National Academies Press: OpenBook

Strategies to Improve Cardiac Arrest Survival: A Time to Act (2015)

Chapter: F-- Utstein Guideline - Endorsed Data Elementsfor Reporting Out-of-Hospital Cardiac Arrest

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Suggested Citation:"F-- Utstein Guideline - Endorsed Data Elementsfor Reporting Out-of-Hospital Cardiac Arrest." Institute of Medicine. 2015. Strategies to Improve Cardiac Arrest Survival: A Time to Act. Washington, DC: The National Academies Press. doi: 10.17226/21723.
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Suggested Citation:"F-- Utstein Guideline - Endorsed Data Elementsfor Reporting Out-of-Hospital Cardiac Arrest." Institute of Medicine. 2015. Strategies to Improve Cardiac Arrest Survival: A Time to Act. Washington, DC: The National Academies Press. doi: 10.17226/21723.
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TABLE F-1 International Liaison Committee on Resuscitation—Core and Supplementary Data Element Domains

System Dispatch Patient Process Outcomes
Core Population served
Cardiac arrests attended
Resuscitation attempted
System description
Dispatcher-identified cardiac arrest
Dispatcher CPR instructions
Age
Gender
Witnessed arrest
Arrest location
Bystander CPR/AED
First monitored rhythm
Arrest etiology
Response times
Defibrillation time
Target temperature control
Drugs
Reperfusion attempted
Survived event
Any ROSC
30-day survival/ survival-to-discharge
Neurological outcome
Supplemental DNAR legislation
Termination of resuscitation rules
Dispatch software used
Resuscitation algorithms followed
Data quality activities
Prehospital EKG capability
Independent living
Comorbidities
Presence of STEMI
Ventricular assist devices
Cardioverter-defibrillator
Airway control type
Number of shocks
Drug timings
CPR quality
Vascular access type
Mechanical CPR
Targeted
   Oxygenation/
   Ventilation/BP
ECMO
IABP
pH, Lactate, glucose, 12-lead ECG
Neuroprognostication
Hospital type/volume
Transport to hospital
Treatment withdrawal
Cause of death
Organ donation
Patient-reported outcomes measures
Quality-of-life measures
12-month survival

NOTE: AED = automated external defibrillator; BP = blood pressure; CPR = cardiopulmonary resuscitation; DNAR = do not attempt resuscitation; EKG = electrocardiogram; ECMO = extracorporeal membrane oxygenation; IABP = intra-aortic balloon pump; ROSC = return of spontaneous circulation; STEMI = ST-segment elevated myocardial infarction.
SOURCE: Perkins et al., 2014. Adapted with permission from the American Heart Association, 2015.

Suggested Citation:"F-- Utstein Guideline - Endorsed Data Elementsfor Reporting Out-of-Hospital Cardiac Arrest." Institute of Medicine. 2015. Strategies to Improve Cardiac Arrest Survival: A Time to Act. Washington, DC: The National Academies Press. doi: 10.17226/21723.
×

REFERENCE

Perkins, G. D., I. G. Jacobs, V. M. Nadkarni, R. A. Berg, F. Bhanji, D. Biarent, and J. P. Nolan. 2014. Cardiac arrest and cardiopulmonary resuscitation outcome reports: Update of the Utstein Resuscitation Registry templates for out-of-hospital cardiac arrest: a statement for healthcare professionals from a task force of the International Liaison Committee on Resuscitation (American Heart Association, European Resuscitation Council, Australian and New Zealand Council on Resuscitation, Heart and Stroke Foundation of Canada, InterAmerican Heart Foundation, Resuscitation Council of Southern Africa, Resuscitation Council of Asia); and the American Heart Association Emergency Cardiovascular Care Committee and the Council on Cardiopulmonary, Critical Care, Perioperative and Resuscitation. Circulation. http://www.ncbi.nlm.nih.gov/pubmed/25391522 (accessed June 19, 2015).

Suggested Citation:"F-- Utstein Guideline - Endorsed Data Elementsfor Reporting Out-of-Hospital Cardiac Arrest." Institute of Medicine. 2015. Strategies to Improve Cardiac Arrest Survival: A Time to Act. Washington, DC: The National Academies Press. doi: 10.17226/21723.
×

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Suggested Citation:"F-- Utstein Guideline - Endorsed Data Elementsfor Reporting Out-of-Hospital Cardiac Arrest." Institute of Medicine. 2015. Strategies to Improve Cardiac Arrest Survival: A Time to Act. Washington, DC: The National Academies Press. doi: 10.17226/21723.
×
Page 435
Suggested Citation:"F-- Utstein Guideline - Endorsed Data Elementsfor Reporting Out-of-Hospital Cardiac Arrest." Institute of Medicine. 2015. Strategies to Improve Cardiac Arrest Survival: A Time to Act. Washington, DC: The National Academies Press. doi: 10.17226/21723.
×
Page 436
Suggested Citation:"F-- Utstein Guideline - Endorsed Data Elementsfor Reporting Out-of-Hospital Cardiac Arrest." Institute of Medicine. 2015. Strategies to Improve Cardiac Arrest Survival: A Time to Act. Washington, DC: The National Academies Press. doi: 10.17226/21723.
×
Page 437
Suggested Citation:"F-- Utstein Guideline - Endorsed Data Elementsfor Reporting Out-of-Hospital Cardiac Arrest." Institute of Medicine. 2015. Strategies to Improve Cardiac Arrest Survival: A Time to Act. Washington, DC: The National Academies Press. doi: 10.17226/21723.
×
Page 438
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Cardiac arrest can strike a seemingly healthy individual of any age, race, ethnicity, or gender at any time in any location, often without warning. Cardiac arrest is the third leading cause of death in the United States, following cancer and heart disease. Four out of five cardiac arrests occur in the home, and more than 90 percent of individuals with cardiac arrest die before reaching the hospital. First and foremost, cardiac arrest treatment is a community issue - local resources and personnel must provide appropriate, high-quality care to save the life of a community member. Time between onset of arrest and provision of care is fundamental, and shortening this time is one of the best ways to reduce the risk of death and disability from cardiac arrest. Specific actions can be implemented now to decrease this time, and recent advances in science could lead to new discoveries in the causes of, and treatments for, cardiac arrest. However, specific barriers must first be addressed.

Strategies to Improve Cardiac Arrest Survival examines the complete system of response to cardiac arrest in the United States and identifies opportunities within existing and new treatments, strategies, and research that promise to improve the survival and recovery of patients. The recommendations of Strategies to Improve Cardiac Arrest Survival provide high-priority actions to advance the field as a whole. This report will help citizens, government agencies, and private industry to improve health outcomes from sudden cardiac arrest across the United States.

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