Out-of-hospital Cardiac Arrest across the World: First Report from the International Liaison Committee on Resuscitation (ILCOR).

Kiguchi, Tekeyuki and Okubo, Masashi and Nishiyama, Chika and Maconochie, Ian and Ong, Marcus Eng Hock and Kern, Karl B and Wyckoff, Myra H and McNally, Bryan and Christensen, Erika and Tjelmeland, Ingvild and Herlitz, Johan and Perkins, Gavin D and Booth, Scott and Finn, Judith and Shahidah, Nur and Shin, Sang Do and Bobrow, Bentley J and Morrison, Laurie J and Salo, Ari and Baldi, Enrico and Burkart, Roman and Lin, Chih-Hao and Jouven, Xavier and Soar, Jasmeet and Nolan, Jerry P and Iwami, Taku (2020) Out-of-hospital Cardiac Arrest across the World: First Report from the International Liaison Committee on Resuscitation (ILCOR). Resuscitation. ISSN 1873-1570. This article is available to all UHB staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs

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Official URL: https://www.resuscitationjournal.com/article/S0300...

Abstract

BACKGROUND

Since development of the Utstein style recommendations for the uniform reporting of cardiac arrest, increasing numbers of national and regional out-of-hospital cardiac arrest (OHCA) registries have been established worldwide. The International Liaison Committee on Resuscitation (ILCOR) created the Research and Registries Working Group and aimed to systematically report data collected from these registries.

METHODS

We conducted two surveys of voluntarily participating national and regional registries. The first survey aimed to identify which core elements of the current Utstein style for OHCA were collected by each registry. The second survey collected descriptive summary data from each registry. We chose the data collected for the second survey based on the availability of core elements identified by the first survey.

RESULTS

Seven national and four regional registries were included in the first survey and nine national and seven regional registries in the second survey. The estimated annual incidence of emergency medical services (EMS)-treated OHCA was 30.0 to 97.1 individuals per 100,000 population. The combined data showed the median age varied from 64 to 79 years and more than half were male in all 16 registries. The provision of bystander cardiopulmonary resuscitation (CPR) and bystander automated external defibrillator (AED) use was 19.1% to 79.0% in all registries and 2.0% to 37.4% among 11 registries, respectively. Survival to hospital discharge or 30-day survival after EMS-treated OHCA was 3.1% to 20.4% across all registries. Favourable neurological outcome at hospital discharge or 30 days after EMS-treated OHCA was 2.8% to 18.2%. Survival to hospital discharge or 30-day survival after bystander witnessed shockable OHCA ranged from 11.7% to 47.4% and favourable neurological outcome from 9.9% to 33.3%.

CONCLUSION

This report from ILCOR describes data on systems of care and outcomes following OHCA from nine national and seven regional registries across the world. We found variation in reported survival outcomes and other core elements of the current Utstein style recommendations for OHCA across nations and regions.

Item Type: Article
Additional Information: This article is available to all UHB staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs
Subjects: WD Diseases and disorders of systemic, metabolic or environmental origin > WD400 Emergency medicine
WG Cardiovascular system. Cardiology
Divisions: Clinical Support > Critical Care
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Depositing User: Mrs Yolande Brookes
Date Deposited: 10 Apr 2020 14:32
Last Modified: 10 Apr 2020 14:32
URI: http://www.repository.uhblibrary.co.uk/id/eprint/2983

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