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呼吁行动,改善心脏骤停救治结局:来自心脏骤停全国峰会的报告。

A Call to Action to Improve Cardiac Arrest Outcomes: A Report From the National Summit for Cardiac Arrest.

机构信息

Department of Cardiology, St Vincent's Hospital Melbourne, Melbourne, Vic, Australia; HEART Lab, St Vincent's Institute of Medical Research, Melbourne, Vic, Australia; Faculty of Medicine, Dentistry & Health Sciences, The University of Melbourne, Melbourne, Vic, Australia; Victor Chang Cardiac Research Institute, Sydney, NSW, Australia.

Department of Cardiology, St Vincent's Hospital Melbourne, Melbourne, Vic, Australia; HEART Lab, St Vincent's Institute of Medical Research, Melbourne, Vic, Australia; Faculty of Medicine, Dentistry & Health Sciences, The University of Melbourne, Melbourne, Vic, Australia; Victor Chang Cardiac Research Institute, Sydney, NSW, Australia.

出版信息

Heart Lung Circ. 2024 Nov;33(11):1507-1522. doi: 10.1016/j.hlc.2024.09.001. Epub 2024 Sep 20.

Abstract

Sudden cardiac arrest (SCA) represents a major cause of premature mortality globally, with enormous impact and financial cost to victims, families, and communities. SCA prevention should be considered a health priority in Australia. National Cardiac Arrest Summits were held in June 2022 and March 2023, with inclusion from multi-faceted endeavours related to SCA prevention. It was agreed to establish a multidisciplinary Australian Sudden Cardiac Arrest Alliance (AuSCAA) working group charged with developing a national unified strategy, with clear and measurable quality indicators and standardised outcome measures, to amplify the goal of SCA prevention throughout Australia. A multi-faceted prevention strategy will include i) endeavours to progress community awareness, ii) improved fundamental mechanistic understanding, iii) implementation of best-practice resuscitation strategies for all demographics and locations, iv) secondary risk assessment directed to family members, and v) development of (near) real-time registry of cardiac arrest cases to inform areas of need and effectiveness of interventions. Together, we can and should reduce the impact of SCA in Australia.

摘要

心脏骤停 (SCA) 是全球范围内导致过早死亡的主要原因之一,给患者、家庭和社区带来了巨大的影响和经济负担。在澳大利亚,应将 SCA 预防视为一项优先健康事项。2022 年 6 月和 2023 年 3 月举行了全国心脏骤停峰会,涵盖了与 SCA 预防相关的多方面努力。会议同意成立一个多学科的澳大利亚心脏骤停联盟 (AuSCAA) 工作组,负责制定国家统一战略,制定明确和可衡量的质量指标和标准化的结果衡量标准,以在澳大利亚各地放大 SCA 预防目标。多方面的预防策略将包括:i)努力提高社区意识,ii)更好地理解基本机制,iii)为所有人群和地点实施最佳复苏策略,iv)针对家庭成员进行二级风险评估,以及 v)开发(近)实时心脏骤停病例登记处,以了解需求领域和干预措施的效果。我们可以而且应该共同减少澳大利亚的 SCA 影响。

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