Principal Investigator WACAR Study, Srinivasa Heart Centre, Warangal, Telangana, India.
Department of Internal Medicine, Division of Cardiology, University of Illinois at Chicago College of Medicine, Chicago, IL, USA.
Indian Heart J. 2020 Nov-Dec;72(6):517-523. doi: 10.1016/j.ihj.2020.10.002. Epub 2020 Oct 20.
Out-of-Hospital Cardiac Arrest (OHCA) is a global public health problem. There is inadequate data on OHCA in India. The Warangal Area out-of-hospital Cardiac Arrest Registry (WACAR) was planned to understand OHCA in a regional setting in India.
WACAR is a prospective one-year observational cohort study of OHCA in the Warangal area, Telangana, India. The study included 814 subjects of OHCA of presumed cardiac etiology brought to the Mahatma Gandhi Memorial Hospital during January 1, 2018, and December 31, 2018. The data collected included; standard Utstein variables with additional data on clinical characteristics (modified Utstein template).
The majority of OHCA subjects were male with a median age of 60 years, and mostly occurring in residential locations within 1 h of onset of symptoms. Individuals with knowledge of CVD risk factors were more likely to report symptoms before OHCA. Data on resuscitation characteristics were inadequate.
The WACAR study provides baseline data regarding OHCA in a regional setting in India. The study demonstrated barriers involving data collection, patient knowledge of CVD risk factors and disease, and access to healthcare, which; impacted the data registry.
院外心脏骤停（OHCA）是一个全球性的公共卫生问题。印度关于 OHCA 的数据不足。Warangal 地区院外心脏骤停登记处（WACAR）计划在印度的一个地区环境中了解 OHCA。
WACAR 是一项对印度泰伦加纳邦 Warangal 地区 OHCA 的为期一年的前瞻性观察性队列研究。该研究纳入了 2018 年 1 月 1 日至 12 月 31 日期间被送往 Mahatma Gandhi Memorial 医院的 814 例推定心源性 OHCA 患者。收集的数据包括：标准 Utstein 变量，外加临床特征（改良 Utstein 模板）的数据。
大多数 OHCA 患者为男性，中位年龄 60 岁，主要发生在症状发作后 1 小时内的住宅地点。有 CVD 危险因素知识的个体更有可能在 OHCA 前报告症状。关于复苏特征的数据不足。
WACAR 研究提供了印度地区 OHCA 的基线数据。该研究表明，数据收集、患者对 CVD 危险因素和疾病的了解以及获得医疗保健方面存在障碍，这些障碍影响了数据登记。
