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首页> 外文OA文献 >Cardiac Arrest and Cardiopulmonary Resuscitation Outcome Reports: Update of the Utstein Resuscitation Registry Templates for Out-of-Hospital Cardiac Arrest A Statement for Healthcare Professionals From a Task Force of the International Liaison Committee on Resuscitation (American Heart Association, European Resuscitation Council, Australian and New Zealand Council on Resuscitation, Heart and Stroke Foundation of Canada, InterAmerican Heart Foundation, Resuscitation Council of Southern Africa, Resuscitation Council of Asia); and the American Heart Association Emergency Cardiovascular Care Committee and the Council on Cardiopulmonary, Critical Care, Perioperative and Resuscitation
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Cardiac Arrest and Cardiopulmonary Resuscitation Outcome Reports: Update of the Utstein Resuscitation Registry Templates for Out-of-Hospital Cardiac Arrest A Statement for Healthcare Professionals From a Task Force of the International Liaison Committee on Resuscitation (American Heart Association, European Resuscitation Council, Australian and New Zealand Council on Resuscitation, Heart and Stroke Foundation of Canada, InterAmerican Heart Foundation, Resuscitation Council of Southern Africa, Resuscitation Council of Asia); and the American Heart Association Emergency Cardiovascular Care Committee and the Council on Cardiopulmonary, Critical Care, Perioperative and Resuscitation

机译：心脏骤停和心肺复苏结果报告：医院外心脏骤停的Utstein复苏注册表模板的更新国际复苏委员会联络员（美国心脏协会，欧洲复苏委员会，澳大利亚和美国）的医疗专业人员声明新西兰复苏委员会，加拿大心脏和中风基金会，美洲心脏基金会，南非复苏委员会，亚洲复苏委员会）；以及美国心脏协会紧急心血管护理委员会和心肺，重症监护，围手术期和复苏委员会

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Utstein-style guidelines contribute to improved public health internationally by providing a structured framework with which to compare emergency medical services systems. Advances in resuscitation science, new insights into important predictors of outcome from out-of-hospital cardiac arrest, and lessons learned from methodological research prompted this review and update of the 2004 Utstein guidelines. Representatives of the International Liaison Committee on Resuscitation developed an updated Utstein reporting framework iteratively by meeting face to face, by teleconference, and by Web survey during 2012 through 2014. Herein are recommendations for reporting out-of-hospital cardiac arrest. Data elements were grouped by system factors, dispatch/recognition, patient variables, resuscitation/postresuscitation processes, and outcomes. Elements were classified as core or supplemental using a modified Delphi process primarily based on respondents' assessment of the evidence-based importance of capturing those elements, tempered by the challenges to collect them. New or modified elements reflected consensus on the need to account for emergency medical services system factors, increasing availability of automated external defibrillators, data collection processes, epidemiology trends, increasing use of dispatcher-assisted cardiopulmonary resuscitation, emerging field treatments, postresuscitation care, prognostication tools, and trends in organ recovery. A standard reporting template is recommended to promote standardized reporting. This template facilitates reporting of the bystander-witnessed, shockable rhythm as a measure of emergency medical services system efficacy and all emergency medical services system-treated arrests as a measure of system effectiveness. Several additional important subgroups are identified that enable an estimate of the specific contribution of rhythm and bystander actions that are key determinants of outcome. (C) 2014 European Resuscitation Council and American Heart Association, Inc. Published by Elsevier Ireland Ltd. All rights reserved
机译：乌特斯坦风格的指南通过提供一个结构化的框架来比较紧急医疗服务系统，从而在国际上为改善公共卫生做出了贡献。复苏科学的进步，对院外心脏骤停结果的重要预测指标的新见解以及从方法学研究中学到的经验教训，促使我们对2004年Utstein指南进行了回顾和更新。在2012年至2014年期间，国际复苏复苏联络委员会的代表通过面对面开会，电话会议和网络调查，反复开发了更新的Utstein报告框架。以下是报告院外心脏骤停的建议。数据元素按系统因素，派遣/识别，患者变量，复苏/复苏后过程和结果分组。使用改进的Delphi流程将要素分为核心要素或补充要素，主要是基于受访者对收集这些要素的循证重要性的评估，并受收集这些要素的挑战的影响。新的或经过修改的要素反映了以下共识：需要考虑紧急医疗服务系统因素，自动体外除颤器的可用性增加，数据收集过程，流行病学趋势，调度员协助的心肺复苏，新兴的现场治疗，复苏后护理，预后工具的使用增加，以及器官恢复的趋势。建议使用标准报告模板来促进标准化报告。此模板有助于报告旁观者目击者，令人震惊的节奏，以作为紧急医疗服务系统效能的度量，而所有紧急医疗服务系统处理过的逮捕则作为系统效能的度量。确定了几个其他重要的亚组，这些亚组能够估算出节奏和旁观者行为的特定贡献，而节奏和旁观者行为是决定胜负的关键因素。 （C）2014欧洲复苏委员会和美国心脏协会，由爱思唯尔爱尔兰有限公司出版。保留所有权利。

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