Cardiac arrest and cardiopulmonary resuscitation outcome reports.pdf
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1、Resuscitation 63 (2004) 233249 Cardiac arrest and cardiopulmonary resuscitation outcome reports: update and simplifi cation of the Utstein templates for resuscitation registries. A statement for healthcare professionals from a task force of the international liaison committee on resuscitation (Ameri
2、can Heart Association, European Resuscitation Council, Australian Resuscitation Council, New Zealand Resuscitation Council, Heart and Stroke Foundation of Canada, InterAmerican Heart Foundation, Resuscitation Council of Southern Africa)? Ian Jacobs, Vinay Nadkarni, Jan Bahr, Robert A. Berg, John E.
3、Billi, Leo Bossaert, Pascal Cassan, Ashraf Coovadia, Kate DEste, Judith Finn, Henry Halperin, Anthony Handley, Johan Herlitz, Robert Hickey, Ahamed Idris, Walter Kloeck, Gregory Luke Larkin, Mary Elizabeth Mancini, Pip Mason, Gregory Mears, Koenraad Monsieurs, William Montgomery, Peter Morley, Graha
4、m Nichol, Jerry Nolan, Kazuo Okada, Jeffrey Perlman, Michael Shuster, Petter Andreas Steen, Fritz Sterz, James Tibballs, Sergio Timerman, Tanya Truitt, David Zideman Pediatric Critical Care Fellowship, Childrens Hospital of Philadelphia, Department of Anesthesia and Critical Care, 34th St. and Civic
5、 Center Blvd. Sixth Floor, Room 6120C, Philadelphia, PA 19104-4309, USA Received 27 September 2004; accepted 27 September 2004 Abstract Outcome following cardiac arrest and cardiopulmonary resuscitation is dependent on critical interventions, particularly early defi brillation, effective chest compr
6、essions, and advanced life support. Utstein-style defi nitions 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 resusc
7、itation 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 ILCOR met in Melbourne, Australia, to review worldwideexperiencewiththeUtsteindefi nitionsandreportingt
8、emplates.Thetaskforcerevisedthecorereportingtemplateanddefi nitionsby consensus. Care was taken to build on previous defi nitions, changing data elements and operational defi nitions only on the basis of published data and experience derived from those registries that have used Utstein-style reporti
9、ng. Attention was focused on decreasing the complexity of the existing templates and addressing logistical diffi culties in collecting specifi c core and supplementary (i.e., essential and desirable) data elements recommended by previous Utstein consensus conference. Inconsistencies in terminology b
10、etween in-hospital and out-of-hospital Utsteintemplateswerealsoaddressed.Thetaskforceproducedareportingtoolforessentialdatathatcanbeusedforbothqualityimprovement 2004 Published by Elsevier Ireland Ltd. ? This statement has been copublished in Circulation. Corresponding author. Tel.: +1 215 590 1868;
11、 fax: +1 215 590 4327. E-mail address: nadkarniemail.chop.edu (V. Nadkarni). 0300-9572/$ see front matter 2004 Published by Elsevier Ireland Ltd. doi:10.1016/j.resuscitation.2004.09.008 234I. Jacobs et al. / Resuscitation 63 (2004) 233249 (registries) and research reports and that should be applicab
12、le to both adults and children. The revised and simplifi ed template includes practical and succinct operational defi nitions. 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 d
13、efi nition, collection, linkage, confi dentiality, 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, EMS system, and community. 2004 Pub
14、lished by Elsevier Ireland Ltd. Keywords: Cardiac arrest; Cardiopulmonary resuscitation; Utstein templates Resumo O progn ostico ap os paragem card aca e reanimac ao cardio-pulmonar est a dependente de intervenc oes cr ticas, particularmente a desfi brilhac ao precoce, as compress oes tor acicas efi
15、 cazes e o suporte avanc ado de vida. As defi nic oes do estilo Utstein e as folhas de registo t em sido amplamente utilizados em estudos publicados de paragem card aca, o que levou a uma grande compreens ao dos elementos da pr aticadereanimac aoeaprogressosparaconsensosinternacionaissobreci enciaeg
16、uidelinesdereanimac ao.Apesardeestaremdesenvolvidos registos Utstein para standartizar a investigac ao sobre as paragens card acas, e ainda necess ario o desenvolvimento de registos internacionais. Em Abril de 2002 houve uma reuni ao em Melbourne, do comit e internacional ILCOR, para rever a experi
17、encia mundial com as defi nic oes Utstein e os registos realizados. Este grupo reviu quer a folha de registo, quer as defi nic oes de consenso. O estudo foi baseado em defi nic oes pr evias; os dados e as defi nic oes operacionais foram realizados com base nos dados publicados e na experi encia deri
18、vada dos registos que utilizaramoestiloUtstein.Aatenc aofoidirigidaparadiminuiracomplexidadedosregistosexistenteseenunciarasdifi culdadeslog sticasem recolher dados relativos a quest oes centrais e suplementares (i.e. essenciais e desej aveis) recomendados por pr evias confer encias de consenso sobr
19、e o estilo Utstein. Foi tamb em equacionada a quest ao de existir inconsist encia na terminologia utilizada, entre os registos Utstein intra e extra-hospitalares. Este grupo produziu uma ferramenta de trabalho para registo de dados essenciais que pode ser utilizada quer para melhoria da qualidade (r
20、egistos) e para investigac ao e que pode ser aplic avel quer a adultos quer a crianc as. Os registos revistos e simplifi cados incluem defi nic oes pr aticas e sucintas. E de antecipar que os registos revistos e simplifi cados permitam um melhor e mais preciso registo de todas as paragens card acas
21、e das tentativas de reanimac ao. Foram revistos os problemas com a defi nic ao dos dados, registo, confi dencialidade, abordagem e implementac ao dos registos bem como sugeridas potenciais soluc oes. Uma forma de recolha e registo mais uniforme deve permitir uma melhoria cont nua da qualidade dentro
22、 do hospital, no sistema SEM e na comunidade. 2004 Published by Elsevier Ireland Ltd. Palavras chave: Paragem card aca; Reanimac ao cardio-pulmonar; Registos Utstein Resumen Elresultadodelparocardiacoylaresucitaci oncardiopulmonaresdependientedeintervencionescriticas,particularmentedeladesfi brilaci
23、 on precoz, las compresiones tor acicas efectivas, y la ventilaci on asistida. Las defi niciones y templados de reporte han sido usados en forma extensivaenestudiospublicadosacercadeparocardiorrespiratorio,loquehallevadoaunamayorcomprensi ondeloselementosdelapr actica de la resucitaci on y progreso
24、hacia el consenso internacional en ciencia y gu as internacionales de resucitaci on 7. Pese al desarrollo de los templadosdeUtsteinparaestandarizarlosreportesdeinvestigaci onenparocardiaco,aundebendesarrollarselosregistrosinternacionales.En Abrilde2002ungrupodetrabajodeILCORsereuni oenMelbourne,Aust
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