EuReCa and international resuscitation registries

Abstract

Data from resuscitation registries are an invaluable source of information on the incidence, management and outcome of OHCA. Registries can be used to generate hypotheses for clinical research and registry data may even be used to facilitate clinical trials. To develop international research collaboration, registries must be based on the same dataset and definitions, and include descriptions of data collection methodologies and emergency medical service (EMS) configurations. If such standardization can be achieved, the possibility of an international resuscitation registry might be realized, leading to important OHCA research opportunities worldwide.

European Resuscitation Council Guidelines 2021: Ethics of resuscitation and end of life decisions

“…time from collapse to first shock), and treatments administered may also be collected. 356,357 Registry data can be analysed to (1) study regional variation, temporal trends, and predictors of patient outcomes; (2) compare propensity score matched patient subgroups receiving different treatments; and (3) gain insights into the implementation of published evidence and guidelines in routine clinical practice. 316,356,358À361 In addition, DNA biobanks have been established for DNA sequencing in the context of genomic research in sudden cardiac arrest.…”

Age-specific prognostication after out-of-hospital cardiac arrest – The ethical dilemma between ‘life-sustaining treatment’ and ‘the right to die’ in the elderly

“…Recent data reported an average of 35 Emergency Medical Service (EMS)-attended Out-Of Hospital Cardiac Arrest (OHCA) cases per 100,000 inhabitants per year in Europe and even 110 cases per 100,000 inhabitants in Northern America. 6,7 Despite many efforts in the field of resuscitation science over the past two decades, survival rates and favourable neurological outcomes remain poor. 8,9 Especially in the elderly patient group, mortality rates and unfavourable neurological survival seem to have a particularly high impact.…”

Evolution of European Resuscitation and End-of-Life Practices from 2015 to 2019: A Survey-Based Comparative Evaluation

“…As elsewhere detailed [ 6 ], registry-based analyses offer valuable insights into regional variation, temporal trends and determinants of cardiac arrest outcomes, the potential efficacy of therapeutic interventions, and the extent of evidence-based clinical practice [ 70 , 71 , 72 , 73 ]. The EuReCa projects combined data from the national cardiac arrest registries of 28 European countries and have already reported on key modifiable variables (e.g., bystander CPR and defibrillation rates) affecting patient outcomes [ 73 ].…”