CARES: Cardiac Arrest Registry to Enhance Survival
CARES: Cardiac Arrest Registry to Enhance Survival
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DOI：
10.1016/j.annemergmed.2009.03.018
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发表时间：
2009-11-01
影响因子：
6.2
通讯作者：
Kellermann, Arthur L.
中科院分区：
文献类型：
--
作者：
McNally, Bryan;Stokes, Allen;Kellermann, Arthur L.
尽管30年的科学进步，医院外心脏骤停的存活率仍然很低。心脏骤停登记提高生存率（CARES）的创建是为了向社区提供一种方法来识别院外心脏骤停病例，衡量紧急医疗服务（EMS）如何执行紧急心脏护理的关键要素，并通过出院确定结果。CARES从3个来源收集数据-911调度，EMS和接收医院-并将它们链接以形成单个记录。一旦数据输入完成，将从记录中删除各个标识符。CARES记录的匿名性使参与机构和组织能够在未经知情同意的情况下汇编病例。CARES生成标准报告，可用于描述心脏骤停的当地流行病学特征，并帮助管理人员确定EMS提供院外心脏骤停护理的效果如何。在佐治亚州亚特兰大市试点实施并随后扩展到周边7个县后，CARES在美国22个城市实施，总人口为1400万人。更多的城市有兴趣加入登记册。CARES目前有13 000多个病例，而且正在迅速增长。[Ann 2009;54：674-683.]
Despite 3 decades of scientific progress, rates of survival from out-of-hospital cardiac arrest remain low. The Cardiac Arrest Registry to Enhance Survival (CARES) was created to provide communities with a means to identify cases of out-of-hospital cardiac arrest, measure how well emergency medical services (EMS) perform key elements of emergency cardiac care, and determine outcomes through hospital discharge. CARES collects data from 3 sources-911 dispatch, EMS, and receiving hospitals-and links them to form a single record. Once data entry is completed, individual identifiers are stripped from the record. The anonymity of CARES records allows participating agencies and institutions to compile cases without informed consent. CARES generates standard reports that can be used to characterize the local epidemiology of cardiac arrest and help managers determine how well EMS is delivering out-of-hospital cardiac arrest care. After pilot implementation in Atlanta, GA, and subsequent expansion to 7 surrounding counties, CARES was implemented in 22 US cities with a combined population of 14 million people. Additional cities are interested in joining the registry. CARES currently contains more than 13,000 cases and is growing rapidly. [Ann Emerg Med. 2009;54:674-683.]