Out-of-hospital cardiac arrest across the World: First report from the International Liaison Committee on Resuscitation (ILCOR)

Tekeyuki Kiguchi; Masashi Okubo; Chika Nishiyama; Ian Maconochie; Marcus Eng Hock Ong; Karl B. Kern; Myra H. Wyckoff; Bryan McNally; Erika Christensen; Ingvild Tjelmeland; Johan Herlitz; Gavin D. Perkins; Scott Booth; Judith Finn; Nur Shahidah; Sang Do Shin; Bentley J. Bobrow; Laurie J. Morrison; Ari Salo; Enrico Baldi; Roman Burkart; Chih Hao Lin; Xavier Jouven; Jasmeet Soar; Jerry P. Nolan; Taku Iwami

doi:10.1016/j.resuscitation.2020.02.044

Out-of-hospital cardiac arrest across the World: First report from the International Liaison Committee on Resuscitation (ILCOR)

Tekeyuki Kiguchi, Masashi Okubo, Chika Nishiyama, Ian Maconochie, Marcus Eng Hock Ong, Karl B. Kern, Myra H. Wyckoff, Bryan McNally, Erika Christensen, Ingvild Tjelmeland, Johan Herlitz, Gavin D. Perkins, Scott Booth, Judith Finn, Nur Shahidah, Sang Do Shin, Bentley J. Bobrow, Laurie J. Morrison, Ari Salo, Enrico BaldiRoman Burkart, Chih Hao Lin, Xavier Jouven, Jasmeet Soar, Jerry P. Nolan, Taku Iwami

Research output: Contribution to journal › Article › peer-review

285 Scopus citations

Abstract

Background: Since development of the Utstein style recommendations for the uniform reporting of cardiac arrest, increasing numbers of national and regional out-of-hospital cardiac arrest (OHCA) registries have been established worldwide. The International Liaison Committee on Resuscitation (ILCOR) created the Research and Registries Working Group and aimed to systematically report data collected from these registries. Methods: We conducted two surveys of voluntarily participating national and regional registries. The first survey aimed to identify which core elements of the current Utstein style for OHCA were collected by each registry. The second survey collected descriptive summary data from each registry. We chose the data collected for the second survey based on the availability of core elements identified by the first survey. Results: Seven national and four regional registries were included in the first survey and nine national and seven regional registries in the second survey. The estimated annual incidence of emergency medical services (EMS)-treated OHCA was 30.0–97.1 individuals per 100,000 population. The combined data showed the median age varied from 64 to 79 years and more than half were male in all 16 registries. The provision of bystander cardiopulmonary resuscitation (CPR) and bystander automated external defibrillator (AED) use was 19.1–79.0% in all registries and 2.0–37.4% among 11 registries, respectively. Survival to hospital discharge or 30-day survival after EMS-treated OHCA was 3.1–20.4% across all registries. Favorable neurological outcome at hospital discharge or 30 days after EMS-treated OHCA was 2.8–18.2%. Survival to hospital discharge or 30-day survival after bystander-witnessed shockable OHCA ranged from 11.7% to 47.4% and favorable neurological outcome from 9.9% to 33.3%. Conclusion: This report from ILCOR describes data on systems of care and outcomes following OHCA from nine national and seven regional registries across the world. We found variation in reported survival outcomes and other core elements of the current Utstein style recommendations for OHCA across nations and regions.

Original language	English (US)
Pages (from-to)	39-49
Number of pages	11
Journal	Resuscitation
Volume	152
DOIs	https://doi.org/10.1016/j.resuscitation.2020.02.044
State	Published - Jul 2020

Keywords

Epidemiology
Out-of-hospital cardiac arrest
Registry
Resuscitation
Utstein template

ASJC Scopus subject areas

Emergency Medicine
Emergency
Cardiology and Cardiovascular Medicine

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10.1016/j.resuscitation.2020.02.044

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Kiguchi, T., Okubo, M., Nishiyama, C., Maconochie, I., Ong, M. E. H., Kern, K. B., Wyckoff, M. H., McNally, B., Christensen, E., Tjelmeland, I., Herlitz, J., Perkins, G. D., Booth, S., Finn, J., Shahidah, N., Shin, S. D., Bobrow, B. J., Morrison, L. J., Salo, A., ... Iwami, T. (2020). Out-of-hospital cardiac arrest across the World: First report from the International Liaison Committee on Resuscitation (ILCOR). Resuscitation, 152, 39-49. https://doi.org/10.1016/j.resuscitation.2020.02.044

Kiguchi, T, Okubo, M, Nishiyama, C, Maconochie, I, Ong, MEH, Kern, KB, Wyckoff, MH, McNally, B, Christensen, E, Tjelmeland, I, Herlitz, J, Perkins, GD, Booth, S, Finn, J, Shahidah, N, Shin, SD, Bobrow, BJ, Morrison, LJ, Salo, A, Baldi, E, Burkart, R, Lin, CH, Jouven, X, Soar, J, Nolan, JP & Iwami, T 2020, 'Out-of-hospital cardiac arrest across the World: First report from the International Liaison Committee on Resuscitation (ILCOR)', Resuscitation, vol. 152, pp. 39-49. https://doi.org/10.1016/j.resuscitation.2020.02.044

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title = "Out-of-hospital cardiac arrest across the World: First report from the International Liaison Committee on Resuscitation (ILCOR)",

abstract = "Background: Since development of the Utstein style recommendations for the uniform reporting of cardiac arrest, increasing numbers of national and regional out-of-hospital cardiac arrest (OHCA) registries have been established worldwide. The International Liaison Committee on Resuscitation (ILCOR) created the Research and Registries Working Group and aimed to systematically report data collected from these registries. Methods: We conducted two surveys of voluntarily participating national and regional registries. The first survey aimed to identify which core elements of the current Utstein style for OHCA were collected by each registry. The second survey collected descriptive summary data from each registry. We chose the data collected for the second survey based on the availability of core elements identified by the first survey. Results: Seven national and four regional registries were included in the first survey and nine national and seven regional registries in the second survey. The estimated annual incidence of emergency medical services (EMS)-treated OHCA was 30.0–97.1 individuals per 100,000 population. The combined data showed the median age varied from 64 to 79 years and more than half were male in all 16 registries. The provision of bystander cardiopulmonary resuscitation (CPR) and bystander automated external defibrillator (AED) use was 19.1–79.0% in all registries and 2.0–37.4% among 11 registries, respectively. Survival to hospital discharge or 30-day survival after EMS-treated OHCA was 3.1–20.4% across all registries. Favorable neurological outcome at hospital discharge or 30 days after EMS-treated OHCA was 2.8–18.2%. Survival to hospital discharge or 30-day survival after bystander-witnessed shockable OHCA ranged from 11.7% to 47.4% and favorable neurological outcome from 9.9% to 33.3%. Conclusion: This report from ILCOR describes data on systems of care and outcomes following OHCA from nine national and seven regional registries across the world. We found variation in reported survival outcomes and other core elements of the current Utstein style recommendations for OHCA across nations and regions.",

keywords = "Epidemiology, Out-of-hospital cardiac arrest, Registry, Resuscitation, Utstein template",

author = "Tekeyuki Kiguchi and Masashi Okubo and Chika Nishiyama and Ian Maconochie and Ong, {Marcus Eng Hock} and Kern, {Karl B.} and Wyckoff, {Myra H.} and Bryan McNally and Erika Christensen and Ingvild Tjelmeland and Johan Herlitz and Perkins, {Gavin D.} and Scott Booth and Judith Finn and Nur Shahidah and Shin, {Sang Do} and Bobrow, {Bentley J.} and Morrison, {Laurie J.} and Ari Salo and Enrico Baldi and Roman Burkart and Lin, {Chih Hao} and Xavier Jouven and Jasmeet Soar and Nolan, {Jerry P.} and Taku Iwami",

note = "Publisher Copyright: {\textcopyright} 2020",

year = "2020",

month = jul,

doi = "10.1016/j.resuscitation.2020.02.044",

language = "English (US)",

volume = "152",

pages = "39--49",

journal = "Resuscitation",

issn = "0300-9572",

publisher = "Elsevier Ireland Ltd",

}

TY - JOUR

T1 - Out-of-hospital cardiac arrest across the World

T2 - First report from the International Liaison Committee on Resuscitation (ILCOR)

AU - Kiguchi, Tekeyuki

AU - Okubo, Masashi

AU - Nishiyama, Chika

AU - Maconochie, Ian

AU - Ong, Marcus Eng Hock

AU - Kern, Karl B.

AU - Wyckoff, Myra H.

AU - McNally, Bryan

AU - Christensen, Erika

AU - Tjelmeland, Ingvild

AU - Herlitz, Johan

AU - Perkins, Gavin D.

AU - Booth, Scott

AU - Finn, Judith

AU - Shahidah, Nur

AU - Shin, Sang Do

AU - Bobrow, Bentley J.

AU - Morrison, Laurie J.

AU - Salo, Ari

AU - Baldi, Enrico

AU - Burkart, Roman

AU - Lin, Chih Hao

AU - Jouven, Xavier

AU - Soar, Jasmeet

AU - Nolan, Jerry P.

AU - Iwami, Taku

PY - 2020/7

Y1 - 2020/7

N2 - Background: Since development of the Utstein style recommendations for the uniform reporting of cardiac arrest, increasing numbers of national and regional out-of-hospital cardiac arrest (OHCA) registries have been established worldwide. The International Liaison Committee on Resuscitation (ILCOR) created the Research and Registries Working Group and aimed to systematically report data collected from these registries. Methods: We conducted two surveys of voluntarily participating national and regional registries. The first survey aimed to identify which core elements of the current Utstein style for OHCA were collected by each registry. The second survey collected descriptive summary data from each registry. We chose the data collected for the second survey based on the availability of core elements identified by the first survey. Results: Seven national and four regional registries were included in the first survey and nine national and seven regional registries in the second survey. The estimated annual incidence of emergency medical services (EMS)-treated OHCA was 30.0–97.1 individuals per 100,000 population. The combined data showed the median age varied from 64 to 79 years and more than half were male in all 16 registries. The provision of bystander cardiopulmonary resuscitation (CPR) and bystander automated external defibrillator (AED) use was 19.1–79.0% in all registries and 2.0–37.4% among 11 registries, respectively. Survival to hospital discharge or 30-day survival after EMS-treated OHCA was 3.1–20.4% across all registries. Favorable neurological outcome at hospital discharge or 30 days after EMS-treated OHCA was 2.8–18.2%. Survival to hospital discharge or 30-day survival after bystander-witnessed shockable OHCA ranged from 11.7% to 47.4% and favorable neurological outcome from 9.9% to 33.3%. Conclusion: This report from ILCOR describes data on systems of care and outcomes following OHCA from nine national and seven regional registries across the world. We found variation in reported survival outcomes and other core elements of the current Utstein style recommendations for OHCA across nations and regions.

AB - Background: Since development of the Utstein style recommendations for the uniform reporting of cardiac arrest, increasing numbers of national and regional out-of-hospital cardiac arrest (OHCA) registries have been established worldwide. The International Liaison Committee on Resuscitation (ILCOR) created the Research and Registries Working Group and aimed to systematically report data collected from these registries. Methods: We conducted two surveys of voluntarily participating national and regional registries. The first survey aimed to identify which core elements of the current Utstein style for OHCA were collected by each registry. The second survey collected descriptive summary data from each registry. We chose the data collected for the second survey based on the availability of core elements identified by the first survey. Results: Seven national and four regional registries were included in the first survey and nine national and seven regional registries in the second survey. The estimated annual incidence of emergency medical services (EMS)-treated OHCA was 30.0–97.1 individuals per 100,000 population. The combined data showed the median age varied from 64 to 79 years and more than half were male in all 16 registries. The provision of bystander cardiopulmonary resuscitation (CPR) and bystander automated external defibrillator (AED) use was 19.1–79.0% in all registries and 2.0–37.4% among 11 registries, respectively. Survival to hospital discharge or 30-day survival after EMS-treated OHCA was 3.1–20.4% across all registries. Favorable neurological outcome at hospital discharge or 30 days after EMS-treated OHCA was 2.8–18.2%. Survival to hospital discharge or 30-day survival after bystander-witnessed shockable OHCA ranged from 11.7% to 47.4% and favorable neurological outcome from 9.9% to 33.3%. Conclusion: This report from ILCOR describes data on systems of care and outcomes following OHCA from nine national and seven regional registries across the world. We found variation in reported survival outcomes and other core elements of the current Utstein style recommendations for OHCA across nations and regions.

KW - Epidemiology

KW - Out-of-hospital cardiac arrest

KW - Registry

KW - Resuscitation

KW - Utstein template

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JO - Resuscitation

JF - Resuscitation

ER -

Out-of-hospital cardiac arrest across the World: First report from the International Liaison Committee on Resuscitation (ILCOR)

Abstract

Keywords

ASJC Scopus subject areas

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