Efforts to Improve Survival Outcomes of Out-of-Hospital Cardiac Arrest in China: BASIC-OHCA-Reference-Cited by-同舟云学术

Efforts to Improve Survival Outcomes of Out-of-Hospital Cardiac Arrest in China: BASIC-OHCA

Published:2022-12-12 Issue: Volume: Page:
ISSN:1941-7713
Container-title:Circulation: Cardiovascular Quality and Outcomes
language:en
Short-container-title:Circ: Cardiovascular Quality and Outcomes

Author:

Xie Xi¹²,Zheng Jiaqi¹^ORCID,Zheng Wen¹,Pan Chang¹,Ma Yu³,Zhu Yimin⁴,Tan Huiqiong⁵,Han Xiaotong⁴,Yan Shengtao⁶,Zhang Guoqiang⁶,Li Chaoqian⁷,Shao Fei⁸⁹¹⁰,Wang Chunyi¹^ORCID,Zhang Jianbo¹,Bian Yuan¹,Ma Jingjing¹,Cheng Kai¹,Liu Rugang¹,Sang Shaowei¹¹,Zhang Yongsheng¹,McNally Bryan¹²^ORCID,Ong Marcus E.H.¹³^ORCID,Lv Chuanzhu²^ORCID,Chen Yuguo¹^ORCID,Xu Feng¹^ORCID,

Affiliation:

1. Department of Emergency Medicine, Chest Pain Center, Shandong Provincial Clinical Research Center for Emergency and Critical Care Medicine, Institute of Emergency and Critical Care Medicine of Shandong University, Key Laboratory of Emergency and Critical Care Medicine of Shandong Province, Key Laboratory of Cardiopulmonary-Cerebral Resuscitation Research of Shandong Province, Shandong Provincial Engineering Laboratory for Emergency and Critical Care Medicine, The Key Laboratory of Cardiovascular...

2. Emergency Medicine Center, Sichuan Provincial People’s Hospital, University of Electronic Science and Technology of China, Chengdu‚ China (X.X.‚ C.L.).

3. Department of Intensive Care Unit, Chongqing University Central Hospital, Chongqing Key Laboratory of Emergency Medicine, Chongqing Emergency Medical Center, Chongqing‚ China (Y.M.).

4. Department of Emergency Medicine, Hunan Provincial Institute of Emergency Medicine, Hunan Provincial Key Laboratory of Emergency and Critical Care Metabonomics, Hunan Provincial People’s Hospital/The First Affiliated Hospital, Hunan Normal University, Changsha, China (Y.Z., X.H.).

5. Emergency and Intensive Care Center, Fuwai Hospital, National Center for Cardiovascular Disease, Chinese Academy Medical Sciences, Beijing‚ China (H.T.).

6. Department of Emergency Medicine, China-Japan Friendship Hospital, Beijing‚ China (S.Y., G.Z.).

7. Department of Emergency, First Affiliated Hospital of Guangxi Medical University, Nanning, China (C.L.).

8. Department of Emergency Medicine, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China (F.S.).

9. Hebei Yanda Hospital, Langfang, China (F.S.).

10. China Key Laboratory of Cardiopulmonary Cerebral Resuscitation, Beijing, China (F.S.).

11. Clinical Epidemiology Unit, Qilu Hospital, Shandong University, Ji’nan, China (S.S.).

12. Atlanta, Georgia, USA (B.M.).

13. Department of Emergency Medicine, Singapore General Hospital‚ Singapore (M.E.H.O).

Abstract

Background: Establishing registries to collect demographic characteristics, processes of care, and outcomes of patients with out-of-hospital cardiac arrest (OHCA) can better understand epidemiological trends, measure care quality, and identify opportunities for improvement. This study aimed to describe the design, implementation, and scientific significance of a nationwide registry―the BASIC-OHCA (Baseline Investigation of Out-of-Hospital Cardiac Arrest)―in China. Methods: BASIC-OHCA was designed as a prospective, multicenter, observational, population-based study. The BASIC-OHCA registry was developed based on Utstein templates. BASIC-OHCA includes all OHCA patients confirmed by emergency medical services (EMS) personnel regardless of age, sex, or cause. Patients declared dead at the scene by EMS personnel for any reasons are also included. To fully characterize an OHCA event, BASIC-OHCA collects data from 3 sources—EMS, the receiving hospital, and patient follow-up—and links them to form a single record. Once data entry is completed and quality is checked, individual identifiers are stripped from the record. Results: Currently, 32 EMS agencies in 7 geographic regions contribute data to BASIC-OHCA. They are distributed in the urban and rural areas, covering ≈9% of the population of mainland China. Data collection started on August 1, 2019. By July 31, 2020, a total of 92 913 EMS-assessed OHCA patients were enrolled. Among 28969 (31.18%) EMS-treated OHCAs‚ the mean age was 65.79±17.36 years, and 68.35% were males. The majority of OHCAs (76.85%) occurred at home or residence. A shockable initial rhythm was reported in 5.43% of patients. Any return of spontaneous circulation, survival to hospital discharge, and favorable neurological outcome at hospital discharge were 5.98%, 1.15%, and 0.83%, respectively. Conclusions: BASIC-OHCA is the first nationwide registry on OHCA in China. It can be used as a public health surveillance system and as a platform to produce evidence-based practices to help identify opportunities for improvement. REGISTRATION: URL: https://www.clinicaltrials.gov ; Unique identifier: NCT03926325.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Cardiology and Cardiovascular Medicine

Link

https://www.ahajournals.org/doi/pdf/10.1161/CIRCOUTCOMES.121.008856

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