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Cardiac arrest and cardiopulmonary resuscitation outcome reports: 2024 update of the Utstein Out-of-Hospital Cardiac Arrest Registry template
Resuscitation ( IF 6.5 ) Pub Date : 2024-07-24 , DOI: 10.1016/j.resuscitation.2024.110288
Jan-Thorsten Grasner , Janet E Bray , Jerry P Nolan , Taku Iwami , Marcus E H Ong , Judith Finn , Bryan McNally , Ziad Nehme , Comilla Sasson , Janice Tijssen , Shir Lynn Lim , Ingvild Tjelmeland , Jan Wnent , Bridget Dicker , Chika Nishiyama , Zakary Doherty , Michelle Welsford , Gavin D Perkins ,

The Utstein Out-of-Hospital Cardiac Arrest Resuscitation Registry Template, introduced in 1991 and updated in 2004 and 2015, standardizes data collection to enable research, evaluation, and comparisons of systems of care. The impetus for the current update stemmed from significant advances in the field and insights from registry development and regional comparisons. This 2024 update involved representatives of the International Liaison Committee on Resuscitation and used a modified Delphi process. Every 2015 Utstein data element was reviewed for relevance, priority (core or supplemental), and improvement. New variables were proposed and refined. All changes were voted on for inclusion. The 2015 domains—system, dispatch, patient, process, and outcomes—were retained. Further clarity is provided for the definitions of out-of-hospital cardiac arrest attended resuscitation and attempted resuscitation. Changes reflect advancements in dispatch, early response systems, and resuscitation care, as well as the importance of prehospital outcomes. Time intervals such as emergency medical service response time now emphasize precise reporting of the times used. New flowcharts aid the reporting of system effectiveness for patients with an attempted resuscitation and system efficacy for the Utstein comparator group. Recognizing the varying capacities of emergency systems globally, the writing group provided a minimal dataset for settings with developing emergency medical systems. Supplementary variables are considered useful for research purposes. These revisions aim to elevate data collection and reporting transparency by registries and researchers and to advance international comparisons and collaborations. The overarching objective remains the improvement of outcomes for patients with out-of-hospital cardiac arrest.

中文翻译:


心脏骤停和心肺复苏结果报告:Utstein 院外心脏骤停登记模板的 2024 年更新



Utstein 院外心脏骤停复苏登记模板于 1991 年推出,并于 2004 年和 2015 年更新,将数据收集标准化,以便对护理系统进行研究、评估和比较。当前更新的动力源于该领域的重大进展以及从注册管理开发和区域比较中获得的见解。2024 年的更新涉及国际复苏联络委员会的代表,并使用了修改后的 Delphi 流程。每个 2015 年 Utstein 数据元素都经过了相关性、优先级(核心或补充)和改进方面的审查。新变量被提出并完善。所有更改都经过投票以纳入。保留了 2015 年的域 — 系统、分派、患者、流程和结果。进一步明确了院外心脏骤停、有人值守复苏和尝试复苏的定义。变化反映了调度、早期响应系统和复苏护理的进步,以及院前结果的重要性。紧急医疗服务响应时间等时间间隔现在强调对所用时间的精确报告。新的流程图有助于报告尝试复苏患者的系统有效性和 Utstein 对照组的系统有效性。认识到全球应急系统的能力各不相同,写作小组为开发紧急医疗系统的环境提供了一个最小的数据集。补充变量被认为对研究目的有用。这些修订旨在提高注册管理机构和研究人员的数据收集和报告透明度,并促进国际比较和合作。 总体目标仍然是改善院外心脏骤停患者的预后。
更新日期:2024-07-24
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