Recommended guidelines for uniform reporting of data from drowning: the “Utstein style”

Idris, Ahamed H.; Berg, Robert A.; Bierens, Joost J.L.M.; Bossaert, Leo; Branche, Christine M.; Gabrielli, A.; Graves, Shirley A.; Handley, Anthony J.; Hoelle, Robyn; Morley, Peter; Papa, Linda; Pepe, Paul E.; Quan, Li; Szpilman, David; Wigginton, Jane G.; Modell, Jerome H.

doi:10.1016/j.resuscitation.2003.09.003

Cited by 184 publications

(128 citation statements)

References 65 publications

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“…But studies show a wide range of 'survival on discharge' (3-27%), which could be due to differences in the settings in which the CPR is performed and differences in inclusion/exclusion criteria. [5][6][7][8] To overcome this problem, the in-hospital Utstein style data collection (Utstein template) recommendation were published in 1997 and revised in 2004. 5,6 These recommendations defined a set of data elements that are essential for documenting in-hospital cardiac arrests and suggested guidelines for reviewing, reporting, and conducting research on this topic.…”

Section: Introductionmentioning

confidence: 99%

Outcomes of in-hospital, out of intensive care and operation theatre cardiac arrests in a tertiary referral hospital

Chakravarthy

Mitra

Nonis

2012

Indian Heart Journal

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Objective: Cardiac arrest in the hospital wards may not receive as much attention as it does in the operation theatre and intensive care unit (ICU). The experience and the qualifications of personnel in the ward may not be comparable to those in the other vital areas of the hospital. The outcome of cardiac arrest from the ward areas is a reasonable surrogate of training of the ward nurses and technicians in cardiopulmonary resuscitation. We conducted an audit to assess the issues surrounding the resuscitation of cardiac arrest in areas other than operation theatre and ICU in a tertiary referral hospital. Aims of the audit:To assess the outcomes of cardiac arrest in a tertiary referral hospital. Areas such as wards, dialysis room and emergency room were considered for the audit.Methods: This is a retrospective observational audit of the case records of all the adult patients who were resuscitated from 'code blue'. Data for 2 years from 2007 was analysed by a research fellow unconnected with the resuscitations.Results: Twenty-two thousand three hundred and forty-four patients were admitted as in-patients to the hospital during the 2 years, starting May 2007 through May 2009. One hundred code blue calls were received during this time. Twenty-two of the total calls received were false. Among the 78 confirmed cardiac arrests 69 occurred in the wards, 2 in emergency room, 1 in cardiac catheterisation laboratory and 3 in dialysis room. Twenty-eight patients were declared dead after unsuccessful cardiopulmonary resuscitation. Among the 50 who were resuscitated with a return of spontaneous rhythm 26 died. Twenty-four patients were discharged (survival rate of 30%). The survival decreased significantly as the age progressed beyond 60. The resuscitation rates were better in day shifts in contrast to the night. Higher survival was noted in patients who received resuscitation in less than a minute. Conclusion:A overall survival to discharge rate of 30% was noted in this audit. Higher survival rates might be attributable to high rate and degree of training at the time of their employment, which was repeated at yearly interval.

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Section: Introductionmentioning

confidence: 99%

Outcomes of in-hospital, out of intensive care and operation theatre cardiac arrests in a tertiary referral hospital

Chakravarthy

Mitra

Nonis

2012

Indian Heart Journal

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“…It serves about 1.8 million people and treats more than 40,000 cases per year, caring for patients older than 16 years [10].…”

Section: Methodsmentioning

confidence: 99%

“…As an additional factor, there are only lifeguards around public pools and not around lakes or rivers. It could be assumed that experienced swimmers would be in less danger of drowning in the river, even though until now there is no study that could clearly confirm this assumption [10,16]. But as this was a retrospective analysis it was not possible to analyse for swimming ability.…”

Section: Accidental Drowning Without Cardiac Arrestmentioning

confidence: 98%

Retrospective Analysis of Drowning Incidents at a University Hospital in Switzerland

Kolev¹,

Meister²,

Ricklin³

et al. 2017

Emerg Med (Los Angel)

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“…guidelines for scientific reporting of drowning define drowning as ''a process resulting in primary respiratory impairment from submersion/immersion in a liquid medium.'' 1 In 2002, an estimated 450,000 people drowned worldwide, accounting for 9% of all injury-related deaths. 3 An additional 1.3 million disability-adjusted life-years were lost as a result of premature death or disability after a drowning incident.…”

Section: Ré Sumémentioning

confidence: 99%

Drowning: an overlooked cause of out-of-hospital cardiac arrest in Canada

Buick

Lin

Rac

et al. 2014

CJEM

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Introduction: Drowning is a major public health concern, yet little is known about the characteristics of drowning patients. The objectives of this study were to describe the demographic and clinical characteristics of out-of-hospital cardiac arrest (OHCA) attributed to drowning in Ontario and to compare the characteristics of OHCA attributed to drowning to those of presumed cardiac etiology. Methods: A retrospective, observational study was carried out of consecutive OHCA patients of drowning etiology in Ontario between August 2006 and July 2011. Bivariate analysis was used to evaluate differences between drowning and presumed cardiac etiologies. Results: A total of 31,763 OHCA patients were identified, and 132 (0.42%) were attributed to drowning. Emergency medical services treated 98 patients, whereas the remaining 34 met the criteria for legislative death. Overall, 5.1% of drowning patients survived to hospital discharge. When compared to patients of presumed cardiac etiology, drowning patients were younger and their arrest was more likely to be unwitnessed, present with a nonshockable initial rhythm, occur in a public location, and receive bystander cardiopulmonary resuscitation (CPR). A nonsignificant trend was noted for drowning cases to more frequently have a public access AED applied. There were no significant differences in the gender ratio or paramedic response times. Drowning patients were more likely to be transported to hospital but had a trend to be less likely to arrive with a return of spontaneous circulation. They were also more likely to be admitted to hospital but had no difference in survival to hospital discharge. Conclusions: Significant differences exist between OHCA of drowning and presumed cardiac etiologies. Most drownings are unwitnessed, occur in public locations, and present with nonshockable initial rhythms, suggesting that treatment should focus on bystander CPR. Future initiatives should focus on strategies to improve supervision in targeted locations and greater emphasis on bystander-initiated CPR, both of which may reduce drowning mortality.

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Recommended guidelines for uniform reporting of data from drowning: the “Utstein style”

Cited by 184 publications

References 65 publications

Outcomes of in-hospital, out of intensive care and operation theatre cardiac arrests in a tertiary referral hospital

Outcomes of in-hospital, out of intensive care and operation theatre cardiac arrests in a tertiary referral hospital

Retrospective Analysis of Drowning Incidents at a University Hospital in Switzerland

Drowning: an overlooked cause of out-of-hospital cardiac arrest in Canada

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