Out -of -hospital cardiac arrest across the World: First report from the International Liaison Committee on Resuscitation (ILCOR)

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Kiguchi, Tekeyuki¹  Okubo, Masashi²  Nishiyama, Chika³  Maconochie, Ian⁴  Ong, Marcus Eng Hock^5,6  Kern, Karl B.⁷  Wyckoff, Myra H.⁸  McNally, Bryan⁹  Christensen, Erika F.^10,11  Tjelmeland, Ingvild¹²  Herlitz, Johan¹³  Perkins, Gavin D.^14,15  Finn, Judith^17,18,19  Shahidah, Nur⁶  Shin, Sang Do²⁰  Bobrow, Bentley J.²¹  Morrison, Laurie J.^22,23  Salo, Ari^24,25  Baldi, Enrico^26,27  Burkart, Roman²⁸  Lin, Chih-Hao²⁹  Jouven, Xavier³⁰  Soar, Jasmeet³¹  Nolan, Jerry P.^16,32  Iwami, Taku¹ 

[1] Kyoto Univ, Hlth Serv, Kyoto, Japan

[2] Univ Pittsburgh, Sch Med, Dept Emergency Med, Pittsburgh, PA USA

[3] Kyoto Univ, Grad Sch Human Hlth Sci, Dept Crit Care Nursing, Kyoto, Japan

[4] Imperial Coll London, Div Med, Dept Emergency Med, London, England

[5] Duke NUS Med Sch, Hlth Serv & Syst Res, Singapore, Singapore

[6] Singapore Gen Hosp, Dept Emergency Med, Singapore, Singapore

[7] Univ Arizona, Div Cardiol, Sarver Heart Ctr, Tucson, AZ USA

[8] Univ Texas Southwestern Med Ctr, Div Neonatal Perinatal Med, Dallas, TX USA

[9] Emory Univ, Sch Med, Dept Emergency Med, Atlanta, GA USA

[10] Aalborg Univ, Ctr Prehosp & Emergency Res, Aalborg, Denmark

[11] Aalborg Univ Hosp, Aalborg, Denmark

[12] Oslo Univ Hosp, Div Prehosp Serv, Norwegian Natl Advisory Unit Prehospital Emergenc, Oslo, Norway

[13] Univ Boras, Sahlgrenska Univ Hosp, Gothenburg, Sweden

[14] Warwick Med Sch, Coventry, W Midlands, England

[15] Univ Hosp Birmingham NHS Fdn Trust, Birmingham, W Midlands, England

[16] Univ Warwick, Warwick Med Sch, Coventry, W Midlands, England

[17] Curtin Univ, Sch Nursing Midwifery & Paramed, Perth, WA, Australia

[18] Univ Western Australia, Nedlands, WA, Australia

[19] Monash Univ, Dept Epidemiol & Prevent Med, Clayton, Vic, Australia

[20] Seoul Natl Univ, Dept Emergency Med, Coll Med, Seoul, South Korea

[21] UT Hlth, McGovern Med Sch, Dept EMS, Houston, TX USA

[22] Univ Toronto, St Michaels Hosp, Li Ka Shing Knowledge Inst, Rescu, Toronto, ON, Canada

[23] Univ Toronto, Div Emergency Med, Dept Med, Toronto, ON, Canada

[24] Univ Helsinki, Dept Emergency Med, Emergency Med Serv, Helsinki, Finland

[25] Helsinki Univ Hosp, Helsinki, Finland

[26] Policlin San Matteo, Fdn IRCCS, Div Cardiol, Pavia, Italy

[27] Univ Pavia, Cardiol Sect, Dept Mol Med, Pavia, Italy

[28] Fdn Ticino Cuore, Lugano, Switzerland

[29] Natl Cheng Kung Univ, Natl Cheng Kung Univ Hosp, Coll Med, Dept Emergency Med, Tainan, Taiwan

[30] Georges Pompidou European Hosp, AP HP, Dept Cardiol, Paris, France

[31] Southmead Hosp, North Bristol NHS Trust, Intens Care Med, Bristol, Avon, England

[32] Royal United Hosp, Dept Anaesthesia & Intens Care Med, Bath, Avon, England

关键词: Out-of-hospital cardiac arrest;    Utstein template;    Epidemiology;    Resuscitation;    Registry;   

DOI  :  10.1016/j.resuscitation.2020.02.044

来源: Elsevier

【 摘 要 】

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 30.0-97.1 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 19.1-79.0% in all registries and 2.0-37.4% among 11 registries, respectively. Survival to hospital discharge or 30 -day survival after EMS -treated OHCA was 3.1-20.4% across all registries. Favorable neurological outcome at hospital discharge or 30 days after EMS -treated OHCA was 2.8-18.2%. Survival to hospital discharge or 30 -day survival after bystander -witnessed shockable OHCA ranged from 11.7% to 47.4% and favorable 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.

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