The UK Out of Hospital Cardiac Arrest Outcome (OHCAO) project.
The UK Out of Hospital Cardiac Arrest Outcome (OHCAO) project.
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DOI：
10.1136/bmjopen-2015-008736
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发表时间：
2015-10-01
期刊：
影响因子：
2.9
通讯作者：
OHCAO Project Group
中科院分区：
文献类型：
--
作者：
Perkins GD;Brace-McDonnell SJ;OHCAO Project Group
减少过早死亡是英国国民健康服务(NHS)的关键优先事项。英国国民健康保险制度的救护车服务每年治疗大约3万例疑似心脏骤停患者，但存活率各不相同。 。英国心脏基金会和复苏理事会(UK)资助了一项结构化的研究计划--院外心脏骤停结果(OHCAO)计划。该项目的目的是确定人权高专办的流行病学和结果，探索结果差异的来源，并确定建立国家人权高专办登记册的可行性。这是一项设置在英国国家医疗服务体系救护车服务中心的前瞻性观察性研究。目标人群将是接受NHS救护车紧急响应并尝试复苏的成人和儿童。收集的数据将大致分为系统特征、紧急医疗服务(EMS)调度特征、患者特征和EMS流程变量。感兴趣的主要结果变量将是自主循环的恢复和中长期生存(30 天至10年生存)。这项研究获得了伦理委员会的许可，也获得了保密咨询小组伦理和保密委员会的批准，该委员会授权在未经患者同意的情况下合法持有患者的可识别数据。为了确定有助于在一些救护车服务中取得更好结果的关键特征，需要建立可靠和可重复使用的系统，以收集英国关于uchA的数据。登记处生成的报告将侧重于数据的完整性、及时性和质量。后续报告将总结人口统计、患者、过程和结果变量，旨在通过重点质量改进倡议改善患者护理。
Reducing premature death is a key priority for the UK National Health Service (NHS). NHS Ambulance services treat approximately 30 000 cases of suspected cardiac arrest each year but survival rates vary. The British Heart Foundation and Resuscitation Council (UK) have funded a structured research programme—the Out of Hospital Cardiac Arrest Outcomes (OHCAO) programme. The aim of the project is to establish the epidemiology and outcome of OHCA, explore sources of variation in outcome and establish the feasibility of setting up a national OHCA registry. This is a prospective observational study set in UK NHS Ambulance Services. The target population will be adults and children sustaining an OHCA who are attended by an NHS ambulance emergency response and where resuscitation is attempted. The data collected will be characterised broadly as system characteristics, emergency medical services (EMS) dispatch characteristics, patient characteristics and EMS process variables. The main outcome variables of interest will be return of spontaneous circulation and medium—long-term survival (30 days to 10-year survival). Ethics committee permissions were gained and the study also has received approval from the Confidentiality Advisory Group Ethics and Confidentiality committee which provides authorisation to lawfully hold identifiable data on patients without their consent. To identify the key characteristics contributing to better outcomes in some ambulance services, reliable and reproducible systems need to be established for collecting data on OHCA in the UK. Reports generated from the registry will focus on data completeness, timeliness and quality. Subsequent reports will summarise demographic, patient, process and outcome variables with aim of improving patient care through focus quality improvement initiatives.