The Registry as a Basis for Epidemiological Surveillance and Optimization of Care in Out-of-hospital Cardiac Arrest
https://doi.org/10.23934/2223-9022-2018-7-3-234-243
Abstract
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.
About the Authors
A. A. Birkun
S.I. Georgiyevsky Medical Academy of V.I. Vernadsky Crimean Federal University
Russian Federation
Russian Federation
Birkun Aleksey Alekseyevich - Cand. Med. Sci., Assistant of the Department of Anesthesiology and Resuscitation and Emergency Care.
Bulvar Lenina, 5/7, Simferopol 295006
A. V. Altukhov
Crimean republican Center of Disaster Medicine and Emergency Medical Services
Russian Federation
Russian Federation
Altukhov Andrey Valeryevich - Deputy Director for Medicine CRCDMEMS, Head of the Emergency Medical Service of the Republic of Crimea.
60-letiya Oktiabria, 30, Simferopol 295024References
1. Mawani M., Kadir M.M., Azam I., et al. Epidemiology and outcomes of out-of-hospital cardiac arrest in a developing country — a multicenter cohort study. BMC Emerg Med. 2016; 16(1): 28. PMID: 27465304. DOI: 10.1186/s12873-016-0093-2.
2. Go A.S., Mozaffarian D., Roger V.L., et al. Heart disease and stroke statistics — 2014 update: a report from the American Heart Association. Circulation. 2014; 129(3): e28–e292. PMID: 24352519. PMCID: PMC5408159. DOI: 10.1161/01.cir.0000441139.02102.80.
3. Gräsner J.T., Lefering R., Koster R.W., et al. EuReCa ONE-27 Nations, ONE Europe, ONE Registry: A prospective one month analysis of out-of-hospital cardiac arrest outcomes in 27 countries in Europe. Resuscitation. 2016; 105: 188–195. PMID: 27321577. DOI: 10.1016/j.resuscitation.2016.06.004.
4. Berdowski J., Berg R.A., Tijssen J.G., Koster R.W. Global incidences of out-of-hospital cardiac arrest and survival rates: Systematic review of 67 prospective studies. Resuscitation. 2010; 81: 1479–1487. PMID: 20828914. DOI: 10.1016/j.resuscitation.2010.08.006.
5. Bokeriya O.L., Biniashvili M.B. Sudden cardiac death and ischemic heart disease. Annaly aritmologii. 2013; 2: 69–78. (In Russian).
6. Birkun A.A., Glotov M.A. Epidemiological features of out-of-hospital cardiac arrest: evidence from particular administrative centre in Russian Federation. Anesteziologiya i reanimatologiya. 2017; 2: 113–117. (In Russian).
7. Nolan J., Soar J., Eikeland H. The chain of survival. Resuscitation. 2006; 71: 270–1. PMID: 17070646. DOI: 10.1016/j.resuscitation.2006.09.001.
8. Berdowski J., Blom M.T., Bardai A., et al. Impact of onsite or dispatched automated external defibrillator use on survival after out-of-hospital cardiac arrest. Circulation. 2011; 124: 2225–2232. DOI: 10.1161/CIRCULATIONAHA.110.015545.
9. Vaillancourt C., Verma A., Trickett J., et al. Evaluating the effectiveness of dispatch-assisted cardiopulmonary resuscitation instructions. Acad Emerg Med. 2007; 14: 877–883. PMID: 17761545. DOI: 10.1197/j.aem.2007.06.021.
10. Cummins R.O., Chamberlain D.A., Abramson N.S., et al. Recommended guidelines for uniform reporting of data from out-of-hospital cardiac arrest: the Utstein Style. A statement for health professionals froma task force of the American Heart Association, the European Resuscitation Council, the Heart and Stroke Foundation of Canada, and the Australian Resuscitation Council. Circulation. 1991; 84: 960–975. PMID: 1860248.
11. Perkins G.D., Jacobs I.G., Nadkarni V.M., et al. 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. Circulation. 2015; 132(13): 1286–1300. DOI: 10.1161/CIR.0000000000000144.
12. McNally B., Robb R., Mehta M., et al. Out-of-hospital cardiac arrest surveillance — Cardiac Arrest Registry to Enhance Survival (CARES), United States, October 1, 2005–December 31, 2010. MMWR Surveill Summ. 2011; 60(8): 1–19. PMID: 21796098.
13. Ong M.E., Shin S.D., Tanaka H., et al. Pan-Asian Resuscitation Outcomes Study (PAROS): rationale, methodology, and implementation. Acad Emerg Med. 2011; 18(8): 890–897. PMID: 21843225. DOI: 10.1111/j.1553-2712.2011.01132.x.
14. Nichol G., Thomas E., Callaway C.W., et al. Regional variation in outof-hospital cardiac arrest incidence and outcome. JAMA. 2008; 300: 1423–1431. PMID: 18812533. DOI: 10.1001/jama.300.12.1423.
15. Nishiyama C., Brown S.P., May S., et al. Apples to apples or apples to oranges? International variation in reporting of process and outcome of care for out-of-hospital cardiac arrest. Resuscitation. 2014; 85(11): 1599–1609. PMID: 25010784. PMCID: PMC4253685. DOI: 10.1016/j.resuscitation.2014.06.031.
16. McNally B., Stokes A., Crouch A., Kellermann A.L. CARES: Cardiac Arrest Registry to Enhance Survival. Anns Emerg Med. 2009; 54: 674– 683. PMID: 19394110. DOI: 10.1016/j.annemergmed.2009.03.018.
17. Jacobs I., Nadkarni V., Bahr J., et al. Cardiac arrest and cardiopulmonary resuscitation outcome reports: update and simplification of the Utstein templates for resuscitation registries. A statement for healthcare professionals from a task force of the international liaison committee on resuscitation (American 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). Resuscitation. 2004; 63(3): 233–249. DOI: 10.1016/j.resuscitation.2004.09.008.
18. Morrison L.J., Nichol G., Rea T.D., et al. Rationale, development and implementation of the Resuscitation Outcomes Consortium EpistryCardiac Arrest. Resuscitation. 2008; 78: 161–169. PMID: 18479802. DOI: 10.1016/j.resuscitation.2008.02.020.
19. Beck B., Bray J., Smith K., et al. Establishing the Aus-ROC Australian and New Zealand out-of-hospital cardiac arrest Epistry. BMJ Open. 2016; 6(4): e011027. PMID: 27048638. PMCID: PMC4823452. DOI: 10.1136/bmjopen-2016-011027.
20. Doctor N.E., Ahmad N.S., Pek P.P., et al. The Pan-Asian Resuscitation Outcomes Study (PAROS) clinical research network: what, where, why and how. Singapore Med J. 2017; 58(7): 456–458. PMID: 28741005. DOI: 10.11622/smedj.2017057.
21. Strömsöe A., Svensson L., Axelsson Å.B., et al. Validity of reported data in the Swedish Cardiac Arrest Register in selected parts in Sweden. Resuscitation. 2013; 84(7): 952–956. PMID: 23313425. DOI: 10.1016/j.resuscitation.2012.12.026.
22. Daya M.R., Schmicker R.H., Zive D.M., et al. Out-of-hospital cardiac arrest survival improving over time: Results from the Resuscitation Outcomes Consortium (ROC). Resuscitation. 2015; 91: 108–115. DOI: 10.1016/j.resuscitation.2015.02.003.
23. About the approval of statistical tools of station (office), hospital of emergency medical service: the order of the Ministry of health and social development of the Russian Federation of December 2, 2009 No. 942. Available at: http://dokipedia.ru/document/1722406. (Accessed 06 Feb 2018). (In Russian).
24. Shumatov V.B., Kuznetsov V.V., Lebedev S.V. Effective cardio-pulmonary resuscitation on pre-hospital stage: basic elements, experience of introduction. Tikhookeanskiy meditsinskiy zhurnal. 2006; 1: 81–84. (In Russian).
25. Shilova M.A. Sudden cardiac death in young people: risk factors, causes, morphological equivalents. Mezhdunarodnyy zhurnal serdtsa i sosudistykh zabolevaniy. 2015; 6(3): 25–34. (In Russian).
26. Burkov O.V., Molin Yu.A. Natural mortality among people who came to live in Leningrad Region. Forensic Science International. 2007; 169(Suppl): S12. DOI: 10.1016/j.forsciint.2007.04.183.
27. Burkov O.V., Molin Yu. A. Seasonal extrahospital mortality in some areas of Leningrad Region. Forensic Science International. 2007; 169(Suppl): S11–S12. DOI: 10.1016/j.forsciint.2007.04.182.
28. Milin V.A., Ivanova A.A. Experience of the heart resuscitation at the pre-hospital stage. Tikhookeanskiy meditsinskiy zhurnal. 2007; 1: 90–91. (In Russian).
29. Gnezdilov V.V. The comparative analysis of the resuscitation efficiency (ACLS 2000 and ACLS 2005) on pre-hospital stage. Tikhookeanskiy meditsinskiy zhurnal. 2008; 1: 85–86. (In Russian).
30. Ivanova A.A., Milin V.A., Shadrin A.P., Kuznetsov V.V. Heart resuscitation at a pre-hospital stage: the Yakuts results. Tikhookeanskiy meditsinskiy zhurnal. 2008; 1: 87–89. (In Russian).
31. Gavrichenko E.P., Ivakhina S.A., Savenkova E.N. Analysis of the structure of mortality in Saratov for 2012 according to forensic studies of corpses. Byulleten’ meditsinskikh internet-konferentsiy. 2015; 5(5): 683. (In Russian).
32. Kupryushin A.S., Markova A.A., Kupryushina N.V., et al. The structure of causes of death of patients of elderly and senile age, which died at home. Sovremennyye problemy nauki i obrazovaniya. 2016; 3: 140. (In Russian).
33. Smirnov M.V., Karpus’ S.M., Mikhaylova V.M. Analysis of the use of Lucas 2 system by resuscitation team in “Nizhnevartovsk city emergency medical station” in 2016. Zdravookhraneniye Yugry: opyt i innovatsii. 2017; 1: 18–20. (In Russian).
34. Aleksandrovskiy A.A., Tarasov N.A., Pronina E.N. Regional data on sudden cardiac death. Kardiovaskulyarnaya terapiya i profilaktika. 2009; 6 (S1): 18. (In Russian).
35. Pronina E.N. Sudden cardiac death (prevalence, possible causes, comorbidity). Problemy ekspertizy v meditsine. 2009; 4: 44–46. (In Russian).
36. Gordeyeva M.V., Mitrofanova L.B., Pakhomov A.V., et al. Sudden cardiac death in adolescents and young adults. Vestnik aritmologii. 2012; 68: 34–44. (In Russian).
37. Solokhin Yu.A., Makarov L.M., Komolyatova V.N. Sudden out-ofhospital cardiac death at a young age (analysis for 5 years according to the 2nd tanatological Department of the Bureau of forensic medical examination of the Department of health of Moscow). Meditsinskaya ekspertiza i pravo. 2013; 4: 16–23. (In Russian).
38. Sokolova O.V., Petrova Yu.A. Forensic medical expertise of sudden cardiac death from alcoholic cardiomyopathy in the subjects having a low ethanol concentration in the blood and urine. Sudebno-meditsinskaya ekspertiza. 2015; 4: 19–22. (In Russian).
39. Gordeyeva M.V., Veleslavova O.Ye., Baturova M.A., et al. Sudden non-violent death in young adults (retrospective analysis). Meditsina neotlozhnykh sostoyaniy. 2014; 4(59): 18–26. (In Russian).
40. Kirillov V.V. Pre-hospital mortality in patients with ischemic heart disease who developed acute coronary syndromes. Doktor.ru. 2016; 2(119): 27–33. (In Russian).
41. Pigolkin Yu.I., Shilova M.A., Kil’dyushov E.M., Gal’chikov Yu.I. Forensic medical characteristic of the causes behind sudden death in the young subjects. Sudebno-meditsinskaya ekspertiza. 2016; 5: 4–9. (In Russian).
42. Konev V.P., Goleva O.P., Bogza O.G., Bogza M.V. Analysis of mortality young children from sudden infant death syndrome in the Omsk area for 2011–2013. Mat’ i ditya v Kuzbasse. 2015; 1(60): 21–25. (In Russian).
43. Korableva N.N., Korablev A.V. The syndrome of sudden death of infants in the structure of mortality at home. Rossiyskiy vestnik perinatologii i pediatrii. 2016; 3: 227–228. (In Russian).
Review
For citations:
Birkun A.A., Altukhov A.V. The Registry as a Basis for Epidemiological Surveillance and Optimization of Care in Out-of-hospital Cardiac Arrest. Russian Sklifosovsky Journal "Emergency Medical Care". 2018;7(3):234-243. https://doi.org/10.23934/2223-9022-2018-7-3-234-243
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