https://scholars.lib.ntu.edu.tw/handle/123456789/532170
標題: | Apples to apples or apples to oranges? International variation in reporting of process and outcome of care for out-of-hospital cardiac arrest | 作者: | Nishiyama C. Brown S.P. May S. Iwami T. Koster R.W. Beesems S.G. KuisMATTHEW HUEI-MING MA Salo A. Jacobs I. Finn J. Sterz F. N?rnberger A. Smith K. Morrison L. Olasveengen T.M. Callaway C.W. Shin S.D. Gr?sner J.-T. Daya M. MATTHEW HUEI-MING MA Herlitz J. Str?ms?e A. Aufderheide T.P. Masterson S. Wang H. Christenson J. Stiell I. Davis D. Huszti E. Nichol G. |
公開日期: | 2014 | 卷: | 85 | 期: | 11 | 起(迄)頁: | 1599-1609 | 來源出版物: | Resuscitation | 摘要: | Objectives: Survival after out-of-hospital cardiac arrest (OHCA) varies between communities, due in part to variation in the methods of measurement. The Utstein template was disseminated to standardize comparisons of risk factors, quality of care, and outcomes in patients with OHCA. We sought to assess whether OHCA registries are able to collate common data using the Utstein template. A subsequent study will assess whether the Utstein factors explain differences in survival between emergency medical services (EMS) systems. Study design: Retrospective study. Setting: This retrospective analysis of prospective cohorts included adults treated for OHCA, regardless of the etiology of arrest. Data describing the baseline characteristics of patients, and the process and outcome of their care were grouped by EMS system, de-identified, and then collated. Included were core Utstein variables and timed event data from each participating registry. This study was classified as exempt from human subjects' research by a research ethics committee. Measurements and main results: Thirteen registries with 265 first-responding EMS agencies in 13 countries contributed data describing 125,840 cases of OHCA. Variation in inclusion criteria, definition, coding, and process of care variables were observed. Contributing registries collected 61.9% of recommended core variables and 42.9% of timed event variables. Among core variables, the proportion of missingness was mean 1.9. ±. 2.2%. The proportion of unknown was mean 4.8. ±. 6.4%. Among time variables, missingness was mean 9.0. ±. 6.3%. Conclusions: International differences in measurement of care after OHCA persist. Greater consistency would facilitate improved resuscitation care and comparison within and between communities. ? 2014 Elsevier Ireland Ltd. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/532170 | ISSN: | 0300-9572 | DOI: | 10.1016/j.resuscitation.2014.06.031 | SDG/關鍵字: | Article; clinical assessment; cohort analysis; emergency health service; female; human; major clinical study; male; out of hospital cardiac arrest; outcome assessment; prospective study; register; research ethics; retrospective study; adult; comparative study; evaluation study; international cooperation; middle aged; mortality; Out-of-Hospital Cardiac Arrest; outcome assessment; procedures; prognosis; register; resuscitation; survival; treatment outcome; Adult; Cardiopulmonary Resuscitation; Cohort Studies; Emergency Medical Services; Female; Humans; Internationality; Male; Middle Aged; Out-of-Hospital Cardiac Arrest; Outcome Assessment (Health Care); Prognosis; Registries; Retrospective Studies; Survival Analysis; Treatment Outcome |
顯示於: | 醫學院附設醫院 (臺大醫院) |
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