Top Things to Know: Cardiac Arrest and Cardiopulmonary Resuscitation Outcome Reports
- The existing Utstein template for in-hospital cardiac arrest is outdated; there is a need to standardize the definitions and elements of the dataset relating to in-hospital cardiac arrest.
- The Utstein-style reporting templates provides a structured framework with which to compare systems of care for cardiac arrest. A 2015 update of the Utstein template focused on out-of-hospital cardiac arrest while this 2019 update focuses on in-hospital cardiac arrest. This statement suggests the core and supplementary data that should be collected to enable comparisons in the incidence rate and outcomes from in hospital cardiac arrest.
- Data elements were grouped by hospital factors, patient variables, pre-event factors, cardiac arrest and post resuscitation processes, and outcomes. Elements were classified as core or supplemental by using a modified Delphi process. Variables were described as core if they were considered essential.
- This update of the IHCA Utstein reporting guideline includes 6 domains: hospital factors, patient variables, pre-event factors, cardiac arrest and post resuscitation processes, and outcomes. This consensus IHCA reporting template adopts the style of the recently updated OHCA version.
- This Utstein-style guideline standardizes reporting of the process of care and outcomes for patients with in-hospital cardiac arrest. Data elements are grouped by hospital factors, patient variables, pre-event factors, cardiac arrest and post resuscitation processes, and outcomes. Variables are described as core if they are considered essential. Core variables should enable comparisons between systems and are essential for quality improvement programs. Together with core variables, supplementary variables are useful for research.
Citation
Nolan JP, Berg RA, Andersen LW, Bhanji F, Chan PS, Donnino MW, Lim SH, Ma MH-M, Nadkarni VM, Starks MA, Perkins GD, Morley PT, Soar J, on behalf of the Utstein Collaborators. Cardiac arrest and cardiopulmonary resuscitation outcome reports: update of the Utstein resuscitation registry template for in-hospital cardiac arrest: a consensus report from a Task Force of the International Liaison Committee on Resuscitation (American Heart Association, European Resuscitation Council, Australian and New Zealand Council on Resuscitation, Heart and Stroke Foundation of Canada, InterAmerican Heart Foundation, Resuscitation Council of Southern Africa, Resuscitation Council of Asia) [published online ahead of print September 16, 2019]. Circulation. doi: 10.1161/CIR.0000000000000710.