RATIONALE, METHODOLOGY, IMPLEMENTATION, AND FIRST RESULTS OF THE FRENCH OUT-OF-HOSPITAL CARDIAC ARREST REGISTRY
RATIONALE, METHODOLOGY, IMPLEMENTATION, AND FIRST RESULTS OF THE FRENCH OUT-OF-HOSPITAL CARDIAC ARREST REGISTRY
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DOI：
10.3109/10903127.2014.916024
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发表时间：
2014-10-01
影响因子：
2.4
通讯作者：
Gueugniaud, Pierre-Yves
中科院分区：
文献类型：
--
作者：
Hubert, Herve;Tazarourte, Karim;Gueugniaud, Pierre-Yves
导论.院外心脏骤停（OHCA）是一个重要的公共卫生问题，估计在法国每年发生50，000例。OHCA的社区存活率仍然很低（约5%）。一个有效的，公认的方法来研究，评估和改善OHCA护理是创建一个标准格式的数据库。Objective.这项工作的目的是介绍法国OHCA登记系统（ReAC）。方法. ReAC是一个安全的基于网络的数据管理系统，于2009年启动，并于2012年6月在全国部署。这项登记的主要目标是提高OHCA患者的护理和生存率。调查表符合法国组织的要求，并按照Utstein通用格式组织。ReAC提供实时统计分析，使所有法国移动的急救和复苏服务（MERS）能够评估和改进其专业的OHCA护理实践。结果2012年6月，ReAC在全国范围内对所有法国MERS开放。2013年6月，320个可能的MERS中有221个参加了ReAC。共收集了15 944份OHCA（14 939个案件在后续监测下结案）。目前的纳入率约为每月1 500例。自2012年8月以来，纳入率每月增加9.5%，而参与率每月增加9%。初步结果显示，人口主要为男性（65.4%），平均年龄为65 +/- 19岁。在MERS到达时，73.5%的患者处于心搏停止状态。自主循环恢复率、住院生存率和30天生存率较低（分别为21.1%、17.2%、4.6%）。存活30天的患者中，84.0%的患者神经功能恢复良好。结论. ReAC登记是改善OHCA公共卫生管理的可靠观察工具。它提供了相关的信息，以适应或开发诊断，治疗和预后资源。此外，它还可以制定有针对性的宣传计划，以提高OHCA患者的生存率。
Introduction. Out-of-hospital cardiac arrest (OHCA) is an important public health issue with an estimated incidence of 50,000 cases per year in France. Community survival rates for OHCA are still low (approximately 5%). An effective, recognized way to study, assess, and improve OHCA care is to create a standard-format database. Objective. The aim of this work is to present the French OHCA registry (ReAC). Methods. ReAC is a secure, web-based data management system that was initiated in 2009 and deployed nationally in June 2012. The main goal of this registry is to improve the care and survival rate of OHCA patients. The survey form is in compliance with the requirements of French organizations and is organized in accordance with the Utstein universal style. ReAC provides real-time statistical analyses and enables all French mobile emergency and resuscitation services (MERS) to assess and improve their professional OHCA care practices. Results. In June 2012, the ReAC was nationally opened for all French MERSs. In June 2013, 221 of a possible 320 MERS participated in the ReAC. A total of 15,944 OHCA have been collected (14,939 cases closed with follow-up monitoring). The current rate of inclusion is approximately 1,500 cases per month. Since August 2012, the inclusion rate has increased by 9.5% per month, while the participation rate has increased by 9% per month. The first results show that the population is mainly male (65.4%) and the mean age is 65 +/- 19 years. On MERS arrival, 73.5% of the patients were in asystole. The rates of return of spontaneous circulation, survival to hospital admission, and 30-day survival are low (respectively 21.1%, 17.2%, 4.6%). Of those who survived 30 days, 84.0% had a good neurological recovery. Conclusions. The ReAC registry is a reliable observation tool to improve public health management of OHCA. It provides relevant information to adapt or to develop diagnosis, treatments, and prognostic resources. Moreover, it enables the development of targeted awareness programs for the unique purpose of increasing the survival rates of OHCA patients.