Quality management in resuscitation – Towards a European Cardiac Arrest Registry (EuReCa)

Gräsner, Jan–Thorsten; Herlitz, Johan; Koster, Rudolph W.; Rosell-Ortiz, Fernando; Stamatakis, Lambert; Bossaert, Leo

doi:10.1016/j.resuscitation.2011.02.047

Cited by 166 publications

(94 citation statements)

References 35 publications

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“…Recently, several studies such as PAROS13 in Asia, EuReCa14 in Europe, and CARES15 and ROC16 in the USA have been launched as large‐scale OHCA registries, because of the great need for high‐quality data collection that can be used for improving OHCA outcomes, like the JAAM‐OHCA Registry. In our registry, the number of participating CCMCs or tertiary emergency medical facilities was 73 during this registry period, and further efforts to increase the number of participating institutions are needed.…”

Section: Discussionmentioning

confidence: 99%

The profile of Japanese Association for Acute Medicine – out‐of‐hospital cardiac arrest registry in 2014–2015

Kitamura

Iwami

Atsumi

et al. 2018

Acute Medicine & Surgery

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AimTo describe the registry design of the Japanese Association for Acute Medicine – out‐of‐hospital cardiac arrest (JAAM‐OHCA) Registry as well as its profile on hospital information, patient and emergency medical service characteristics, and in‐hospital procedures and outcomes among patients with OHCA who were transported to the participating institutions.MethodsThe special committee aiming to improve the survival after OHCA by providing evidence‐based therapeutic strategies and emergency medical systems from the JAAM has launched a multicenter, prospective registry that enrolled OHCA patients who were transported to critical care medical centers or hospitals with an emergency care department. The primary outcome was a favorable neurological status 1 month after OHCA.ResultsBetween June 2014 and December 2015, a total of 12,024 eligible patients with OHCA were registered in 73 participating institutions. The mean age of the patients was 69.2 years, and 61.0% of them were male. The first documented shockable rhythm on arrival of emergency medical services was 9.0%. After hospital arrival, 9.4% underwent defibrillation, 68.9% tracheal intubation, 3.7% extracorporeal cardiopulmonary resuscitation, 3.0% intra‐aortic balloon pumping, 6.4% coronary angiography, 3.0% percutaneous coronary intervention, 6.4% targeted temperature management, and 81.1% adrenaline administration. The proportion of cerebral performance category 1 or 2 at 1 month after OHCA was 3.9% among adult patients and 5.5% among pediatric patients.ConclusionsThe special committee of the JAAM launched the JAAM‐OHCA Registry in June 2014 and continuously gathers data on OHCA patients. This registry can provide valuable information to establish appropriate therapeutic strategies for OHCA patients in the near future.

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Section: Discussionmentioning

confidence: 99%

The profile of Japanese Association for Acute Medicine – out‐of‐hospital cardiac arrest registry in 2014–2015

Kitamura

Iwami

Atsumi

et al. 2018

Acute Medicine & Surgery

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“…Out-of-hospital cardiac arrest (OHCA) survival to hospital discharge in the United Kingdom is lower than in many other developed regions, with England 9% [1] and Scotland 5% [2], compared to North Holland Province, the Netherlands 21% [3] and Norway 25% [4]. In 2015, the British Heart Foundation commissioned a feasibility study into the establishment of a national Public Accessible Defibrillator (PAD) database for the UK and how it could improve OHCA survival.…”

Section: Introductionmentioning

confidence: 99%

Health—exploring complexity: an interdisciplinary systems approach HEC2016

Grill¹,

Müller²,

Mansmann³

2016

Eur J Epidemiol

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“…Each year, around 275,000 suffers an OHCA in Europe and aggregated survival rates at hospital discharge is below 8% 1, 2, 3, 4. Many initiatives have been taken to improve survival, including efforts to strengthen and increase bystander cardiopulmonary resuscitation (CPR).…”

mentioning

confidence: 99%

Return of spontaneous circulation and long‐term survival according to feedback provided by automated external defibrillators

Agerskov

Hansen

Nielsen

et al. 2017

Acta Anaesthesiol Scand

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BackgroundWe aimed to investigate the effect of automated external defibrillator (AED) feedback mechanisms on survival in out‐of‐hospital cardiac arrest (OHCA) victims. In addition, we investigated converting rates in patients with shockable rhythms according to AED shock waveforms and energy levels.MethodsWe collected data on OHCA occurring between 2011 and 2014 in the Capital Region of Denmark where an AED was applied prior to ambulance arrival. Patient data were obtained from the Danish Cardiac Arrest Registry and medical records. AED data were retrieved from the Emergency Medical Dispatch Centre (EMDC) and information on feedback mechanisms, energy waveform and energy level was downloaded from the applied AEDs.ResultsA total of 196 OHCAs had an AED applied prior to ambulance arrival; 62 of these (32%) provided audio visual (AV) feedback while no feedback was provided in 134 (68%). We found no difference in return of spontaneous circulation (ROSC) at hospital arrival according to AV‐feedback; 34 (55%, 95% confidence interval (CI) [13–67]) vs. 72 (54%, 95% CI [45–62]), P = 1 (odds ratio (OR) 1.1, 95% CI [0.6–1.9]) or 30‐day survival; 24 (39%, 95% CI [28–51]) vs. 53 (40%, 95% CI [32–49]), P = 0.88 (OR 1.1 (95% CI [0.6–2.0])). Moreover, we found no difference in converting rates among patients with initial shockable rhythm receiving one or more shocks according to AED energy waveform and energy level.ConclusionsNo difference in survival after OHCA according to AED feedback mechanisms, nor any difference in converting rates according to AED waveform or energy levels was detected.

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Quality management in resuscitation – Towards a European Cardiac Arrest Registry (EuReCa)

Cited by 166 publications

References 35 publications

The profile of Japanese Association for Acute Medicine – out‐of‐hospital cardiac arrest registry in 2014–2015

The profile of Japanese Association for Acute Medicine – out‐of‐hospital cardiac arrest registry in 2014–2015

Health—exploring complexity: an interdisciplinary systems approach HEC2016

Return of spontaneous circulation and long‐term survival according to feedback provided by automated external defibrillators

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