Andersen Lars W, Østergaard Jane N, Antonsen Sussie, Weis Anette, Rosenberg Jens, Henriksen Finn L, Sandgaard Niels Cf, Skjærbæk Christian, Johnsen Søren Paaske, Kirkegaard Hans
Research Center for Emergency Medicine, Department of Clinical Medicine, Aarhus University and Aarhus University Hospital, Aarhus, Denmark.
RKKP, The Danish Clinical Registries, A National Quality Improvement Programme, Aarhus, Denmark.
Clin Epidemiol. 2019 May 13;11:397-402. doi: 10.2147/CLEP.S201074. eCollection 2019.
The aim of DANARREST is to collect data on processes of care and outcomes for patients with in-hospital cardiac arrest in Denmark, and thereby facilitate and monitor quality and quality improvement initiatives. In-hospital cardiac arrest patients with a clinical indication for cardiopulmonary resuscitation in Denmark. DANARREST includes a number of descriptive variables as well as seven quality of care indicators; four related to processes of care and three related to clinical outcomes. The four process measures are related to whether the cardiac arrest was witnessed, whether the cardiac arrest was ECG-monitored, the timing of cardiopulmonary resuscitation, and the timing of the first rhythm analysis. The three outcomes measures include return of spontaneous circulation, 30-day survival, and 1-year survival. DANARREST started in 2013, and the coverage has increased steadily since. As of 2017, 95% of relevant hospitals are reporting data with an estimated coverage rate of approximately 80%. DANARREST is a relatively new national registry of in-hospital cardiac arrests in Denmark, with a high coverage rate. The registry provides an opportunity to monitor and improve quality of care for patients with in-hospital cardiac arrest.
丹麦院内心脏骤停登记系统(DANARREST)的目的是收集丹麦院内心脏骤停患者的护理过程和治疗结果数据,从而促进和监督质量及质量改进措施。该系统涵盖丹麦有临床心肺复苏指征的院内心脏骤停患者。DANARREST包括一些描述性变量以及七个护理质量指标;其中四个与护理过程相关,三个与临床结果相关。这四个过程指标分别涉及心脏骤停是否被目击、是否进行了心电图监测、心肺复苏的时机以及首次心律分析的时机。三个结果指标包括自主循环恢复、30天生存率和1年生存率。DANARREST于2013年启动,此后覆盖率稳步上升。截至2017年,95%的相关医院上报了数据,估计覆盖率约为80%。DANARREST是丹麦一个相对较新的院内心脏骤停全国登记系统,覆盖率很高。该登记系统为监测和改善院内心脏骤停患者的护理质量提供了契机。