Efforts to Improve Survival Outcomes of Out-of-Hospital Cardiac Arrest in China: BASIC-OHCA.

IF 6.9 2区医学

Circulation. Cardiovascular Quality and Outcomes Pub Date : 2023-02-01 DOI:10.1161/CIRCOUTCOMES.121.008856

Xi Xie, Jiaqi Zheng, Wen Zheng, Chang Pan, Yu Ma, Yimin Zhu, Huiqiong Tan, Xiaotong Han, Shengtao Yan, Guoqiang Zhang, Chaoqian Li, Fei Shao, Chunyi Wang, Jianbo Zhang, Yuan Bian, Jingjing Ma, Kai Cheng, Rugang Liu, Shaowei Sang, Yongsheng Zhang, Bryan McNally, Marcus E H Ong, Chuanzhu Lv, Yuguo Chen, Feng Xu

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引用次数: 7

Abstract

Background: Establishing registries to collect demographic characteristics, processes of care, and outcomes of patients with out-of-hospital cardiac arrest (OHCA) can better understand epidemiological trends, measure care quality, and identify opportunities for improvement. This study aimed to describe the design, implementation, and scientific significance of a nationwide registry-the BASIC-OHCA (Baseline Investigation of Out-of-Hospital Cardiac Arrest)-in China.

Methods: BASIC-OHCA was designed as a prospective, multicenter, observational, population-based study. The BASIC-OHCA registry was developed based on Utstein templates. BASIC-OHCA includes all OHCA patients confirmed by emergency medical services (EMS) personnel regardless of age, sex, or cause. Patients declared dead at the scene by EMS personnel for any reasons are also included. To fully characterize an OHCA event, BASIC-OHCA collects data from 3 sources-EMS, the receiving hospital, and patient follow-up-and links them to form a single record. Once data entry is completed and quality is checked, individual identifiers are stripped from the record.

Results: Currently, 32 EMS agencies in 7 geographic regions contribute data to BASIC-OHCA. They are distributed in the urban and rural areas, covering ≈9% of the population of mainland China. Data collection started on August 1, 2019. By July 31, 2020, a total of 92 913 EMS-assessed OHCA patients were enrolled. Among 28969 (31.18%) EMS-treated OHCAs, the mean age was 65.79±17.36 years, and 68.35% were males. The majority of OHCAs (76.85%) occurred at home or residence. A shockable initial rhythm was reported in 5.43% of patients. Any return of spontaneous circulation, survival to hospital discharge, and favorable neurological outcome at hospital discharge were 5.98%, 1.15%, and 0.83%, respectively.

Conclusions: BASIC-OHCA is the first nationwide registry on OHCA in China. It can be used as a public health surveillance system and as a platform to produce evidence-based practices to help identify opportunities for improvement.

Registration: URL: https://www.

Clinicaltrials: gov; Unique identifier: NCT03926325.

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改善中国院外心脏骤停患者生存结果的努力:BASIC-OHCA

背景:建立登记来收集院外心脏骤停(OHCA)患者的人口学特征、护理过程和结果，可以更好地了解流行病学趋势，衡量护理质量，并确定改进的机会。本研究旨在描述中国一项全国性登记——BASIC-OHCA(院外心脏骤停基线调查)的设计、实施和科学意义。方法:BASIC-OHCA是一项前瞻性、多中心、观察性、基于人群的研究。BASIC-OHCA注册表是基于Utstein模板开发的。BASIC-OHCA包括所有经紧急医疗服务(EMS)人员确认的OHCA患者，不论年龄、性别或病因。急救人员因任何原因在现场宣布死亡的病人也包括在内。为了充分描述OHCA事件，BASIC-OHCA从3个来源收集数据——ems、接收医院和患者随访——并将它们联系起来形成一个单一的记录。一旦数据输入完成并检查了质量，就会从记录中删除个人标识符。结果:目前，来自7个地理区域的32家EMS机构向BASIC-OHCA提供数据。它们分布在城市和农村地区，约占中国大陆人口的9%。数据收集于2019年8月1日开始。截至2020年7月31日，共有92 913名ems评估的OHCA患者入组。28969例(31.18%)经ems治疗的ohca患者，平均年龄65.79±17.36岁，男性占68.35%。大多数ohca(76.85%)发生在家中或住所。5.43%的患者出现休克性心律。自发循环恢复、出院时存活率和出院时良好的神经预后分别为5.98%、1.15%和0.83%。结论:BASIC-OHCA是中国第一个全国性的OHCA登记系统。它可以用作公共卫生监测系统，也可以作为产生循证实践的平台，以帮助确定改进的机会。注册:网址:https://www.Clinicaltrials: gov;唯一标识符:NCT03926325。

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来源期刊

Circulation. Cardiovascular Quality and Outcomes Medicine-Cardiology and Cardiovascular Medicine

CiteScore

9.80

自引率

2.90%

发文量

357

期刊介绍： Circulation: Cardiovascular Quality and Outcomes, an American Heart Association journal, publishes articles related to improving cardiovascular health and health care. Content includes original research, reviews, and case studies relevant to clinical decision-making and healthcare policy. The online-only journal is dedicated to furthering the mission of promoting safe, effective, efficient, equitable, timely, and patient-centered care. Through its articles and contributions, the journal equips you with the knowledge you need to improve clinical care and population health, and allows you to engage in scholarly activities of consequence to the health of the public. Circulation: Cardiovascular Quality and Outcomes considers the following types of articles: Original Research Articles, Data Reports, Methods Papers, Cardiovascular Perspectives, Care Innovations, Novel Statistical Methods, Policy Briefs, Data Visualizations, and Caregiver or Patient Viewpoints.