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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Consciousness induced during cardiopulmonary resuscitation: An observational study
Alexander Olaussen,Ziad Nehme,Matthew Shepherd,Paul Jennings,Stephen Bernard,Biswadev Mitra,Karen Smith +6 more
TL;DR: Although CPRIC is uncommon, its occurrence is increasing and may be associated with improved outcomes and the appropriate management of CPRIC requires further evaluation.
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Prehospital sodium bicarbonate use could worsen long term survival with favorable neurological recovery among patients with out-of-hospital cardiac arrest.
Takahisa Kawano,Takahisa Kawano,Brian Grunau,Frank X. Scheuermeyer,Koichiro Gibo,William Dick,Christopher B. Fordyce,Paul Dorian,Robert Stenstrom,Ronald Straight,Jim Christenson +10 more
TL;DR: In OHCA patients, prehospital SB administration was associated with worse survival rate and neurological outcomes to hospital discharge, and in the multiply imputed cohort, the association remained consistent.
Journal ArticleDOI
[German resuscitation registry : science and resuscitation research].
Jan-Thorsten Gräsner,Stephan Seewald,A. Bohn,Matthias Fischer,M. Messelken,T. Jantzen,Jan Wnent +6 more
TL;DR: The German resuscitation registry is one of the largest databases in emergency medicine in Germany and an instrument of quality management and a research network, and a score for benchmarking the outcome quality after out-of-hospital resuscitation, known as the return of spontaneous circulation after cardiac arrest (RACA) score.
Journal ArticleDOI
In Hospitals With More Nurses Who Have Baccalaureate Degrees, Better Outcomes For Patients After Cardiac Arrest.
Jordan Harrison,Linda H. Aiken,Douglas M. Sloane,J. Margo Brooks Carthon,Raina M. Merchant,Robert A. Berg,Matthew D. McHugh +6 more
TL;DR: It is found that each 10-percentage-point increase in the hospital share of nurses with a BSN was associated with 24 percent greater odds of surviving to discharge with good cerebral performance among patients who experienced in-hospital cardiac arrest.
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Identifying approaches to improve the accuracy of shock outcome prediction for out-of-hospital cardiac arrest.
TL;DR: The presence of random effects shows that the shock outcome prediction accuracy can be improved by explaining more of the variation between patients, for example using the approaches outlined above, and that there is within-patient correlation between samples that should be accounted for when evaluating prediction accuracy.
References
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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
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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
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