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