Recommended guidelines for reviewing, reporting, and conducting research on post-resuscitation care: The Utstein style
Section snippets
Background
International consensus on how to report data from in- and out-of-hospital cardiac arrest (OHCA), the Utstein template, [1], [2], [3] has enabled better and more consistent evaluation of factors associated with survival [4], [5], [6], [7] and comparisons between different services [8], [9], [10].
Only pre-hospital factors plus the ultimate outcome (survival to hospital discharge and later) were included in the initial Utstein template for OHCA. This is consistent with the four rings of the
Prehospital phase and outcome (Tables 1 and 2)
These guidelines should be integrated with the Utstein guidelines for OHCA [1], which have been updated recently [2]. We have made no attempt to redefine or add pre-hospital factors, except that we suggest pre-arrest co-morbidity as Supplementary data, and pre-arrest categorisation of functional status similar to the categories used for outcome evaluation as core data.
Data on the influence of co-morbidity on survival are scarce. A history of congestive heart failure pre-arrest was found to be a
Hospital variables
In-hospital systems and treatment variables are likely to affect outcome after out-of-hospital cardiac arrest. Researchers are encouraged to report data describing the hospital and its available personnel, equipment and routines along with the demographics of the catchment area (Table 3). The existence of a written instruction or policy for patient allocation (e.g. age) should be recorded if the EMS transports patients to more than one hospital. Any policy for the distribution of patients
Summary
Considerable efforts have been made the last few decades to describe factors associated with survival after out-of-hospital cardiac arrest (OHCA). International consensus on how to report pre-hospital and outcome data in OHCA, the Utstein template, has helped in these efforts and enabled comparison of different services. As several factors likely to influence outcome are not included in this template, particularly after return of spontaneous circulation and admission to hospital, we propose an
Acknowledgement
The symposium was supported by grants from the Laerdal Foundation of Acute Medicine.
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Conference participants: Angela Bång, RN; Dag Jacobsen, MD; Freddy Lippert, MD; Hans Friberg, MD; Hans Rosén, MD; Kjetil Sunde, MD; Kristian Lexow, MD; Risto Roine, MD; Tom Silfvast, MD.