A web-based Utstein style registry system of in-hospital cardiopulmonary resuscitation in Taiwan
Journal
Resuscitation
Journal Volume
72
Journal Issue
3
Pages
394-403
Date Issued
2007
Author(s)
Abstract
Purpose of the study: The Web-Based Registry System on In-hospital Resuscitation (WRSIR) is the first prospective, web-based, multi-site, and Utstein-based reporting system in Taiwan. This study was conducted to evaluate the feasibility of the system in one of the participating hospitals and identify prognostic factors associated with survival. Material and methods: The WRSIR is an on-line registry system coded with the active server page (ASP) programming method. Information was gathered and entered on-line by trained staff using spreadsheets that could be automatically created according to the updated Utstein in-hospital template. Through the implementation of the system, in a tertiary teaching hospital we evaluated all adults with in-hospital cardiac arrest receiving cardiopulmonary resuscitation between 1 October 2004 and 30 September 2005. The main outcome measures were return of spontaneous circulation (ROSC), survival to hospital discharge, and cerebral performance category score at the time of discharge. Logistic regression analysis was performed to determine independent predictors of survival. Results: A total of 330 cases experienced in-hospital resuscitation. ROSC occurred in 233 cases (71%) and 61 patients (18%) survived to hospital discharge. Thirty-five patients (58%) had a good neurological outcome with the cerebral performance category (CPC) score of 1 or 2 among survivors. The major predictor of ROSC was initial rhythm of VT/VF (adjusted OR 0.36, 95% CI 0.16-0.78). Conclusion: This study examined the feasibility of a web-based registry system on in-hospital resuscitation using the Utstein style in an oriental country. It provides a comprehensive and standardised method for on-line registry of data collection, allowing individual hospitals to track each case for quality improvement. A further nationwide registry will enforce the possibility of data analysis and future perspective research of in-hospital resuscitation. ? 2006 Elsevier Ireland Ltd. All rights reserved.
SDGs
Other Subjects
article; brain function; computer program; disease registry; heart rhythm; hospital discharge; hospital information system; Internet; logistic regression analysis; medical informatics; medical staff; online system; outcome assessment; prediction; priority journal; register; resuscitation; survival rate; Taiwan; tertiary health care; Aged; Emergency Service, Hospital; Female; Heart Arrest; Hospitals, University; Humans; Inpatients; Internet; Male; Prospective Studies; Registries; Resuscitation; Survival Rate; Treatment Outcome
Type
journal article