Cardiac arrest and cardiopulmonary resuscitation outcome reports - Update and simplification of the utstein templates for resuscitation registries - A statement for healthcare professionals from a task force of the international liaison committee on resuscitation (American Heart Association, European Resuscitation Council, Australian Resuscitation Council, New Zealand Resuscitation Council, Heart and Stroke Foundation of Canada, InterAmerican Heart Foundation, Resuscitation Councils of Southern Africa)
Cardiac arrest and cardiopulmonary resuscitation outcome reports - Update and simplification of the utstein templates for resuscitation registries - A statement for healthcare professionals from a task force of the international liaison committee on resuscitation (American Heart Association, European Resuscitation Council, Australian Resuscitation Council, New Zealand Resuscitation Council, Heart and Stroke Foundation of Canada, InterAmerican Heart Foundation, Resuscitation Councils of Southern Africa)
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DOI：
10.1161/01.cir.0000147236.85306.15
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发表时间：
2004-11-23
期刊：
影响因子：
37.8
通讯作者：
Nadkarni, V
中科院分区：
文献类型：
--
作者：
Jacobs, I;Nadkarni, V
心脏骤停和心肺复苏后的结果取决于关键干预措施，特别是早期除颤，有效的胸外按压和高级生命支持。utstein风格的定义和报告模板已广泛用于已发表的心脏骤停研究，这使得人们对复苏实践的要素有了更深入的了解，并在科学和复苏指南方面取得了国际共识。尽管开发了Utstein模板来规范心脏骤停的研究报告，但国际登记尚未开发。2002年4月，国际复苏联络委员会（ILCOR）的一个工作组在澳大利亚墨尔本举行会议，审查世界范围内使用乌斯坦定义和报告模板的经验。工作队以协商一致方式修订了核心报告模板和定义。注意以以前的定义为基础，仅根据已公布的数据和从使用乌斯坦式报告的登记处获得的经验来改变数据要素和业务定义。会议的重点是减少现有模板的复杂性，并解决在收集以前乌茨坦协商一致会议所建议的具体核心和补充（即基本和理想的）数据要素方面的后勤困难。还讨论了院内和院外乌斯泰因模板之间术语的不一致。工作队编制了一个基本数据报告工具，可用于质量改进（登记）和研究报告，并应适用于成人和儿童。修订和简化的模板包括实用和简洁的操作定义。预计修订后的模板将能够更好和更准确地完成所有心脏骤停和复苏尝试的报告。认识到数据定义、收集、链接、机密性、管理和注册中心实现方面的问题，并提供了潜在的解决方案。统一收集和跟踪登记数据可以使每个医院、急诊医疗服务系统和社区更好地持续提高质量。
Outcome after cardiac arrest and cardiopulmonary resuscitation is dependent on critical interventions, particularly early defibrillation, effective chest compressions, and advanced life support. Utstein-style definitions and reporting templates have been used extensively in published studies of cardiac arrest, which has led to greater understanding of the elements of resuscitation practice and progress toward international consensus on science and resuscitation guidelines. Despite the development of Utstein templates to standardize research reports of cardiac arrest, international registries have yet to be developed. In April 2002, a task force of the International Liaison Committee on Resuscitation (ILCOR) met in Melbourne, Australia, to review worldwide experience with the Utstein definitions and reporting templates. The task force revised the core reporting template and definitions by consensus. Care was taken to build on previous definitions, changing data elements and operational definitions only on the basis of published data and experience derived from those registries that have used Utstein-style reporting. Attention was focused on decreasing the complexity of the existing templates and addressing logistical difficulties in collecting specific core and supplementary (ie, essential and desirable) data elements recommended by previous Utstein consensus conferences. Inconsistencies in terminology between in-hospital and out-of-hospital Utstein templates were also addressed. The task force produced a reporting tool for essential data that can be used for both quality improvement ( registries) and research reports and that should be applicable to both adults and children. The revised and simplified template includes practical and succinct operational definitions. It is anticipated that the revised template will enable better and more accurate completion of all reports of cardiac arrest and resuscitation attempts. Problems with data definition, collection, linkage, confidentiality, management, and registry implementation are acknowledged and potential solutions offered. Uniform collection and tracking of registry data should enable better continuous quality improvement within every hospital, emergency medical services system, and community.