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丹麦国家院外心脏骤停心脏骤停登记处——一个正在转型的登记处。

The National Danish Cardiac Arrest Registry for Out-of-Hospital Cardiac Arrest - A Registry in Transformation.

作者信息

Jensen Theo Walter, Blomberg Stig Nikolaj, Folke Fredrik, Mikkelsen Søren, Rostgaard-Knudsen Martin, Juelsgaard Palle, Christensen Erika Frishknecht, Torp-Pedersen Christian, Lippert Freddy, Christensen Helle Collatz

机构信息

Research, Copenhagen Emergency Medical Services, Copenhagen, Denmark.

Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.

出版信息

Clin Epidemiol. 2022 Aug 8;14:949-957. doi: 10.2147/CLEP.S374788. eCollection 2022.

Abstract

AIM OF THE DATABASE

The aim of the Danish Cardiac Arrest Registry is to monitor the quality of prehospital cardiac arrest treatment, evaluate initiatives regarding prehospital treatment of cardiac arrest, and facilitate research.

STUDY POPULATION

All patients with prehospital cardiac arrest in Denmark treated by the emergency medical services in whom resuscitation or defibrillation has been attempted.

MAIN VARIABLES

The Danish Cardiac Arrest Register records descriptive and qualitative variables as outlined in the "Utstein" template for reporting out-of-hospital-cardiac arrest. Main variables include whether the case was witnessed, whether the cardiac arrest was electrocardiographically monitored, the timing of cardiopulmonary resuscitation, and the timing of the first analysis of the cardiac rhythm. The outcome measures are the status of the patient at handover to the hospital, return of spontaneous circulation, and 30-day survival after event.

DATABASE STATUS

The Danish Cardiac Arrest Registry was established in June 2001, and all Danish emergency medical services are reporting to the database.

CONCLUSION

The Danish Cardiac Arrest Registry is among the oldest Danish national clinical registries, with a high quality of clinical data and coverage. This registry provides the prerequisite for all research on out-of-hospital cardiac arrest research in Denmark and is essential for monitoring and improving the quality of care for patients suffering from out-of-hospital cardiac arrest.

摘要

数据库的目的

丹麦心脏骤停登记处的目的是监测院外心脏骤停治疗的质量,评估有关院外心脏骤停治疗的举措,并促进研究。

研究人群

丹麦所有接受紧急医疗服务治疗且已尝试进行复苏或除颤的院外心脏骤停患者。

主要变量

丹麦心脏骤停登记处记录了《乌斯坦》院外心脏骤停报告模板中概述的描述性和定性变量。主要变量包括病例是否被目击、心脏骤停是否进行了心电图监测、心肺复苏的时间以及首次心律分析的时间。结局指标是患者移交至医院时的状态、自主循环恢复情况以及事件发生后的30天生存率。

数据库状态

丹麦心脏骤停登记处于2001年6月建立,所有丹麦紧急医疗服务机构都向该数据库报告数据。

结论

丹麦心脏骤停登记处是丹麦最古老的国家临床登记处之一,临床数据质量高且覆盖范围广。该登记处为丹麦所有院外心脏骤停研究提供了前提条件,对于监测和改善院外心脏骤停患者的护理质量至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b2a4/9374329/c3210bfb57d7/CLEP-14-949-g0001.jpg

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