Tags

Type your tag names separated by a space and hit enter

Essential features of designating out-of-hospital cardiac arrest as a reportable event: a scientific statement from the American Heart Association Emergency Cardiovascular Care Committee; Council on Cardiopulmonary, Perioperative, and Critical Care; Council on Cardiovascular Nursing; Council on Clinical Cardiology; and Quality of Care and Outcomes Research Interdisciplinary Working Group.
Circulation 2008; 117(17):2299-308Circ

Abstract

The 2010 impact goal of the American Heart Association is to reduce death rates from heart disease and stroke by 25% and to lower the prevalence of the leading risk factors by the same proportion. Much of the burden of acute heart disease is initially experienced out of hospital and can be reduced by timely delivery of effective prehospital emergency care. Many patients with an acute myocardial infarction die from cardiac arrest before they reach the hospital. A small proportion of those with cardiac arrest who reach the hospital survive to discharge. Current health surveillance systems cannot determine the burden of acute cardiovascular illness in the prehospital setting nor make progress toward reducing that burden without improved surveillance mechanisms. Accordingly, the goals of this article provide a brief overview of strategies for managing out-of-hospital cardiac arrest. We review existing surveillance systems for monitoring progress in reducing the burden of out-of-hospital cardiac arrest in the United States and make recommendations for filling significant gaps in these systems, including the following: 1. Out-of-hospital cardiac arrests and their outcomes through hospital discharge should be classified as reportable events as part of a heart disease and stroke surveillance system. 2. Data collected on patients' encounters with emergency medical services systems should include descriptions of the performance of cardiopulmonary resuscitation by bystanders and defibrillation by lay responders. 3. National annual reports on key indicators of progress in managing acute cardiovascular events in the out-of-hospital setting should be developed and made publicly available. Potential barriers to action on cardiac arrest include concerns about privacy, methodological challenges, and costs associated with designating cardiac arrest as a reportable event.

Authors+Show Affiliations

University of Washington, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Practice Guideline

Language

eng

PubMed ID

18413503

Citation

Nichol, Graham, et al. "Essential Features of Designating Out-of-hospital Cardiac Arrest as a Reportable Event: a Scientific Statement From the American Heart Association Emergency Cardiovascular Care Committee; Council On Cardiopulmonary, Perioperative, and Critical Care; Council On Cardiovascular Nursing; Council On Clinical Cardiology; and Quality of Care and Outcomes Research Interdisciplinary Working Group." Circulation, vol. 117, no. 17, 2008, pp. 2299-308.
Nichol G, Rumsfeld J, Eigel B, et al. Essential features of designating out-of-hospital cardiac arrest as a reportable event: a scientific statement from the American Heart Association Emergency Cardiovascular Care Committee; Council on Cardiopulmonary, Perioperative, and Critical Care; Council on Cardiovascular Nursing; Council on Clinical Cardiology; and Quality of Care and Outcomes Research Interdisciplinary Working Group. Circulation. 2008;117(17):2299-308.
Nichol, G., Rumsfeld, J., Eigel, B., Abella, B. S., Labarthe, D., Hong, Y., ... Weisfeldt, M. L. (2008). Essential features of designating out-of-hospital cardiac arrest as a reportable event: a scientific statement from the American Heart Association Emergency Cardiovascular Care Committee; Council on Cardiopulmonary, Perioperative, and Critical Care; Council on Cardiovascular Nursing; Council on Clinical Cardiology; and Quality of Care and Outcomes Research Interdisciplinary Working Group. Circulation, 117(17), pp. 2299-308. doi:10.1161/CIRCULATIONAHA.107.189472.
Nichol G, et al. Essential Features of Designating Out-of-hospital Cardiac Arrest as a Reportable Event: a Scientific Statement From the American Heart Association Emergency Cardiovascular Care Committee; Council On Cardiopulmonary, Perioperative, and Critical Care; Council On Cardiovascular Nursing; Council On Clinical Cardiology; and Quality of Care and Outcomes Research Interdisciplinary Working Group. Circulation. 2008 Apr 29;117(17):2299-308. PubMed PMID: 18413503.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Essential features of designating out-of-hospital cardiac arrest as a reportable event: a scientific statement from the American Heart Association Emergency Cardiovascular Care Committee; Council on Cardiopulmonary, Perioperative, and Critical Care; Council on Cardiovascular Nursing; Council on Clinical Cardiology; and Quality of Care and Outcomes Research Interdisciplinary Working Group. AU - Nichol,Graham, AU - Rumsfeld,John, AU - Eigel,Brian, AU - Abella,Benjamin S, AU - Labarthe,Darwin, AU - Hong,Yuling, AU - O'Connor,Robert E, AU - Mosesso,Vincent N, AU - Berg,Robert A, AU - Leeper,Barbara Bobbi, AU - Weisfeldt,Myron L, AU - ,, AU - ,, AU - ,, AU - ,, AU - ,, Y1 - 2008/04/14/ PY - 2008/4/17/pubmed PY - 2008/5/23/medline PY - 2008/4/17/entrez SP - 2299 EP - 308 JF - Circulation JO - Circulation VL - 117 IS - 17 N2 - The 2010 impact goal of the American Heart Association is to reduce death rates from heart disease and stroke by 25% and to lower the prevalence of the leading risk factors by the same proportion. Much of the burden of acute heart disease is initially experienced out of hospital and can be reduced by timely delivery of effective prehospital emergency care. Many patients with an acute myocardial infarction die from cardiac arrest before they reach the hospital. A small proportion of those with cardiac arrest who reach the hospital survive to discharge. Current health surveillance systems cannot determine the burden of acute cardiovascular illness in the prehospital setting nor make progress toward reducing that burden without improved surveillance mechanisms. Accordingly, the goals of this article provide a brief overview of strategies for managing out-of-hospital cardiac arrest. We review existing surveillance systems for monitoring progress in reducing the burden of out-of-hospital cardiac arrest in the United States and make recommendations for filling significant gaps in these systems, including the following: 1. Out-of-hospital cardiac arrests and their outcomes through hospital discharge should be classified as reportable events as part of a heart disease and stroke surveillance system. 2. Data collected on patients' encounters with emergency medical services systems should include descriptions of the performance of cardiopulmonary resuscitation by bystanders and defibrillation by lay responders. 3. National annual reports on key indicators of progress in managing acute cardiovascular events in the out-of-hospital setting should be developed and made publicly available. Potential barriers to action on cardiac arrest include concerns about privacy, methodological challenges, and costs associated with designating cardiac arrest as a reportable event. SN - 1524-4539 UR - https://www.unboundmedicine.com/medline/citation/18413503/Essential_features_of_designating_out_of_hospital_cardiac_arrest_as_a_reportable_event:_a_scientific_statement_from_the_American_Heart_Association_Emergency_Cardiovascular_Care_Committee L2 - http://www.ahajournals.org/doi/full/10.1161/CIRCULATIONAHA.107.189472?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -