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Wnent J, Gräsner JT, Fischer M, Ramshorn-Zimmer A, Bohn A, Bein B, Seewald S. The German Resuscitation Registry - Epidemiological data for out-of-hospital and in-hospital cardiac arrest. Resusc Plus 2024; 18:100638. [PMID: 38646091 PMCID: PMC11031786 DOI: 10.1016/j.resplu.2024.100638] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/23/2024] Open
Abstract
Introduction The German Resuscitation Registry was started in 2007 and collects data on out-of-hospital as well as in-hospital cardiac arrest and resuscitation. It has collected more than 400.000 datasets till today. Methods The German Resuscitation Registry (GRR) is a voluntary quality improvement tool and research tool for out-of-hospital and in-hospital resuscitation as well as in-hospital emergency treatment. It collects data for initial treatment, in-hospital care as well as long-term outcome in an online database. For risk stratification two scores have been developed, published, and implemented. The participants are getting annual and monthly or quarterly reports in addition to the standardized online, 24/7 available analyzing options. An annual public report is published as well. We are reporting on the OHCA annual report of 2022. Results In 2022 the incidence of CPR started or continued by EMS was 77.6/100.000 inhabitants/year. The mean age was 70.2 years and 66.7% were male bystanders who started CPR in 51.3%. The average response time for the first EMS vehicle to arrive on scene was 6:55 min.In 57.9% of the cases, they had a presumed cardiac cause. The primary outcome, return-of-spontaneous circulation (ROSC) was achieved in 42.1%. Discussion With its more than 450.000 included datasets, the GRR is an established tool for quality improvement and research in Germany and internationally. The results for the incidence of OHCA and outcome from 2022 are compared to EuReCa TWO data ranging in the upper third of European countries. Furthermore, the GRR has contributed to increasing knowledge of OHCA by conducting and publishing research e.g. on epidemiology, airway management, and medication of OHCA.
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Affiliation(s)
- Jan Wnent
- Institute for Emergency Medicine, University Hospital Schleswig-Holstein, Kiel, Germany
- Department of Anaesthesiology and Intensive Care Medicine, University Hospital Schleswig-Holstein, Kiel, Germany
| | - Jan-Thorsten Gräsner
- Institute for Emergency Medicine, University Hospital Schleswig-Holstein, Kiel, Germany
- Department of Anaesthesiology and Intensive Care Medicine, University Hospital Schleswig-Holstein, Kiel, Germany
| | - Matthias Fischer
- Department of Anaesthesiology, Intensive Care Medicine, Emergency Medicine, and Pain Therapy, Alb Fils Kliniken, Göppingen, Germany
| | - Alexandra Ramshorn-Zimmer
- Division for Medical Management, Department for clinical process management, University Hospital Leipzig, Germany
| | - Andreas Bohn
- City of Munster Fire Department, Munster, Germany
- University Hospital Münster, Department of Anesthesiology, Intensive Care and Pain Medicine, Munster, Germany
| | - Berthold Bein
- Department of Anaesthesiology and Intensive Care Medicine, Asklepios Klinik St. Georg, Hamburg, Germany
| | - Stephan Seewald
- Institute for Emergency Medicine, University Hospital Schleswig-Holstein, Kiel, Germany
- Department of Anaesthesiology and Intensive Care Medicine, University Hospital Schleswig-Holstein, Kiel, Germany
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Hüser C. [Cardiac arrest due to poisoning]. Med Klin Intensivmed Notfmed 2023; 118:502-504. [PMID: 37606715 DOI: 10.1007/s00063-023-01053-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2023] [Accepted: 07/19/2023] [Indexed: 08/23/2023]
Affiliation(s)
- Christoph Hüser
- Klinik II für Innere Medizin: Nephrologie, Rheumatologie, Diabetologie und Allgemeine Innere Medizin und Schwerpunkt Klinische Akut- und Notfallmedizin, Medizinische Fakultät und Uniklinik Köln, Universität zu Köln, Kerpener Str. 62, 50937, Köln, Deutschland.
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Vergiftungsbedingter Herz-Kreislauf-Stillstand – höhere Überlebenschancen? NOTARZT 2023. [DOI: 10.1055/a-1890-1204] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/18/2023]
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Chiba T, Otaka S, Igeta R, Burns MM, Ikeda S, Shiga T. Epidemiology and clinical outcomes of poisoning-induced cardiac arrest in Japan: Retrospective analysis of a nationwide registry. Resuscitation 2022; 180:52-58. [PMID: 36185034 DOI: 10.1016/j.resuscitation.2022.09.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2022] [Revised: 09/13/2022] [Accepted: 09/13/2022] [Indexed: 11/23/2022]
Abstract
BACKGROUND Poisoning is an important cause of out-of-hospital cardiac arrest which can be challenging to manage. Neurological outcomes after poisoning-induced out-of-hospital cardiac arrest (POHCA) are yet to be fully elucidated. This retrospective cohort study sought to describe the characteristics of POHCA, and identify factors associated with favourable neurologic outcomes. METHODS Cardiac arrests recorded in the "All Japan Utstein Registry" from 1 January 2012 to 31 December 2017 were included. A descriptive analysis of the characteristics of POHCA and non-POHCA patients was performed. Neurological outcomes were compared between the POHCA and non-POHCA groups using logistic regression analysis. Subgroup analysis was performed for patients who underwent prolonged resuscitation. RESULTS Compared to non-POHCA patients (n = 665,262), POHCA patients (n = 1,868) were younger (median age, 80 vs 51 years) and had a lower likelihood of having a witness, bystander cardiopulmonary resuscitation, and an initial shockable rhythm. Multivariable logistic regression analysis showed that POHCA was associated with favourable neurologic outcomes (odds ratio 1.54, 95 % confidence interval 1.19-2.01, p = 0.001). Among patients who received > 30 min of resuscitation, neurologic outcomes were similar in those with POHCA and non-POHCA (favourable neurologic outcome, 1.03 % vs 0.98 %, p = 0.87). CONCLUSIONS POHCA is associated with favourable neurological outcomes and requires aggressive resuscitation. However, in patients who required prolonged resuscitation, the outcomes of POHCA were not different from those of non-POHCA. The decision to perform prolonged resuscitation should be guided on a case-by-case basis based on a range of factors.
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Affiliation(s)
- Takuyo Chiba
- Department of Emergency Medicine, International University of Health and Welfare, Narita, Chiba, Japan; Graduate School of Medicine, International University of Health and Welfare, Minatoku, Tokyo, Japan.
| | - Shunichi Otaka
- Department of Emergency Medicine, International University of Health and Welfare, Narita, Chiba, Japan; Graduate School of Medicine, International University of Health and Welfare, Minatoku, Tokyo, Japan
| | - Ryuhei Igeta
- Department of Emergency Medicine, International University of Health and Welfare, Narita, Chiba, Japan; Graduate School of Medicine, International University of Health and Welfare, Minatoku, Tokyo, Japan
| | - Michele M Burns
- Harvard Medical Toxicology Program, Division of Emergency Medicine, Boston Children's Hospital, Boston, MA, USA
| | - Shunya Ikeda
- Graduate School of Medicine, International University of Health and Welfare, Minatoku, Tokyo, Japan
| | - Takashi Shiga
- Department of Emergency Medicine, International University of Health and Welfare, Narita, Chiba, Japan; Graduate School of Medicine, International University of Health and Welfare, Minatoku, Tokyo, Japan
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Zhou C, Ye L, Luo C, Wang G, Xu P. A debate on the relationship between out-of-hospital cardiac arrest attributed to poisoning and good neurological outcome. Resuscitation 2022; 175:171-172. [PMID: 35595497 DOI: 10.1016/j.resuscitation.2022.03.031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2022] [Accepted: 03/28/2022] [Indexed: 02/05/2023]
Affiliation(s)
- Chao Zhou
- Emergency Department, Chengdu First People's Hospital, Chengdu, Sichuan, China
| | - Li Ye
- Emergency Department, Fushun People's Hospital, Fushun, Sichuan, China
| | - Changbin Luo
- Emergency Department, Zigong Fourth People's Hospital, 19 Tanmulin Road, Zigong, Sichuan, China; Institute of Medical Big Data, Zigong Academy of Artificial Intelligence and Big Data for Medical Science, 19 Tanmulin Road, Zigong, Sichuan, China
| | - Guan Wang
- Innovation Center of Nursing Research, Nursing Key Laboratory of Sichuan Province, National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University, Sichuan, China.
| | - Ping Xu
- Emergency Department, Zigong Fourth People's Hospital, 19 Tanmulin Road, Zigong, Sichuan, China; Institute of Medical Big Data, Zigong Academy of Artificial Intelligence and Big Data for Medical Science, 19 Tanmulin Road, Zigong, Sichuan, China; Artificial Intelligence Key Laboratory of Sichuan Province, Zigong, Sichuan, China.
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Hüser C, Seewald S. Reply to: A debate on the relationship between out-of-hospital cardiac arrest attributed to poisoning and good neurological outcome. Resuscitation 2022; 175:173-174. [PMID: 35595498 DOI: 10.1016/j.resuscitation.2022.04.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2022] [Accepted: 04/11/2022] [Indexed: 10/18/2022]
Affiliation(s)
- Christoph Hüser
- Department II of Internal Medicine and Center for Molecular Medicine Cologne, University of Cologne, Faculty of Medicine and University Hospital Cologne, Kerpener Str. 62, 50937 Cologne, Germany; Emergency Department, University of Cologne, Faculty of Medicine and University Hospital Cologne, Kerpener Str. 62, 50937 Cologne, Germany
| | - Stephan Seewald
- Institute for Emergency Medicine, University Hospital Schleswig-Holstein, Arnold-Heller-Straße 3, Building 404, 24105 Kiel, Germany; Department of Anaesthesiology and Intensive Care Medicine, University Hospital Schleswig-Holstein, Campus Kiel, Arnold-Heller-Straße 3, Building R3, 24105 Kiel, Germany
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Lacoste-Palasset T, Megarbane B, Deye N. Poisoning-related cardiac arrest: why prognosis should be better? Resuscitation 2022; 175:77-80. [PMID: 35489520 DOI: 10.1016/j.resuscitation.2022.04.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2022] [Revised: 04/15/2022] [Accepted: 04/18/2022] [Indexed: 11/29/2022]
Affiliation(s)
- Thomas Lacoste-Palasset
- Réanimation Médicale et Toxicologique, Hôpital Lariboisière, Assistance Publique - Hôpitaux de Paris, Paris, France; Université de Paris, Paris, France
| | - Bruno Megarbane
- Réanimation Médicale et Toxicologique, Hôpital Lariboisière, Assistance Publique - Hôpitaux de Paris, Paris, France; Université de Paris, Paris, France; INSERM UMRS-1144, Université de Paris, Paris, France
| | - Nicolas Deye
- Réanimation Médicale et Toxicologique, Hôpital Lariboisière, Assistance Publique - Hôpitaux de Paris, Paris, France; INSERM UMRS-942, MASCOT, Paris, France
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Nehme Z, Smith K. Gas asphyxiation precipitating out-of-hospital cardiac arrest: a call for more data and uniform definitions. Resuscitation 2022; 175:34-35. [PMID: 35460803 DOI: 10.1016/j.resuscitation.2022.04.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2022] [Accepted: 04/09/2022] [Indexed: 10/18/2022]
Affiliation(s)
- Ziad Nehme
- Centre of Research and Evaluation, Ambulance Victoria, Doncaster, Victoria, Australia; Department of Paramedicine, Monash University, Frankston, Victoria, Australia; Department of Epidemiology and Preventive Medicine, Monash University, Prahran, Victoria, Australia.
| | - Karen Smith
- Centre of Research and Evaluation, Ambulance Victoria, Doncaster, Victoria, Australia; Department of Paramedicine, Monash University, Frankston, Victoria, Australia; Department of Epidemiology and Preventive Medicine, Monash University, Prahran, Victoria, Australia
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