Cardiac Arrest and Cardiopulmonary Resuscitation Outcome Reports: Update of the Utstein Resuscitation Registry Templates for Out-of-Hospital Cardiac Arrest

פוסט זה זמין גם ב: עברית

A Statement for Healthcare Professionals From a Task Force of the 
International Liaison Committee on Resuscitation (American Heart
Association, European Resuscitation Council, Australian and New
Zealand Council on Resuscitation, Heart and Stroke Foundation of
Canada, InterAmerican Heart Foundation, Resuscitation Council of
Southern Africa, Resuscitation Council of Asia); and the American
Heart Association Emergency Cardiovascular Care Committee and the
Council on Cardiopulmonary, Critical Care, Perioperative and
Resuscitation,
Gavin D. Perkins, Ian G. Jacobs †, Vinay M. Nadkarni, Robert A. Berg, Farhan Bhanji,
Dominique Biarent, Leo L. Bossaert, Stephen J. Brett, Douglas Chamberlain,
Allan R. de Caen, Charles D. Deakin, Judith C. Finn, Jan-Thorsten Gräsner,
Mary Fran Hazinski, Taku Iwami, Rudolph W. Koster, Swee Han Lim,
Matthew Huei-Ming Ma, Bryan F. McNally, Peter T. Morley, Laurie J. Morrison,
Koenraad G. Monsieurs, William Montgomery, Graham Nichol, Kazuo Okada,
Marcus Eng Hock Ong, Andrew H. Travers, Jerry P. Nolan, for the Utstein Collaborators

a b s t r a c t
Utstein-style guidelines contribute to improved public health internationally by providing a structured
framework with which to compare emergency medical services systems. Advances in resuscitation science, new insights into important predictors of outcome from out-of-hospital cardiac arrest, and lessons
learned from methodological research prompted this review and update of the 2004 Utstein guidelines. Representatives of the International Liaison Committee on Resuscitation developed an updated
Utstein reporting framework iteratively by meeting face to face, by teleconference, and by Web survey during 2012 through 2014. Herein are recommendations for reporting out-of-hospital cardiac
arrest. Data elements were grouped by system factors, dispatch/recognition, patient variables, resuscitation/postresuscitation processes, and outcomes. Elements were classified as core or supplemental
using a modified Delphi process primarily based on respondents’ assessment of the evidence-based
importance of capturing those elements, tempered by the challenges to collect them. New or modified
elements reflected consensus on the need to account for emergency medical services system factors,
increasing availability of automated external defibrillators, data collection processes, epidemiology
trends, increasing use of dispatcher-assisted cardiopulmonary resuscitation, emerging field treatments,
postresuscitation care, prognostication tools, and trends in organ recovery. A standard reporting

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