and regions.

Identifiants

DOI: 10.1016/j.resuscitation.2020.02.044 PMID: 32272235
pubmed: 32272235
pii: S0300-9572(20)30129-5
doi: 10.1016/j.resuscitation.2020.02.044
pii:
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

39-49

Informations de copyright

Copyright © 2020. Published by Elsevier B.V.

Auteurs

Tekeyuki Kiguchi (T)

Kyoto University Health Service, Kyoto, Japan.

Masashi Okubo (M)

Department of Emergency Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.

Chika Nishiyama (C)

Department of Critical Care Nursing, Kyoto University Graduate School of Human Health Science, Kyoto, Japan.

Ian Maconochie (I)

Department of Emergency Medicine, Division of Medicine, Imperial College London, London, UK.

Marcus Eng Hock Ong (MEH)

Health Services & Systems Research, Duke-NUS Medical School, Singapore; Department of Emergency Medicine, Singapore General Hospital, Singapore.

Karl B Kern (KB)

Division of Cardiology, University of Arizona, Sarver Heart Center, Tucson, AZ, USA.

Myra H Wyckoff (MH)

Division of Neonatal-Perinatal Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA.

Bryan McNally (B)

Department of Emergency Medicine, Emory University School of Medicine, Atlanta, GA, USA.

Erika F Christensen (EF)

Center for Prehospital and Emergency Research, Aalborg University and Aalborg University Hospital, Aalborg, Denmark.

Ingvild Tjelmeland (I)

Norwegian National Advisory Unit on Prehospital Emergency Medicine (NAKOS), Division of Prehospital Services, Oslo University Hospital, Oslo, Norway.

Johan Herlitz (J)

University of Borås, Sahlgrenska University Hospital, Göteborg, Sweden.

Gavin D Perkins (GD)

Warwick Medical School and University Hospitals Birmingham NHS Foundation Trust, UK.

Scott Booth (S)

Warwick Medical School, University of Warwick, Coventry, UK.

Judith Finn (J)

School of Nursing, Midwifery and Paramedicine, Curtin University, WA, Australia; University of Western Australia, WA, Australia; Department of Epidemiology and Preventive Medicine, Monash University, VIC, Australia.

Nur Shahidah (N)

Department of Emergency Medicine, Singapore General Hospital, Singapore.

Sang Do Shin (SD)

Department of Emergency Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.

Bentley J Bobrow (BJ)

Department of EMS, McGovern Medical School at UT Health, Houston, TX, USA.

Laurie J Morrison (LJ)

Rescu, Li Ka Shing Knowledge Institute, St. Michael's Hospital and Division of Emergency Medicine, Department of Medicine, University of Toronto, Toronto, Ontario, Canada.

Ari Salo (A)

Emergency Medical Services, Department of Emergency Medicine, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.

Enrico Baldi (E)

Division of Cardiology, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy; Department of Molecular Medicine, Section of Cardiology, University of Pavia, Pavia, Italy.

Roman Burkart (R)

Fondazione Ticino Cuore, Lugano, Switzerland.

Chih-Hao Lin (CH)

Department of Emergency Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.

Xavier Jouven (X)

Department of Cardiology, Georges Pompidou European Hospital, Assistance Publique Hôpitaux de Paris, Paris, France.

Jasmeet Soar (J)

Intensive Care Medicine, Southmead Hospital, North Bristol NHS Trust, UK.

Jerry P Nolan (JP)

Warwick Medical School, University of Warwick, Coventry and Department of Anaesthesia and Intensive Care Medicine, Royal United Hospital, Bath, UK.

Taku Iwami (T)

Kyoto University Health Service, Kyoto, Japan. Electronic address: iwami.taku.8w@kyoto-u.ac.jp.

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Sujet âgé › Out-of-hospital cardiac arrest across the...
questionsmedicales.fr › Thérapeutique › Traitement d'urgence › Réanimation › Réanimation cardiopulmonaire › Out-of-hospital cardiac arrest across the...
questionsmedicales.fr › Équipement et fournitures › Équipement et fournitures électriques › Électrodes › Défibrillateurs › Out-of-hospital cardiac arrest across the...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Services des urgences médicales › Out-of-hospital cardiac arrest across the...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Out-of-hospital cardiac arrest across the...
questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Adulte d'âge moyen › Out-of-hospital cardiac arrest across the...
questionsmedicales.fr › Maladies cardiovasculaires › Cardiopathies › Arrêt cardiaque › Arrêt cardiaque hors hôpital › Out-of-hospital cardiac arrest across the...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Collecte de données › Enregistrements › Out-of-hospital cardiac arrest across the...