| Essential features of designating out-of-hospital cardiac arrest as a reportable event: a scientific statement from the American Heart Association Emergency Cardiovascular Care Committee; Council on Cardiopulmonary, Perioperative, and Critical Care; Council on Cardiovascular Nursing; Council on Clinical Cardiology; and Quality of Care and Outcomes Research Interdisciplinary Working Group. | |
| | |
MedLine Citation:
|
PMID: 18413503 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
The 2010 impact goal of the American Heart Association is to reduce death rates from heart disease and stroke by 25% and to lower the prevalence of the leading risk factors by the same proportion. Much of the burden of acute heart disease is initially experienced out of hospital and can be reduced by timely delivery of effective prehospital emergency care. Many patients with an acute myocardial infarction die from cardiac arrest before they reach the hospital. A small proportion of those with cardiac arrest who reach the hospital survive to discharge. Current health surveillance systems cannot determine the burden of acute cardiovascular illness in the prehospital setting nor make progress toward reducing that burden without improved surveillance mechanisms. Accordingly, the goals of this article provide a brief overview of strategies for managing out-of-hospital cardiac arrest. We review existing surveillance systems for monitoring progress in reducing the burden of out-of-hospital cardiac arrest in the United States and make recommendations for filling significant gaps in these systems, including the following: 1. Out-of-hospital cardiac arrests and their outcomes through hospital discharge should be classified as reportable events as part of a heart disease and stroke surveillance system. 2. Data collected on patients' encounters with emergency medical services systems should include descriptions of the performance of cardiopulmonary resuscitation by bystanders and defibrillation by lay responders. 3. National annual reports on key indicators of progress in managing acute cardiovascular events in the out-of-hospital setting should be developed and made publicly available. Potential barriers to action on cardiac arrest include concerns about privacy, methodological challenges, and costs associated with designating cardiac arrest as a reportable event. |
| | |
Authors:
|
Graham Nichol; John Rumsfeld; Brian Eigel; Benjamin S Abella; Darwin Labarthe; Yuling Hong; Robert E O'Connor; Vincent N Mosesso; Robert A Berg; Barbara Bobbi Leeper; Myron L Weisfeldt; ; ; ; ; |
Related Documents
:
|
10724743 - 15 years of experience with cardiopulmonary resuscitation in the kingdom of saudi arabi... 8560103 - Paediatric out-of-hospital cardiac arrests--epidemiology and outcome. 6601893 - Electrocardiogram in progressive systemic sclerosis. analysis of 73 cases. |
Publication Detail:
|
Type: Journal Article; Practice Guideline Date: 2008-04-14 |
Journal Detail:
|
Title: Circulation Volume: 117 ISSN: 1524-4539 ISO Abbreviation: Circulation Publication Date: 2008 Apr |
Date Detail:
|
Created Date: 2008-04-29 Completed Date: 2008-05-22 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0147763 Medline TA: Circulation Country: United States |
Other Details:
|
Languages: eng Pagination: 2299-308 Citation Subset: AIM; IM |
Affiliation:
|
University of Washington, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
American Heart Association* Emergency Medical Services / standards*, statistics & numerical data* Heart Arrest / mortality* Humans Mandatory Reporting* Public Health / standards, statistics & numerical data Quality of Health Care United States / epidemiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Role of left ventricular stiffness in heart failure with normal ejection fraction.
Next Document: Histologic analysis of descemet stripping in posterior lamellar keratoplasty.