EuReCa ONE – 27 Nations, ONE Europe, ONE Registry: a prospective observational analysis over one month in 27 resuscitation registries in Europe – the EuReCa ONE study protocol

Hdl Handle:
http://hdl.handle.net/10147/574921
Title:
EuReCa ONE – 27 Nations, ONE Europe, ONE Registry: a prospective observational analysis over one month in 27 resuscitation registries in Europe – the EuReCa ONE study protocol
Authors:
Wnent, Jan; Masterson, Siobhán; Gräsner, Jan-Thorsten; Böttiger, Bernd W; Herlitz, Johan; Koster, Ruud W; Rosell Ortiz, Fernando; Tjelmeland, Ingvild; Maurer, Holger; Bossaert, Leo
Citation:
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. 2015 Jan 24;23(1):7
Issue Date:
24-Jan-2015
URI:
http://dx.doi.org/10.1186/s13049-015-0093-3; http://hdl.handle.net/10147/574921
Abstract:
Abstract Background There is substantial variation in the incidence, likelihood of attempted resuscitation and outcomes from out-of-hospital cardiac arrest (OHCA) across Europe. A European, multi-centre study provides the opportunity to uncover differences throughout Europe and may help find explanations for these differences. Results may also have potential to support the development of quality benchmarking between European Emergency Medical Services (EMS). Methods/Design This prospective European study involves 27 different countries. It provides a common Utstein-based dataset, data collection tool and a common data collection period for all participants. Study research questions will address the following: OHCA incidence in different European regions; incidence of cardiopulmonary resuscitation (CPR); initial presenting rhythm in patients where bystanders or EMS start CPR or any other resuscitation intervention; proportion of patients with any return of spontaneous circulation (ROSC); patient status at the end of pre-hospital treatment i.e. ROSC at handover to hospital, ongoing CPR, dead; proportion of patients still alive 30 days after OHCA; proportion of patients discharged alive from hospital. All patients who suffered an OHCA during October 2014 and were attended and/or treated by an EMS and documented in one of the participating registries will be included in the study. Each National Coordinator is responsible for data collection and quality control in his/her country and will transfer unprocessed anonymised data via secure electronic transfer. Descriptive analysis will be performed at European, national and registry level. For endpoints like ROSC, admission or survival, multivariate logistic regression analysis will be performed. Discussion Documenting differences in epidemiology, treatment and outcome in out-of-hospital cardiac arrest throughout Europe is a first step in finding explanations for these differences. Study results might also support the development of quality benchmarking between Emergency Medical Services (EMS) which in turn will facilitate initiatives to improve OHCA outcome in Europe. Trial registration The EuReCa ONE Study is registered by ClinicalTrials.gov National Coordinator T02236819 ).
Language:
en
Keywords:
EMERGENCY MEDICAL CARE; PREHOSPITAL EMERGENCY CARE

Full metadata record

DC FieldValue Language
dc.contributor.authorWnent, Janen
dc.contributor.authorMasterson, Siobhánen
dc.contributor.authorGräsner, Jan-Thorstenen
dc.contributor.authorBöttiger, Bernd Wen
dc.contributor.authorHerlitz, Johanen
dc.contributor.authorKoster, Ruud Wen
dc.contributor.authorRosell Ortiz, Fernandoen
dc.contributor.authorTjelmeland, Ingvilden
dc.contributor.authorMaurer, Holgeren
dc.contributor.authorBossaert, Leoen
dc.date.accessioned2015-08-17T15:02:32Zen
dc.date.available2015-08-17T15:02:32Zen
dc.date.issued2015-01-24en
dc.identifier.citationScandinavian Journal of Trauma, Resuscitation and Emergency Medicine. 2015 Jan 24;23(1):7en
dc.identifier.urihttp://dx.doi.org/10.1186/s13049-015-0093-3en
dc.identifier.urihttp://hdl.handle.net/10147/574921en
dc.description.abstractAbstract Background There is substantial variation in the incidence, likelihood of attempted resuscitation and outcomes from out-of-hospital cardiac arrest (OHCA) across Europe. A European, multi-centre study provides the opportunity to uncover differences throughout Europe and may help find explanations for these differences. Results may also have potential to support the development of quality benchmarking between European Emergency Medical Services (EMS). Methods/Design This prospective European study involves 27 different countries. It provides a common Utstein-based dataset, data collection tool and a common data collection period for all participants. Study research questions will address the following: OHCA incidence in different European regions; incidence of cardiopulmonary resuscitation (CPR); initial presenting rhythm in patients where bystanders or EMS start CPR or any other resuscitation intervention; proportion of patients with any return of spontaneous circulation (ROSC); patient status at the end of pre-hospital treatment i.e. ROSC at handover to hospital, ongoing CPR, dead; proportion of patients still alive 30 days after OHCA; proportion of patients discharged alive from hospital. All patients who suffered an OHCA during October 2014 and were attended and/or treated by an EMS and documented in one of the participating registries will be included in the study. Each National Coordinator is responsible for data collection and quality control in his/her country and will transfer unprocessed anonymised data via secure electronic transfer. Descriptive analysis will be performed at European, national and registry level. For endpoints like ROSC, admission or survival, multivariate logistic regression analysis will be performed. Discussion Documenting differences in epidemiology, treatment and outcome in out-of-hospital cardiac arrest throughout Europe is a first step in finding explanations for these differences. Study results might also support the development of quality benchmarking between Emergency Medical Services (EMS) which in turn will facilitate initiatives to improve OHCA outcome in Europe. Trial registration The EuReCa ONE Study is registered by ClinicalTrials.gov National Coordinator T02236819 ).en
dc.language.isoenen
dc.subjectEMERGENCY MEDICAL CAREen
dc.subjectPREHOSPITAL EMERGENCY CAREen
dc.titleEuReCa ONE – 27 Nations, ONE Europe, ONE Registry: a prospective observational analysis over one month in 27 resuscitation registries in Europe – the EuReCa ONE study protocolen
dc.language.rfc3066enen
dc.rights.holderWnent et al.; licensee BioMed Central Ltd.en
dc.date.updated2015-08-14T13:19:20Zen
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