Cardiac arrest and cardiopulmonary resuscitation outcome reports: update and simplification of the Utstein templates for resuscitation registries. A statement for healthcare professionals from a task force of the international liaison committee on resuscitation (American Heart Association, European Resuscitation Council, Australian Resuscitation Council, New Zealand Resuscitation Council, Heart and Stroke Foundation of Canada, InterAmerican Heart Foundation, Resuscitation Council of Southern Africa)
Ian N. Jacobs,Vinay M. Nadkarni,J. Bahr,Robert A. Berg,John E. Billi,Leo Bossaert,Pascal Cassan,Ashraf Coovadia,Kate D'Este,Judith Finn,Henry R. Halperin,Anthony J. Handley,Johan Herlitz,Robert W. Hickey,Ahamed H. Idris,Walter Kloeck,Gregory Luke Larkin,Mary E. Mancini,Pip Mason,Gregory Mears,Koenraad G. Monsieurs,William H. Montgomery,Peter T. Morley,Graham Nichol,Jerry P. Nolan,Kazuo Okada,Jeffrey M. Perlman,Michael Shuster,Petter Steen,Fritz Sterz,J. Tibballs,Sergio Timerman,Tanya Lane Truitt,D. Zideman +33 more
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A task force of the International Liaison Committee on Resuscitation (ILCOR) met in Melbourne, Australia, to review worldwide experience with the Utstein definitions and reporting templates as mentioned in this paper.Abstract:
Outcome after cardiac arrest and cardiopulmonary resuscitation is dependent on critical interventions, particularly early defibrillation, effective chest compressions, and advanced life support. Utstein-style definitions and reporting templates have been used extensively in published studies of cardiac arrest, which has led to greater understanding of the elements of resuscitation practice and progress toward international consensus on science and resuscitation guidelines. Despite the development of Utstein templates to standardize research reports of cardiac arrest, international registries have yet to be developed. In April 2002, a task force of the International Liaison Committee on Resuscitation (ILCOR) met in Melbourne, Australia, to review worldwide experience with the Utstein definitions and reporting templates. The task force revised the core reporting template and definitions by consensus. Care was taken to build on previous definitions, changing data elements and operational definitions only on the basis of published data and experience derived from those registries that have used Utstein-style reporting. Attention was focused on decreasing the complexity of the existing templates and addressing logistical difficulties in collecting specific core and supplementary (ie, essential and desirable) data elements recommended by previous Utstein consensus conferences. Inconsistencies in terminology between in-hospital and out-of-hospital Utstein templates were also addressed. The task force produced a reporting tool for essential data that can be used for both quality improvement (registries) and research reports and that should be applicable to both adults and children. The revised and simplified template includes practical and succinct operational definitions. It is anticipated that the revised template will enable better and more accurate completion of all reports of cardiac arrest and resuscitation attempts. Problems with data definition, collection, linkage, confidentiality, management, and registry implementation are acknowledged and potential solutions offered. Uniform collection and tracking of registry data should enable better continuous quality improvement within every hospital, emergency medical services system, and community.read more
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CaRdiac Arrest Survival Score (CRASS) - A tool to predict good neurological outcome after out-of-hospital cardiac arrest.
Stephan Seewald,Jan Wnent,Rolf Lefering,Matthias Fischer,Andreas Bohn,Tanja Jantzen,Sigrid Brenner,Siobhán Masterson,B. Bein,Jens Scholz,Jan-Thorsten Gräsner +10 more
TL;DR: The CaRdiac Arrest Survival Score (CRASS) represents a tool for calculating the probability of survival with good neurological function for patients brought to hospital following OHCA.
Journal ArticleDOI
Determinants of cognitive outcome in survivors of out-of-hospital cardiac arrest.
Marte Ørbo,Per M. Aslaksen,Kristina Larsby,Lena Norli,Christoph Schäfer,Pål M. Tande,Torgil Riise Vangberg,Audny Anke +7 more
TL;DR: Shorter coma duration and induced hypothermia treatment were associated with favourable cognitive outcomes in the participating survivors three months after OHCA, and cognitive outcome was normal in more than half of the survivors.
Journal ArticleDOI
Neurophysiological prediction of neurological good and poor outcome in post-anoxic coma.
Antonello Grippo,Riccardo Carrai,Maenia Scarpino,M. Spalletti,Giovanni Lanzo,C. Cossu,Adriano Peris,Serafina Valente,Aldo Amantini +8 more
TL;DR: Investigation of the utility of association between electroencephalogram (EEG) and somatosensory‐evoked potentials (SEPs) for the prediction of neurological outcome in comatose patients resuscitated after cardiac arrest treated with therapeutic hypothermia according to different recording times after CA.
Journal ArticleDOI
Emergency cardio-pulmonary bypass in cardiac arrest: Seventeen years of experience
Christian Wallmüller,Fritz Sterz,Christoph Testori,Andreas Schober,Peter Stratil,David Hörburger,Mathias Stöckl,Christoph Weiser,Danica Kricanac,Daniel Zimpfer,Zeno Deckert,Michael Holzer +11 more
TL;DR: E-CPB for cardiac arrest is feasible and safe and should be considered more often and earlier in this seemingly desperate patient population after prolonged cardiac arrest, where a high survival rate is observed.
Journal ArticleDOI
Outcome in transferred and nontransferred patients after primary percutaneous coronary intervention for ischaemic out-of-hospital cardiac arrest.
Hans O. Peels,G. A. J. Jessurun,Iwan C. C. van der Horst,Alfons E. R. Arnold,Lieuwe H. Piers,Felix Zijlstra +5 more
TL;DR: The impact of transfer from a referral hospital to a center with primary percutaneous coronary intervention (PCI) facilities of ST‐segment elevation myocardial infarction (STEMI) patients after successful cardiopulmonary resuscitation (CPR) is evaluated.
References
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Treatment of Comatose Survivors of Out-of-Hospital Cardiac Arrest with Induced Hypothermia
A. B Ernard,Imothy W. G Ray,D. B Uist,M. J Ones,W Illiam S Ilvester,G Eoff G Utteridge,K Aren S Mith +6 more
TL;DR: This randomized, controlled trial compared the effects of moderate hypothermia and normothermia in patients who remained unconscious after resuscitation from out-of-hospital cardiac arrest to survive to hospital discharge and be discharged to home or to a rehabilitation facility.
Journal ArticleDOI
Mild therapeutic hypothermia to improve the neurologic outcome after cardiac arrest
Michael Holzer,Fritz Sterz,J. M. Darby,S. A. Padosch,Karl B. Kern,Bernd W. Böttiger,Kees H. Polderman,Armand R. J. Girbes,Michael Holzer,Stephen Bernard,M. D. Buist,Peter Safar,Patrick M. Kochanek +12 more
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Journal ArticleDOI
Recommended guidelines for uniform reporting of data from out-of-hospital cardiac arrest: the Utstein Style. A statement for health professionals from a task force of the American Heart Association, the European Resuscitation Council, the Heart and Stroke Foundation of Canada, and the Australian Resuscitation Council.
Richard O. Cummins,Douglas Chamberlain,N. Abramson,M. Allen,Peter Baskett,Lance B. Becker,Leo Bossaert,Herman H Delooz,Wolfgang Dick,Mickey Eisenberg +9 more
Journal ArticleDOI
Cardiopulmonary resuscitation of adults in the hospital: A report of 14 720 cardiac arrests from the National Registry of Cardiopulmonary Resuscitation
Mary Ann Peberdy,William Kaye,Joseph P. Ornato,Gregory Luke Larkin,Vinay M. Nadkarni,Mary E. Mancini,Robert A. Berg,Graham Nichol,Tanya Lane-Trultt +8 more
TL;DR: The NRCPR is described as the first comprehensive, Utstein-based, standardized characterization of in-hospital resuscitation in the United States, with results that suggest that discharged survivors were generally good and neurological outcome in discharged survivors was generally good.
Journal ArticleDOI
Predicting survival from out-of-hospital cardiac arrest: a graphic model.
TL;DR: A graphic model that describes survival from sudden out-of-hospital cardiac arrest as a function of time intervals to critical prehospital interventions is developed and is useful in planning community EMS programs, comparing EMS systems, and showing how different arrival times within a system affect survival rate.