院外心搏骤停登记数据库的研究进展
The research progress on the registration database of out-of-hospital cardiac arrest
摘要院外心搏骤停(OHCA)病死率及致残率极高,是全球共同关注的公共卫生难题。为提高生存率,欧美等发达国家通过建立区域性乃至全国性的OHCA登记数据库,用于OHCA持续监测和质量改进,识别生存链各个环节的弱点,评估提高生存率的有效措施。目前我国尚缺少能够全面收录OHCA资料并有效反映我国OHCA救治现状和研究方向的登记数据库。为缩短与欧美等发达国家OHCA生存率的巨大差距,借鉴国外登记数据库经验,建立适合我国国情的OHCA登记数据库,以提高国内OHCA生存率。本文通过对国际上公认的心搏骤停提高存活率登记(CARES)、复苏结局联盟(ROC)、欧洲心搏骤停登记处(EuReCa)、泛亚洲复苏结局登记处(PAROS)、澳洲复苏结局联盟(Aus-ROC)几大OHCA登记数据库的介绍,旨在为推动建设中国的心搏骤停登记数据库提供借鉴与参考。
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abstractsOut-of-hospital cardiac arrest (OHCA) with high mortality and disable rate is a public health problem of common concern all over the world. In order to improve the survival rate of OHCA, developed countries such as Europe and the United States have established regional and even national OHCA registration database for continuous monitoring and quality improvement of OHCA, identifying the weaknesses in each link of the survival chain, and evaluating effective measures to enhance the survival rate. At present, China still lacks of registration database that can comprehensively collect the information of OHCA and effectively reflect the treatment status and research direction of OHCA. In order to shorten the huge gap of OHCA survival rate between China and developed countries such as Europe and the United States, we should learn from the experience of foreign registration databases and establish OHCA registration database suitable for China's national conditions, so as to promote the improvement of OHCA survival rate in China. This paper presents several major OHCA registry databases of the internationally recognized, such as cardiac arrest registry to enhance survival (CARES), resuscitation outcomes consortium (ROC), European registry of cardiac arrest (EuReCa), Pan-Asian resuscitation outcomes registry (PAROS), and Australian resuscitation outcome consortium (Aus-ROC), aims to provide a reference for promoting the construction of the cardiac arrest registration database in China.
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