Cardiac arrest and cardiopulmonary resuscitation outcome reports: Update and simplification of the Utstein templates for resuscitation registries. A statement for healthcare professionals from a task force of the International Liaison Committee on Resuscitation (American Heart Association, European Resuscitation Council, Australian Resuscitation Council, New Zealand Resuscitation Council

Ian Jacobs, Vinay Nadkarni, Jan Bahr, Robert A. Berg, John E. Billi, Leo Bossaert, Pascal Cassan, Ashraf Coovadia, Kate D'Este, Judith Finn, Henry Halperin, Anthony Handley, Johan Herlitz, Robert Hickey, Ahamed Idris, Walter Kloeck, Gregory Luke Larkin, Mary Elizabeth Mancini, Pip Mason, Gregory MearsKoenraad Monsieurs, William Montgomery, Peter Morley, Graham Nichol, Jerry Nolan, Kazuo Okada, Jeffrey Perlman, Michael Shuster, Petter Andreas Steen, Fritz Sterz, James Tibballs, Sergio Timerman, Tanya Truitt, David Zideman

Research output: Contribution to journalReview article

917 Scopus citations

Abstract

Outcome after cardiac arrest and cardiopulmonary resuscitation is dependent on critical interventions, particularly early defibrillation, effective chest compressions, and advanced life support. Utstein-style definitions and reporting templates have been used extensively in published studies of cardiac arrest, which has led to greater understanding of the elements of resuscitation practice and progress toward international consensus on science and resuscitation guidelines. Despite the development of Utstein templates to standardize research reports of cardiac arrest, international registries have yet to be developed. In April 2002, a task force of the International Liaison Committee on Resuscitation (ILCOR) met in Melbourne, Australia, to review worldwide experience with the Utstein definitions and reporting templates. The task force revised the core reporting template and definitions by consensus. Care was taken to build on previous definitions, changing data elements and operational definitions only on the basis of published data and experience derived from those registries that have used Utstein-style reporting. Attention was focused on decreasing the complexity of the existing templates and addressing logistical difficulties in collecting specific core and supplementary (ie, essential and desirable) data elements recommended by previous Utstein consensus conferences. Inconsistencies in terminology between in-hospital and out-of-hospital Utstein templates were also addressed. The task force produced a reporting tool for essential data that can be used for both quality improvement (registries) and research reports and that should be applicable to both adults and children. The revised and simplified template includes practical and succinct operational definitions. It is anticipated that the revised template will enable better and more accurate completion of all reports of cardiac arrest and resuscitation attempts. Problems with data definition, collection, linkage, confidentiality, management, and registry implementation are acknowledged and potential solutions offered. Uniform collection and tracking of registry data should enable better continuous quality improvement within every hospital, emergency medical services system, and community.

Original languageEnglish (US)
Pages (from-to)3385-3397
Number of pages13
JournalCirculation
Volume110
Issue number21
DOIs
StatePublished - Nov 23 2004

Keywords

  • AHA Scientific Statements
  • Ardiopulmonary resuscitation
  • Defibrillation
  • Heart arrest
  • Registries

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

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