Xie Xi, Zheng Jiaqi, Zheng Wen, Pan Chang, Ma Yu, Zhu Yimin, Tan Huiqiong, Han Xiaotong, Yan Shengtao, Zhang Guoqiang, Li Chaoqian, Shao Fei, Wang Chunyi, Zhang Jianbo, Bian Yuan, Ma Jingjing, Cheng Kai, Liu Rugang, Sang Shaowei, Zhang Yongsheng, McNally Bryan, Ong Marcus E H, Lv Chuanzhu, Chen Yuguo, Xu Feng
Department of Emergency Medicine, Chest Pain Center, Shandong Provincial Clinical Research Center for Emergency and Critical Care Medicine, Institute of Emergency and Critical Care Medicine of Shandong University, Key Laboratory of Emergency and Critical Care Medicine of Shandong Province, Key Laboratory of Cardiopulmonary-Cerebral Resuscitation Research of Shandong Province, Shandong Provincial Engineering Laboratory for Emergency and Critical Care Medicine, The Key Laboratory of Cardiovascular Remodeling and Function Research affiliated to Chinese Ministry of Education and Chinese Ministry of Health and Chinese Academy of Medical Sciences, The State and Shandong Province Joint Key Laboratory of Translational Cardiovascular Medicine, Qilu Hospital, Shandong University, Ji'nan, China (X.X., J. Zheng, W.Z., C.P., C.W., J. Zhang, Y.B., J.M., K.C., R.L., Y.Z., Y.C., F.X.).
Emergency Medicine Center, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China (X.X., C.L.).
Circ Cardiovasc Qual Outcomes. 2023 Feb;16(2):e008856. doi: 10.1161/CIRCOUTCOMES.121.008856. Epub 2022 Dec 12.
Establishing registries to collect demographic characteristics, processes of care, and outcomes of patients with out-of-hospital cardiac arrest (OHCA) can better understand epidemiological trends, measure care quality, and identify opportunities for improvement. This study aimed to describe the design, implementation, and scientific significance of a nationwide registry-the BASIC-OHCA (Baseline Investigation of Out-of-Hospital Cardiac Arrest)-in China.
BASIC-OHCA was designed as a prospective, multicenter, observational, population-based study. The BASIC-OHCA registry was developed based on Utstein templates. BASIC-OHCA includes all OHCA patients confirmed by emergency medical services (EMS) personnel regardless of age, sex, or cause. Patients declared dead at the scene by EMS personnel for any reasons are also included. To fully characterize an OHCA event, BASIC-OHCA collects data from 3 sources-EMS, the receiving hospital, and patient follow-up-and links them to form a single record. Once data entry is completed and quality is checked, individual identifiers are stripped from the record.
Currently, 32 EMS agencies in 7 geographic regions contribute data to BASIC-OHCA. They are distributed in the urban and rural areas, covering ≈9% of the population of mainland China. Data collection started on August 1, 2019. By July 31, 2020, a total of 92 913 EMS-assessed OHCA patients were enrolled. Among 28969 (31.18%) EMS-treated OHCAs, the mean age was 65.79±17.36 years, and 68.35% were males. The majority of OHCAs (76.85%) occurred at home or residence. A shockable initial rhythm was reported in 5.43% of patients. Any return of spontaneous circulation, survival to hospital discharge, and favorable neurological outcome at hospital discharge were 5.98%, 1.15%, and 0.83%, respectively.
BASIC-OHCA is the first nationwide registry on OHCA in China. It can be used as a public health surveillance system and as a platform to produce evidence-based practices to help identify opportunities for improvement.
URL: https://www.
gov; Unique identifier: NCT03926325.
建立登记系统以收集院外心脏骤停（OHCA）患者的人口统计学特征、治疗过程及预后，有助于更好地了解流行病学趋势、衡量治疗质量并确定改进机会。本研究旨在描述中国一项全国性登记系统——院外心脏骤停基础调查（BASIC - OHCA）——的设计、实施及科学意义。
BASIC - OHCA设计为一项前瞻性、多中心、观察性、基于人群的研究。BASIC - OHCA登记系统基于乌斯坦模板开发。BASIC - OHCA纳入所有经紧急医疗服务（EMS）人员确认的OHCA患者，无论年龄、性别或病因。因任何原因被EMS人员在现场宣布死亡的患者也包括在内。为全面描述OHCA事件，BASIC - OHCA从3个来源收集数据——EMS、接收医院及患者随访——并将它们关联形成单一记录。一旦数据录入完成并检查质量，记录中的个人标识符将被去除。
目前，7个地理区域的32个EMS机构为BASIC - OHCA提供数据。它们分布在城乡地区，覆盖中国大陆约9%的人口。数据收集于2019年8月1日开始。截至2020年7月31日，共纳入92913例经EMS评估的OHCA患者。在28969例（31.18%）经EMS治疗的OHCA患者中，平均年龄为65.79±17.36岁，68.35%为男性。大多数OHCA（76.85%）发生在家中或住所。5.43%的患者报告有可电击心律。任何自主循环恢复、存活至出院及出院时良好神经功能预后的比例分别为5.98%、1.15%和0.83%。
BASIC - OHCA是中国首个关于OHCA的全国性登记系统。它可作为一个公共卫生监测系统，并作为一个产生循证实践的平台，以帮助确定改进机会。
网址：https://www.
gov；唯一标识符：NCT03926325。
