Recommended guidelines for uniform reporting of data on out-of-hospital cardiac arrests: the "Utstein style"
Recommended guidelines for uniform reporting of data on out-of-hospital cardiac arrests: the "Utstein style"
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院外心脏骤停数据统一报告的推荐指南：“Utstein 风格”
DOI：
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发表时间：
1991
期刊：
影响因子：
--
通讯作者：
Swan Rw
中科院分区：
文献类型：
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作者：
Swan Rw
心脏复苏（CPR）已成为医学的一个重要的、多学科的分支。许多技能，专业和组织参与其交付。尽管如此，预防危机和复原工作，特别是预防危机和复原研究，由于报告结果缺乏一致的术语，这意味着无法比较来自不同系统和不同国家的数据，因而受到影响。因此，来自美国心脏协会、澳大利亚复苏理事会、欧洲复苏理事会和加拿大心脏和中风基金会的代表举行会议，就院外心脏骤停的统一术语和定义达成共识。1990年6月，该小组的第一次会议在挪威海岸外的一个小岛上的乌特施泰因修道院举行。与会者讨论了命名和报告问题以及研究文献中缺乏标准化语言或格式的问题。1990年12月，在英国萨里举行的第二次会议上，代表们同意将他们的讨论称为乌特斯坦共识会议。所提出的建议“旨在促进有效的信息交流，改进预防危机和复原研究的国际审计和质量保证。有人建议将这种报告预防危机和复原结果的格式称为“Utstein格式”。“Utstein风格类似于生物医学期刊投稿的“温哥华风格”，2应该有利于考虑出版的心脏复苏手稿。不同城市和国家3的存活率的记录差异将不再因为不一致和模糊的术语而无法解释。系统组织和治疗方案或主治人员技能水平差异的影响将是分开的。4 Utstein式指南将使研究人员，临床医生和急救护理管理人员能够确定不同系统在治疗心脏骤停中的相对优势。系统管理人员将能够计划增加和评估新的组件，如社区范围的心肺复苏计划和自动外部呼吸机。5卫生保健资源管理人员将能够检查对生存的影响和护理人员的广泛使用的经济性，在较小的程度上，6 -8共识会议与会者建议采用模板方法报告心脏骤停的结局数据。该模板从紧急医疗服务（EMS）服务的人群开始，并显示了各种出口点如何将焦点缩小到经历过心脏原因导致的心脏骤停的患者（图1）。然后，模板显示该组的大小如何逐渐减小，直到仅代表1年后存活的患者。必须在模板的每一级插入一个特定的数字;此数字
C ardiopulmonary resuscitation (CPR) has become an important, multidisciplinary branch of medicine. Numerous skills, specialties and organizations are involved in its delivery. Despite this, CPR, particularly CPR research, has suffered because of the lack of consistent terminology for reporting outcomes, which has meant that data from different systems and different countries cannot be compared. Accordingly, representatives from the American Heart Association, the Australian Resuscitation Council, the European Resuscitation Council and the Heart and Stroke Foundation of Canada met to establish a consensus on uniform terms and definitions for out-of-hospital cardiac arrests. In June 1990 the group's first meeting was held at Utstein Abbey, on a small island off the coast of Norway. Participants discussed the nomenclature and reporting problems and the lack of a standardized language or format in the research literature. At a second meeting, in December 1990, in Surrey, England, the delegates agreed to call their deliberations the Utstein Consensus Conference. The recommendations made' were designed to promote effective exchange of information and to improve international auditing and quality assurance in CPR research. It was suggested that this format of reporting CPR outcomes be known as the "Utstein style." The Utstein style, which is analogous to the "Vancouver style" of uniform requirements for submissions to biomedical journals,2 should benefit manuscripts on cardiac resuscitation that are to be considered for publication. Documented differences in survival rates in different cities and countries3 will no longer remain unexplained because of inconsistent and obscure terminology. The effect of system organization and of differences in treatment protocols or the skill levels of the attending personnel will be separable.4 The Utstein style guidelines will enable researchers, clinicians and emergency care managers to identify the relative benefits of different systems in the treatment of sudden cardiac arrest. System managers will be able to plan for the addition and evaluation of new components, such as communitywide CPR programs and automatic external defibrillators.5 Health care resource managers will be able to examine the effect on survival and the economy of the widespread use of paramedics and, to a lesser extent, ambulance doctors.6-8 The consensus conference participants recommend a template approach to reporting outcome data on cardiac arrest. The template begins with the population served by the emergency medical services (EMS) and displays how various exit points narrow the focus to patients who have experienced an arrest attributable to cardiac causes (Fig. 1). The template then displays how this group progressively decreases in size until it represents only the patients who are alive 1 year later. A specific number must be inserted at each level of the template; this number
心律失常性心源性猝死——机制、复苏和分类：西雅图观点。
DOI：
10.1016/0002-9149(90)91285-e
发表时间：
1990
期刊：
The American journal of cardiology
影响因子：
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作者：
Greene,HL
通讯作者：
Greene,HL