EuReCa ONE – 27 Nations, ONE Europe, ONE Registry: a prospective observational analysis over one month in 27 resuscitation registries in Europe – the EuReCa ONE study protocol

Abstract

BackgroundThere is substantial variation in the incidence, likelihood of attempted resuscitation and outcomes from out-of-hospital cardiac arrest (OHCA) across Europe. A European, multi-centre study provides the opportunity to uncover differences throughout Europe and may help find explanations for these differences. Results may also have potential to support the development of quality benchmarking between European Emergency Medical Services (EMS).Methods/DesignThis prospective European study involves 27 different countries. It provides a common Utstein-based dataset, data collection tool and a common data collection period for all participants.Study research questions will address the following: OHCA incidence in different European regions; incidence of cardiopulmonary resuscitation (CPR); initial presenting rhythm in patients where bystanders or EMS start CPR or any other resuscitation intervention; proportion of patients with any return of spontaneous circulation (ROSC); patient status at the end of pre-hospital treatment i.e. ROSC at handover to hospital, ongoing CPR, dead; proportion of patients still alive 30 days after OHCA; proportion of patients discharged alive from hospital.All patients who suffered an OHCA during October 2014 and were attended and/or treated by an EMS and documented in one of the participating registries will be included in the study. Each National Coordinator is responsible for data collection and quality control in his/her country and will transfer unprocessed anonymised data via secure electronic transfer.Descriptive analysis will be performed at European, national and registry level. For endpoints like ROSC, admission or survival, multivariate logistic regression analysis will be performed.DiscussionDocumenting differences in epidemiology, treatment and outcome in out-of-hospital cardiac arrest throughout Europe is a first step in finding explanations for these differences. Study results might also support the development of quality benchmarking between Emergency Medical Services (EMS) which in turn will facilitate initiatives to improve OHCA outcome in Europe.Trial registrationThe EuReCa ONE Study is registered by ClinicalTrials.gov National CoordinatorT02236819).

EuReCa ONE⿿27 Nations, ONE Europe, ONE Registry

“…The study protocol has been published previously and describes all questions to be addressed in the EuReCa ONE Study (see Supplement S1). 20 Countries were recruited to participate in EuReCa ONE through an open invitation meeting during the European Resuscitation Council (ERC) Congress in 2013. The recruitment process resulted in 27 countries committing to participate in EuReCa ONE.…”

Eureca Serbia 2015-2016: Two-year analysis

“…Švedska ima registar još od davne 1990. godine i od tada se podaci unose prema Utstein protokolu (5). EuReCa One je prva studija koja omogućuje prikupljanje podataka, u jedinstvenu bazu, iz 27 zemalja širom Evrope (6). Vanbolnički srčani zastoj se u R.Srbiji prati od 2014. godine, od uključivanja brojnih zdravstvenih ustanova u projekat EuReCa One (7).…”

Comparison of the early effects of out-of-hospital resuscitation in selected urban and rural areas in Poland. A preliminary report from the Polish Cardiac Arrest Registry by the Polish Resuscitation Council

“…The Polish Cardiac Arrest Registry run by the Polish Resuscitation Council is a part of the European Registry of Cardiac Arrest (EuReCa) by the European Resuscitation Council [20,21]. This registry covers only about 7.6% of the area of Poland and does not collect data from large cities which limits the ability of extrapolating its results to the whole national population.…”