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The Utstein style for the reporting of data from cardiac arrest

  • J. P. Nolan
  • C. L. Gwinnutt
Conference paper

Abstract

Healthcare professionals who practise resuscitation come from many disciplines, organisations and backgrounds. In addition, the emergency medical service (EMS) systems in which they work differ in different parts of the world. Survival rates following out-of-hospital cardiac arrest (OHCA) vary substantially between health care systems. A review of EMS with a defibrillation capability that included 33,124 patients reported a median rate of 6.4% for survival to hospital discharge, with a range of 0–20.7% [1]. Summary data from 37 communities in Europe indicate that survival to hospital discharge after EMS-treated OHCA is 10.7% [2]. After in-hospital cardiac arrest (IHCA), the reported survival to 24 h rates range from 13% to 59% and survival to discharge rates from 0% to 42%, although major studies report a survival to discharge of approximately 20% [3]—[7]. The main reasons for this variation are the many confounders that influence outcome following cardiac arrest (Table 1) and the lack of uniformity in cardiac arrest reporting. This lack of uniformity in reporting pertains to both the process and the results of resuscitation attempts; for example, the definition of survival is reported variously as return of spontaneous circulation (ROSC) and as survival at 5 min, 1 h, 24 h, and discharge from hospital.

Keywords

Cardiac Arrest Emergency Medical Service Medical Emergency Team Emergency Medical Service System European Resuscitation Council 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Nichol G, Stiell IG, Laupacis A et al (1999) A cumulative meta-analysis of the effectiveness of defibrillator-capable emergency medical services for victims of out-of-hospital cardiac arrest. Ann Emerg Med 34(1):517–525PubMedCrossRefGoogle Scholar
  2. 2.
    Atwood C, Eisenberg MS, Herlitz J, Rea TD (2005) Incidence of EMS-treated out-of-hospital cardiac arrest in Europe. Resuscitation 67:75–80PubMedCrossRefGoogle Scholar
  3. 3.
    Sandroni C, Nolan J, Cavallaro F, Antonelli M (2006) In-hospital cardiac arrest: incidence, prognosis and possible measures to improve survival. Intensive Care Med (in press)Google Scholar
  4. 4.
    Peberdy MA, Kaye W, Ornato JP et al (2003) Cardiopulmonary resuscitation of adults in the hospital: a report of 14720 cardiac arrests from the National Registry of Cardiopulmonary Resuscitation. Resuscitation 58:297–308PubMedCrossRefGoogle Scholar
  5. 5.
    Tunstall-Pedoe H, Bailey L, Chamberlain DA et al (1992) Survey of 3765 cardiopulmonary resuscitations in British hospitals (the BRESUS Study): methods and overall results. BMJ 304:1347–1351PubMedCrossRefGoogle Scholar
  6. 6.
    Gwinnutt CL, Columb M, Harris R (2000) Outcome after cardiac arrest in adults in UK hospitals: effect of the 1997 guidelines. Resuscitation 47:125–135PubMedCrossRefGoogle Scholar
  7. 7.
    Nadkarni VM, Larkin GL, Peberdy MA et al (2006) First documented rhythm and clinical outcome from in-hospital cardiac arrest among children and adults. JAMA 295:50–57PubMedCrossRefGoogle Scholar
  8. 8.
    Nolan J, Soar J (2005) Images in resuscitation: Utstein Abbey. Resuscitation 64:5–6CrossRefGoogle Scholar
  9. 9.
    Chamberlain D (2005) The International Liaison Committee on Resuscitation (ILCOR)—past and present Compiled by the Founding Members of the International Liaison Committee on Resuscitation. Resuscitation 67:157–161PubMedCrossRefGoogle Scholar
  10. 10.
    Cummins RO, Chamberlain DA, Abramson NS et al (1991) Recommended guidelines for uniform reporting of data from out-of-hospital cardiac arrest: the Utstein style. A statement for health professionals from a task force of the American Heart Association, the European Resuscitation Council, the Heart and Stroke Foundation of Canada, and the Australian Resuscitation Council. Circulation 84:960–975PubMedGoogle Scholar
  11. 11.
    Cummins RO, Chamberlain DA, Abramson NS et al (1991) Recommended guidelines for uniform reporting of data from out-of-hospital cardiac arrest: the Utstein style. Task Force of the American Heart Association, the European Resuscitation Council, the Heart and Stroke Foundation of Canada, and the Australian Resuscitation Council. Ann Emerg Med 20:861–874PubMedCrossRefGoogle Scholar
  12. 12.
    Task Force of Representatives from the European Resuscitation Council, American Heart Association, Heart and Stroke Foundation of Canada, Australian Resuscitation Council (1991) Recommended guidelines for uniform reporting of data from out-of-hospital cardiac arrest: the ‘Utstein style’. Resuscitation 22:1–26CrossRefGoogle Scholar
  13. 13.
    Proceedings of the Guidelines 2000 Conference for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care (2001) An International Consensus on Science. Ann Emerg Med 37:S1–S200Google Scholar
  14. 14.
    Morley P, Zaritsky A (2005) The evidence evaluation process for the 2005 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science, with treatment recommendations. Resuscitation 67:167–170PubMedCrossRefGoogle Scholar
  15. 15.
    Cummins RO, Chamberlain D, Hazinski MF et al (1997) Recommended guidelines for reviewing, reporting, and conducting research on in-hospital resuscitation: the in-hospital “Utstein style”. American Heart Association. Circulation 95:2213–2239PubMedGoogle Scholar
  16. 16.
    Cummins RO, Chamberlain D, Hazinski MF et al (1997) Recommended guidelines for reviewing, reporting, and conducting research on in-hospital resuscitation: the in-hospital ‘Utstein style’. A statement for healthcare professionals from the American Heart Association, the European Resuscitation Council, the Heart and Stroke Foundation of Canada, the Australian Resuscitation Council, and the Resuscitation Councils of Southern Africa. Resuscitation 34:151–183PubMedCrossRefGoogle Scholar
  17. 17.
    Cummins RO, Chamberlain D, Hazinski MF et al (1997) Recommended guidelines for reviewing, reporting, and conducting research on in-hospital resuscitation: the in-hospital “Utstein style”. American Heart Association. Ann Emerg Med 29:650–679PubMedCrossRefGoogle Scholar
  18. 18.
    Jacobs I, Nadkarni V, Bahr J et al (2004) Cardiac arrest and cardiopulmonary resuscitation outcome reports: update and simplification of the Utstein templates for resuscitation registries. A statement for healthcare professionals from a task force of the International Liaison Committee on Resuscitation (American Heart Association, European Resuscitation Council, Australian Resuscitation Council, New Zealand Resuscitation Council, Heart and Stroke Foundation of Canada, Inter American Heart Foundation, Resuscitation Council of Southern Africa). Resuscitation 63:233–249PubMedCrossRefGoogle Scholar
  19. 19.
    Jacobs I, Nadkarni V, Bahr J et al (2004) Cardiac arrest and cardiopulmonary resuscitation outcome reports: update and simplification of the Utstein templates for resuscitation registries: a statement for healthcare professionals from a task force of the International Liaison Committee on Resuscitation (American Heart Association, European Resuscitation Council, Australian Resuscitation Council, New Zealand Resuscitation Council, Heart and Stroke Foundation of Canada, Inter American Heart Foundation, Resuscitation Councils of Southern Africa). Circulation 110:3385–3397PubMedCrossRefGoogle Scholar
  20. 20.
    Zaritsky A, Nadkarni V, Hazinski MF et al (1995) Recommended guidelines for uniform reporting of pediatric advanced life support: the pediatric Utstein style. A statement for healthcare professionals from a task force of the American Academy of Pediatrics, the American Heart Association, and the European Resuscitation Council. Resuscitation 30:95–115PubMedCrossRefGoogle Scholar
  21. 21.
    Idris AH, Becker LB, Ornato JP et al (1996) Utstein-style guidelines for uniform reporting of laboratory CPR research. A statement for healthcare professionals from a Task Force of the American Heart Association, the American College of Emergency Physicians, the American College of Cardiology, the European Resuscitation Council, the Heart and Stroke Foundation of Canada, the Institute of Critical Care Medicine, the Safar Center for Resuscitation Research, and the Society for Academic Emergency Medicine. Resuscitation 33:69–84PubMedCrossRefGoogle Scholar
  22. 22.
    Kattwinkel J, Niermeyer S, Nadkarni V et al (1999) Resuscitation of the newly born infant: an advisory statement from the Pediatric Working Group of the International Liaison Committee on Resuscitation. Resuscitation 40:71–88PubMedCrossRefGoogle Scholar
  23. 23.
    Idris AH, Berg RA, Bierens J et al (2003) Recommended guidelines for uniform reporting of data from drowning: the “Utstein style”. Resuscitation 59:45–57PubMedCrossRefGoogle Scholar
  24. 24.
    Dick WF, Baskett PJ (1999) Recommendations for uniform reporting of data following major trauma—the Utstein style. A report of a working party of the International Trauma Anaesthesia and Critical Care Society (ITACCS). Resuscitation 42:81–100PubMedCrossRefGoogle Scholar
  25. 25.
    Langhelle A, Nolan J, Herlitz J et al (2005) Recommended guidelines for reviewing, reporting, and conducting research on post-resuscitation care: The Utstein style. Resuscitation 66:271–283PubMedCrossRefGoogle Scholar
  26. 26.
    Nolan JP, Morley PT, Van den Hoek TL, Hickey RW (2003) Therapeutic hypothermia after cardiac arrest. An advisory statement by the Advancement Life Support Task Force of the International Liaison Committee on Resuscitation. Resuscitation 57:231–235PubMedCrossRefGoogle Scholar
  27. 27.
    Nichol G, Steen P, Herlitz J et al (2005) International Resuscitation Network Registry: design, rationale and preliminary results. Resuscitation 65:265–277PubMedCrossRefGoogle Scholar
  28. 28.
    Sandroni C, Cavallaro F, Ferro G et al (2003) A survey of the in-hospital response to cardiac arrest on general wards in the hospitals of Rome. Resuscitation 56:41–47PubMedCrossRefGoogle Scholar
  29. 29.
    Patrick A, Rankin N (1998) The in-hospital Utstein style: use in reporting outcome from cardiac arrest in Middlemore Hospital 1995–1996. Resuscitation 36:91–94PubMedCrossRefGoogle Scholar
  30. 30.
    Skrifvars MB, Saarinen K, Ikola K, Kuisma M (2005) Improved survival after in-hospital cardiac arrest outside critical care areas. Acta Anaesthesiol Scand 49:1534–1539PubMedGoogle Scholar

Copyright information

© Springer-Verlag Italia 2007

Authors and Affiliations

  • J. P. Nolan
    • 1
  • C. L. Gwinnutt
    • 2
  1. 1.Department of Anaesthesia and Intensive Care MedicineRoyal United HospitalBathUK
  2. 2.Department of AnaesthesiaSalford Royal Hospitals NHS Trust, Hope HospitalSalfordUK

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