nmpЖурнал им. Н.В. Склифосовского «Неотложная медицинская помощь»Russian Sklifosovsky Journal "Emergency Medical Care"2223-90222541-8017“N.V. Sklifosovsky Research Institute for Emergency Medicine”10.23934/2223-9022-2018-7-3-234-243nmp-505Research ArticleОБЗОР ЛИТЕРАТУРЫREVIEWSРегистр как основа эпидемиологического контроля и оптимизации помощи при внегоспитальной остановке кровообращенияThe Registry as a Basis for Epidemiological Surveillance and Optimization of Care in Out-of-hospital Cardiac Arresthttps://orcid.org/0000-0002-2789-9760БиркунА. А.BirkunA. A.

Биркун Алексей Алексеевич - кандидат медицинских наук, ассистент кафедры анестезиологии-реаниматологии и скорой медицинской помощи.

295006 Симферополь, бульвар Ленина, д. 5/7

Birkun Aleksey Alekseyevich - Cand. Med. Sci., Assistant of the Department of Anesthesiology and Resuscitation and Emergency Care.

Bulvar Lenina, 5/7, Simferopol 295006

birkunalexei@gmail.comhttps://orcid.org/0000-0001-6644-6636АлтуховА. В.AltukhovA. V.

Алтухов Андрей Валериевич - заместитель директора по медицинской работе КрРЦМКСМП, руководитель Службы скорой медицинской помощи Республики Крым.

295024 Симферополь, ул. 60-летия Октября, д. 30

Altukhov Andrey Valeryevich - Deputy Director for Medicine CRCDMEMS, Head of the Emergency Medical Service of the Republic of Crimea.

Медицинская академия им. С. И. Георгиевского ФГАОУ ВО Крымский федеральный университет им. В.И. ВернадскогоРоссияS.I. Georgiyevsky Medical Academy of V.I. Vernadsky Crimean Federal UniversityRussian FederationГБУЗ Республики Крым «Крымский республиканский центр медицины катастроф и скорой медицинской помощи»РоссияCrimean republican Center of Disaster Medicine and Emergency Medical ServicesRussian Federation20180711201873234243Copyright © Биркун А.А., Алтухов А.В., 20182018Биркун А.А., Алтухов А.В.Birkun A.A., Altukhov A.V.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.jnmp.ru/jour/article/view/505

Несмотря на значительный прогресс медицины, внегоспитальная остановка кровообращения (ВГОК) остается одной из лидирующих причин смерти во всем мире. Эпидемиологические данные свидетельствуют о широкой распространенности ВГОК в Российской Федерации при малой частоте проведения реанимации и низкой результативности реанимационных мероприятий. Принятие мер, направленных на снижение смертности от ВГОК, а также контроль эффективности таких мер должны базироваться на актуальных и достоверных сведениях об эпидемиологии остановки кровообращения и показателях функционирования системы первой помощи и медицинской помощи в стране и регионах. Цель настоящего обзора состоит в обосновании целесообразности создания отечественного регистра ВГОК как главного инструмента сбора, систематизации, хранения, обработки и представления сведений об эпидемиологии остановки кровообращения и действенности помощи при ВГОК. В обзоре представлен анализ отечественных исследований эпидемиологии ВГОК, описывается общая концепция и зарубежный опыт создания регистров ВГОК, обсуждаются международные рекомендации Utstein по унифицированному сообщению сведений о ВГОК.

Despite significant progress in medicine, out-of-hospital cardiac (OHCA) remains one of the leading causes of death around the world. Epidemiological data suggest wide distribution of OHCA, low incidence of cardiopulmonary resuscitation attempts and low efficiency of resuscitation in the Russian Federation. Both implementation of measures for reducing mortality from OHCA and monitoring of their efficiency should be based on up-to-date, reliable data on national and regional OHCA epidemiology and performance of emergency medical services. The aim of this review is to provide a rationale for establishment of the national OHCA registry as a main instrument of collection, arrangement, storage, processing and presentation of data on OHCA epidemiology and efficiency of care provided. The review includes the analysis of OHCA epidemiological studies carried out in Russia, describes general concept and international experience of developing OHCA registries, and discusses Utstein guidelines for uniform reporting of OHCA data.

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The authors declare that there are no conflicts of interest present.