Allan Katherine, Dorian Paul, Lin Steve
Division of Cardiology, Department of Medicine, University of Toronto, Toronto, Ontario, Canada.
Li Ka Shing Knowledge Institute, St Michael's Hospital, Toronto, Ontario, Canada.
CJC Open. 2019 Feb 20;1(2):53-61. doi: 10.1016/j.cjco.2019.01.005. eCollection 2019 Mar.
Sudden cardiac arrest (SCA) has a devastating impact on both the family of the patient with SCA and his or her community. Because of various methodological differences between studies, reported incidence rates for SCA can vary widely, emphasizing the lack of clarity with respect to the true scope of this phenomenon. In recognition of the importance of accurately ascertaining the incidence and causes of SCA, there have been repeated calls for the development of national, prospective, population-based registries that use uniform definitions and multiple source methods to confirm cases. In this article, we discuss the challenges and opportunities in establishing a pan-Canadian registry and how its development will provide data on the current knowledge and treatment gaps to ultimately help reduce the burden of SCA in Canada.
心脏骤停(SCA)对心脏骤停患者的家庭及其所在社区都会产生毁灭性影响。由于各项研究之间存在多种方法学差异,所报告的心脏骤停发病率可能差异很大,这凸显了对于这一现象真实范围缺乏明确认识。认识到准确确定心脏骤停发病率及病因的重要性后,人们多次呼吁建立全国性、前瞻性、基于人群的登记系统,该系统采用统一的定义和多种信息来源方法来确认病例。在本文中,我们讨论了建立一个泛加拿大登记系统所面临的挑战与机遇,以及该系统的发展将如何提供有关当前知识和治疗差距的数据,最终有助于减轻加拿大心脏骤停的负担。