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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Association of Neighborhood Characteristics with Bystander-Initiated CPR
Comilla Sasson,David J. Magid,Paul S. Chan,Elisabeth Dowling Root,Bryan McNally,Arthur L. Kellermann,Jason S. Haukoos +6 more
TL;DR: In a large cohort study, it is found that patients who had an out-of-hospital cardiac arrest in low-income black neighborhoods were less likely to receive bystander-initiated CPR than those in high-income white neighborhoods.
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Early-onset pneumonia after cardiac arrest: characteristics, risk factors and influence on prognosis
Sébastien Perbet,Nicolas Mongardon,Florence Dumas,Cédric Bruel,Virginie Lemiale,Bruno Mourvillier,Pierre Carli,Olivier Varenne,Jean-Paul Mira,Michel Wolff,Alain Cariou +10 more
TL;DR: After OHCA, therapeutic hypothermia is associated with an increased risk of early-onset pneumonia, and this complication was associated with prolonged respiratory support and ICU stay, but did not significantly influence ICU mortality.
Journal ArticleDOI
Predicting survival after out-of-hospital cardiac arrest: role of the Utstein data elements.
Thomas D. Rea,Andrea J. Cook,Andrea J. Cook,Ian G. Stiell,Judy Powell,Blair L. Bigham,Clifton W. Callaway,Sumeet S. Chugh,Tom P. Aufderheide,Laurie J. Morrison,Thomas E. Terndrup,Tammy Beaudoin,Lynn Wittwer,Daniel Davis,Ahamed H. Idris,Graham Nichol +15 more
TL;DR: The Utstein elements predict survival but account for only a modest portion of outcome variability overall and between Resuscitation Outcomes Consortium sites, which underscores the need for ongoing investigation to better understand characteristics that influence cardiac arrest survival.
Journal ArticleDOI
European Resuscitation Council Guidelines 2021 : Epidemiology of cardiac arrest in Europe
Jan Thorsten Gräsner,Johan Herlitz,Ingvild Tjelmeland,Jan Wnent,Siobhán Masterson,Gisela Lilja,B. Bein,Bernd W. Böttiger,Fernando Rosell-Ortiz,Jerry P. Nolan,Leo Bossaert,Gavin D. Perkins +11 more
TL;DR: In this paper, the authors present the European Resuscitation Council Guidelines 2021, key information on the epidemiology and outcome of in and out of hospital cardiac arrest, and highlight key contributions from the European Registry of Cardiac Arrest (EuReCa) collaboration.
Journal ArticleDOI
Cerebral Performance Category and long-term prognosis following out-of-hospital cardiac arrest.
TL;DR: The Cerebral Performance Category at hospital discharge is a useful surrogate measure of long-term survival and can be an informative tool for programmatic evaluation and research of resuscitation.
References
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Treatment of Comatose Survivors of Out-of-Hospital Cardiac Arrest with Induced Hypothermia
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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.