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心搏骤停后发生和存活的决定因素:欧洲观点:ESCAPE-NET 项目。

Determinants of occurrence and survival after sudden cardiac arrest-A European perspective: The ESCAPE-NET project.

机构信息

Université Paris Descartes, INSERM UMRS-970, Paris Cardiovascular Research Centre, Paris, France.

Department of Cardiology, Heart Center, Academic Medical Center, Amsterdam, The Netherlands.

出版信息

Resuscitation. 2018 Mar;124:7-13. doi: 10.1016/j.resuscitation.2017.12.011. Epub 2017 Dec 12.

Abstract

AIMS

The ESCAPE-NET project ("European Sudden Cardiac Arrest network- towards Prevention, Education and New Effective Treatments") aims to study: (1) risk factors and mechanisms for the occurrence of sudden cardiac arrest (SCA) in the population, and (2) risk factors and treatment strategies for survival after SCA on a European scale.

METHODS

This is an Horizon2020 funded program of the European Union, performed by a European public-private consortium of 16 partners across 10 EU countries. There are 11 deep-phenotyped SCA cohorts for the study of risk factors and treatment strategies for survival after SCA, and 5 deep-phenotyped observational prospective population cohorts for the study of risk factors for occurrence of SCA. Personalized risk scores for predicting SCA onset and for predicting survival after SCA will be derived and validated.

RESULTS

The 11 clinical studies with SCA cases comprise 85,790 SCA cases; the 5 observational prospective population cohorts include 53,060 subjects. A total of 15,000 SCA samples will be genotyped for common and rare variants at the Helmholtz Zentrum München (Germany) using the Illumina Global Screening Array which contains > 770,000 SNPs, and after imputation, a database of an estimated > 9 million variants will be available for genome wide association studies. Standardization of risk factors definition and outcomes is ongoing. An Executive Committee has been created along with a Collaboration Policy document.

CONCLUSION

ESCAPE-NET will complement ongoing efforts on SCA outside Europe and within Europe including the EuReCa project.

摘要

目的

ESCPE-NET 项目(“欧洲心脏骤停网络-预防、教育和新的有效治疗”)旨在研究:(1)人群中发生心脏骤停(SCA)的风险因素和机制,以及(2)欧洲范围内 SCA 后生存的风险因素和治疗策略。

方法

这是欧盟地平线 2020 计划资助的项目,由欧洲 10 个国家的 16 个公私合作伙伴组成的欧洲联合体实施。有 11 个深度表型 SCA 队列用于研究 SCA 后生存的风险因素和治疗策略,以及 5 个深度表型观察性前瞻性人群队列用于研究 SCA 发生的风险因素。将得出并验证预测 SCA 发作和预测 SCA 后生存的个性化风险评分。

结果

包含 85790 例 SCA 病例的 11 项临床研究;5 项观察性前瞻性人群队列包括 53060 名受试者。总计将有 15000 例 SCA 样本在德国慕尼黑亥姆霍兹中心使用包含超过 770000 个 SNP 的 Illumina 全球筛选阵列进行常见和罕见变体的基因分型,在进行内插后,将有一个估计超过 900 万个变体的数据库可用于全基因组关联研究。正在对风险因素定义和结局进行标准化。已经创建了一个执行委员会以及合作政策文件。

结论

ESCPE-NET 将补充欧洲以外和欧洲内部正在进行的 SCA 工作,包括 EuReCa 项目。

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