Out-of-hospital Cardiac Arrest across the World: First Report from the International Liaison Committee on Resuscitation (ILCOR)

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Kiguchi , T , Okubo , M , Nishiyama , C , Maconochie , I , Ong , M E H , Kern , K B , Wyckoff , M H , McNally , B , Christensen , E , Tjelmeland , I , Herlitz , J , Perkins , G D , Booth , S , Finn , J , Shahidah , N , Shin , S D , Bobrow , B J , Morrison , L J , Salo , A , Baldi , E , Burkart , R , Lin , C-H , Jouven , X , Soar , J , Nolan , J P & Iwami , T 2020 , ' Out-of-hospital Cardiac Arrest across the World: First Report from the International Liaison Committee on Resuscitation (ILCOR) ' , Resuscitation , vol. 152 , pp. 39-49 . https://doi.org/10.1016/j.resuscitation.2020.02.044

Title: Out-of-hospital Cardiac Arrest across the World: First Report from the International Liaison Committee on Resuscitation (ILCOR)
Author: Kiguchi, Tekeyuki; Okubo, Masashi; Nishiyama, Chika; Maconochie, Ian; Ong, Marcus Eng Hock; Kern, Karl B.; Wyckoff, Myra H.; McNally, Bryan; Christensen, Erika; Tjelmeland, Ingvild; Herlitz, Johan; Perkins, Gavin D.; Booth, Scott; Finn, Judith; Shahidah, Nur; Shin, Sang Do; Bobrow, Bentley J.; Morrison, Laurie J.; Salo, Ari; Baldi, Enrico; Burkart, Roman; Lin, Chih-Hao; Jouven, Xavier; Soar, Jasmeet; Nolan, Jerry P.; Iwami, Taku
Contributor organization: HUS Emergency Medicine and Services
Anestesiologian yksikkö
University of Helsinki
Helsinki University Hospital Area
Date: 2020-07
Language: eng
Number of pages: 11
Belongs to series: Resuscitation
ISSN: 0300-9572
DOI: https://doi.org/10.1016/j.resuscitation.2020.02.044
URI: http://hdl.handle.net/10138/328685
Abstract: Background Since development of the Utstein style recommendations for the uniform reporting of cardiac arrest, increasing numbers of national and regional out-of-hospital cardiac arrest (OHCA) registries have been established worldwide. The International Liaison Committee on Resuscitation (ILCOR) created the Research and Registries Working Group and aimed to systematically report data collected from these registries. Methods We conducted two surveys of voluntarily participating national and regional registries. The first survey aimed to identify which core elements of the current Utstein style for OHCA were collected by each registry. The second survey collected descriptive summary data from each registry. We chose the data collected for the second survey based on the availability of core elements identified by the first survey. Results Seven national and four regional registries were included in the first survey and nine national and seven regional registries in the second survey. The estimated annual incidence of emergency medical services (EMS)-treated OHCA was 30.0 to 97.1 individuals per 100,000 population. The combined data showed the median age varied from 64 to 79 years and more than half were male in all 16 registries. The provision of bystander cardiopulmonary resuscitation (CPR) and bystander automated external defibrillator (AED) use was 19.1% to 79.0% in all registries and 2.0% to 37.4% among 11 registries, respectively. Survival to hospital discharge or 30-day survival after EMS-treated OHCA was 3.1% to 20.4% across all registries. Favourable neurological outcome at hospital discharge or 30 days after EMS-treated OHCA was 2.8% to 18.2%. Survival to hospital discharge or 30-day survival after bystander witnessed shockable OHCA ranged from 11.7% to 47.4% and favourable neurological outcome from 9.9% to 33.3%. Conclusion This report from ILCOR describes data on systems of care and outcomes following OHCA from nine national and seven regional registries across the world. We found variation in reported survival outcomes and other core elements of the current Utstein style recommendations for OHCA across nations and regions.
Subject: 3121 General medicine, internal medicine and other clinical medicine
Out-of-hospital cardiac arrest
Utstein template
Epidemiology
Resuscitation
Registry
RECOMMENDED GUIDELINES
STROKE-FOUNDATION
AMERICAN-HEART-ASSOCIATION
HEALTH-CARE PROFESSIONALS
OUTCOME REPORTS
PUBLIC-ACCESS DEFIBRILLATION
ASSISTED CARDIOPULMONARY-RESUSCITATION
TASK-FORCE
UTSTEIN STYLE
EUROPEAN-RESUSCITATION
Peer reviewed: Yes
Rights: cc_by_nc_nd
Usage restriction: openAccess
Self-archived version: acceptedVersion


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