Document Detail


International Resuscitation Network Registry: design, rationale and preliminary results.
MedLine Citation:
PMID:  15919562     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
There is a lack of high-quality information about the effectiveness of resuscitation interventions and international differences in structure, process and outcome after out-of-hospital cardiac arrest and cardiopulmonary resuscitation because data are not collected uniformly. An internet-based international registry could make such evaluations possible, and enable the conduct of large randomized controlled trials of resuscitation therapies. A prospective international cohort study was performed that included 571 infants, children and adults (a) who experienced cardiac arrest requiring chest compressions or external defibrillation, (b) outside the hospital in the study communities and (c) upon whom resuscitation was attempted by EMS personnel. Cardiac arrest was defined as lack of responsiveness, breathing or movement in individuals for whom the EMS system is activated for whom an arrest record is completed. All data were collated via a secure and confidential web-based method by using automated forms processing software with appropriate variable range checks, logic checks and skip rules. Median number of missing responses for each variable was 0 (interquartile range 0, 0). Twenty-seven percent of the patients had a first recorded rhythm of ventricular fibrillation or ventricular tachycardia, 60% had a witnessed arrest, and 34% received bystander CPR. Mean time from call to arrival on scene was 7.1+/-5.1 min. Six percent of the patients survived to hospital discharge. The resuscitation process was highly variable across centers, and survival and neurological outcome were also significantly and independently different across centers. This study shows that it is possible to collect data prospectively describing the structure, process and outcome associated with cardiac arrest in multiple international sites via the internet. Therefore, it is feasible to conduct adequately powered randomized trials of resuscitation therapies in international settings.
Authors:
G Nichol; P Steen; J Herlitz; L J Morrison; I Jacobs; J P Ornato; R O'Connor; V Nadkarni;
Publication Detail:
Type:  Journal Article; Multicenter Study    
Journal Detail:
Title:  Resuscitation     Volume:  65     ISSN:  0300-9572     ISO Abbreviation:  Resuscitation     Publication Date:  2005 Jun 
Date Detail:
Created Date:  2005-05-27     Completed Date:  2005-09-29     Revised Date:  2009-08-25    
Medline Journal Info:
Nlm Unique ID:  0332173     Medline TA:  Resuscitation     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  265-77     Citation Subset:  IM    
Affiliation:
University of Washington, Seattle, WA 98104, USA. nichol@u.washington.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Australia
Cardiopulmonary Resuscitation*
Child
Child, Preschool
Europe
Feasibility Studies
Female
Heart Arrest / therapy*
Humans
Infant
Male
Middle Aged
North America
Outcome and Process Assessment (Health Care)*
Prospective Studies
Registries*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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