A national resuscitation registry of out-of-hospital cardiac arrest in Germany-a pilot study.

Abstract

BACKGROUND:
Survival rate after out-of-hospital cardiac arrest (OHCA) has not significantly increased over the last decade. However, survival rate has been used as a quality benchmark for many emergency medical services. A uniform resuscitation registry may be advantageous for quality management of cardiopulmonary resuscitation (CPR). This study was conducted to evaluate the establishment of a national CPR registry in Germany. MATERIALS AND

METHODS:
A prospective cohort study was performed that included 469 patients who experienced OHCA requiring CPR in the metropolitan area of Dortmund, Germany. Cardiac arrest was defined as concomitant appearance of unconsciousness, apnoea or gasping and pulselessness.

All data were collected via a secure and confidential paper-based method as the data set 'Preclinical care'.

RESULTS:
Quality of data was classified as 'good' in 33.4%, 'moderate' in 48.4%, and 'bad' in 18.2% of the patients, respectively. Sixty-two percent had OHCA in private residences, 24% of the patients had a first monitored rhythm of ventricular fibrillation (VF) or ventricular tachycardia (VT), 35.2% had return of spontaneous circulation (ROSC) on scene, and patients presenting VF/VT as the first monitored rhythm had higher ROSC rates (51.3%) compared to patients with asystole (22.6%).

CONCLUSION:
The data set 'Preclinical care' proved to be congruent with the Utstein style, provided further information for national and international comparisons, and enabled a detailed analysis.

Optimisation of data collection and introduction of strict control mechanisms may further improve data quality.

Full Text

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Authors

• Jan-Thorsten Gräsner
• Patrick Meybohm
• Matthias Fischer
• Berthold Bein
• Jan Wnent
• Rüdiger Franz
• Josef Zander
• Hans Lemke
• Jan Bahr
• Tanja Jantzen
• Martin Messelken
• Volker Dörges
• Bernd W Böttiger
• Jens Scholz

Publication date

2009-01-19

Journal

Journal topics

• Resuscitation

Language

Eng.

Copyright

Resuscitation

Department of Anaesthesiology and Intensive Care Medicine, University Hospital Schleswig-Holstein, Campus Kiel, Schwanenweg 21, 24105 Kiel, Germany. graesner [at] anaesthesie.uni-kiel.de

Release reference

Resuscitation. 2009 Feb;80(2):199-203

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• Books of Resuscitation