Three-year trends in out-of-hospital cardiac arrest across the world: Second report from the International Liaison Committee on Resuscitation (ILCOR)
Three-year trends in out-of-hospital cardiac arrest across the world: Second report from the International Liaison Committee on Resuscitation (ILCOR)
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DOI：
10.1016/j.resuscitation.2023.109757
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发表时间：
2023-03-28
期刊：
影响因子：
6.5
通讯作者：
Iwami, Taku
中科院分区：
文献类型：
--
作者：
Nishiyama, Chika;Kiguchi, Tekeyuki;Iwami, Taku
背景资料：国际复苏联络委员会（ILCOR）研究和登记工作组此前报告了2015年来自16个国家和地区登记中心的关于院外心脏骤停（OHCA）的护理系统和结局的数据。为了描述OHCA更新数据的时间趋势，我们报告了2015 - 2017年OHCA的特征。方法：我们邀请国家和地区基于人口的OHCA登记处自愿参与，包括紧急医疗服务（EMS）治疗的OHCA。我们在2016年和2017年期间收集了每个登记中心最新Utstein风格建议核心要素的描述性总结数据。结果：本报告纳入了北美、欧洲、亚洲和大洋洲的11个国家登记中心以及欧洲的4个区域登记中心。在各登记研究中，2015年EMS治疗的OHCA的估计年发病率为每10万人30.0-97.1例，2016年为36.4-97.3例，2017年为40.8-100.2例。2015年，旁观者心肺复苏（CPR）的提供率从37.2%到79.0%不等，2016年从2.9%到78.4%不等，2017年从4.1%到80.3%不等。2015年，EMS治疗的OHCA的出院生存率或30天生存率范围为5.2%至15.7%，2016年为6.2%至15.8%，2017年为4.6%至16.4%。尽管一些登记研究显示了有利的生存时间趋势，但我们研究中不到一半的登记研究显示了这种趋势。
Background: The International Liaison Committee on Resuscitation (ILCOR) Research and Registries Working Group previously reported data on systems of care and outcomes of out-of-hospital cardiac arrest (OHCA) in 2015 from 16 national and regional registries. To describe the temporal trends with updated data on OHCA, we report the characteristics of OHCA from 2015 through 2017.Methods: We invited national and regional population-based OHCA registries for voluntary participation and included emergency medical services (EMS)-treated OHCA. We collected descriptive summary data of core elements of the latest Utstein style recommendation during 2016 and 2017 at each registry. For registries that participated in the previous 2015 report, we also extracted the 2015 data.Results: Eleven national registries in North America, Europe, Asia, and Oceania, and 4 regional registries in Europe were included in this report. Across registries, the estimated annual incidence of EMS-treated OHCA was 30.0-97.1 individuals per 100,000 population in 2015, 36.4-97.3 in 2016, and 40.8-100.2 in 2017. The provision of bystander cardiopulmonary resuscitation (CPR) varied from 37.2% to 79.0% in 2015, from 2.9% to 78.4% in 2016, and from 4.1% to 80.3% in 2017. Survival to hospital discharge or 30-day survival for EMS-treated OHCA ranged from 5.2% to 15.7% in 2015, from 6.2% to 15.8% in 2016, and from 4.6% to 16.4% in 2017.Conclusion: We observed an upward temporal trend in provision of bystander CPR in most registries. Although some registries showed favourable temporal trends in survival, less than half of registries in our study demonstrated such a trend.