Serveur d'exploration MERS

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Rationale, methodology, implementation, and first results of the French out-of-hospital cardiac arrest registry.

Identifieur interne : 002A65 ( PubMed/Checkpoint ); précédent : 002A64; suivant : 002A66

Rationale, methodology, implementation, and first results of the French out-of-hospital cardiac arrest registry.

Auteurs : Hervé Hubert ; Karim Tazarourte ; Eric Wiel ; Djamel Zitouni ; Christian Vilhelm ; Joséphine Escutnaire ; Pascal Cassan ; Pierre-Yves Gueugniaud

Source :

RBID : pubmed:24877567

Descripteurs français

English descriptors

Abstract

Out-of-hospital cardiac arrest (OHCA) is an important public health issue with an estimated incidence of 50,000 cases per year in France. Community survival rates for OHCA are still low (approximately 5%). An effective, recognized way to study, assess, and improve OHCA care is to create a standard-format database.

DOI: 10.3109/10903127.2014.916024
PubMed: 24877567


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pubmed:24877567

Le document en format XML

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<name sortKey="Tazarourte, Karim" sort="Tazarourte, Karim" uniqKey="Tazarourte K" first="Karim" last="Tazarourte">Karim Tazarourte</name>
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<name sortKey="Wiel, Eric" sort="Wiel, Eric" uniqKey="Wiel E" first="Eric" last="Wiel">Eric Wiel</name>
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<name sortKey="Zitouni, Djamel" sort="Zitouni, Djamel" uniqKey="Zitouni D" first="Djamel" last="Zitouni">Djamel Zitouni</name>
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<name sortKey="Vilhelm, Christian" sort="Vilhelm, Christian" uniqKey="Vilhelm C" first="Christian" last="Vilhelm">Christian Vilhelm</name>
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<name sortKey="Escutnaire, Josephine" sort="Escutnaire, Josephine" uniqKey="Escutnaire J" first="Joséphine" last="Escutnaire">Joséphine Escutnaire</name>
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<name sortKey="Gueugniaud, Pierre Yves" sort="Gueugniaud, Pierre Yves" uniqKey="Gueugniaud P" first="Pierre-Yves" last="Gueugniaud">Pierre-Yves Gueugniaud</name>
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<term>Female</term>
<term>France</term>
<term>Health Surveys</term>
<term>Humans</term>
<term>Incidence</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Out-of-Hospital Cardiac Arrest (epidemiology)</term>
<term>Out-of-Hospital Cardiac Arrest (mortality)</term>
<term>Registries (statistics & numerical data)</term>
<term>Resuscitation (statistics & numerical data)</term>
<term>Survival Rate</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Arrêt cardiaque hors hôpital (mortalité)</term>
<term>Arrêt cardiaque hors hôpital (épidémiologie)</term>
<term>Enquêtes de santé</term>
<term>Enregistrements ()</term>
<term>Femelle</term>
<term>France</term>
<term>Humains</term>
<term>Incidence</term>
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<term>Réanimation ()</term>
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<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Taux de survie</term>
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<term>France</term>
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<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en">
<term>Out-of-Hospital Cardiac Arrest</term>
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<term>Out-of-Hospital Cardiac Arrest</term>
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<term>Arrêt cardiaque hors hôpital</term>
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<term>Emergency Medical Services</term>
<term>Registries</term>
<term>Resuscitation</term>
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<term>Arrêt cardiaque hors hôpital</term>
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<term>Humans</term>
<term>Incidence</term>
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<term>Middle Aged</term>
<term>Survival Rate</term>
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<front>
<div type="abstract" xml:lang="en">Out-of-hospital cardiac arrest (OHCA) is an important public health issue with an estimated incidence of 50,000 cases per year in France. Community survival rates for OHCA are still low (approximately 5%). An effective, recognized way to study, assess, and improve OHCA care is to create a standard-format database.</div>
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<PMID Version="1">24877567</PMID>
<DateCompleted>
<Year>2015</Year>
<Month>06</Month>
<Day>09</Day>
</DateCompleted>
<DateRevised>
<Year>2014</Year>
<Month>09</Month>
<Day>17</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1545-0066</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>18</Volume>
<Issue>4</Issue>
<PubDate>
<MedlineDate>2014 Oct-Dec</MedlineDate>
</PubDate>
</JournalIssue>
<Title>Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors</Title>
<ISOAbbreviation>Prehosp Emerg Care</ISOAbbreviation>
</Journal>
<ArticleTitle>Rationale, methodology, implementation, and first results of the French out-of-hospital cardiac arrest registry.</ArticleTitle>
<Pagination>
<MedlinePgn>511-9</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.3109/10903127.2014.916024</ELocationID>
<Abstract>
<AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Out-of-hospital cardiac arrest (OHCA) is an important public health issue with an estimated incidence of 50,000 cases per year in France. Community survival rates for OHCA are still low (approximately 5%). An effective, recognized way to study, assess, and improve OHCA care is to create a standard-format database.</AbstractText>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">The aim of this work is to present the French OHCA registry (RéAC).</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">RéAC is a secure, web-based data management system that was initiated in 2009 and deployed nationally in June 2012. The main goal of this registry is to improve the care and survival rate of OHCA patients. The survey form is in compliance with the requirements of French organizations and is organized in accordance with the Utstein universal style. RéAC provides real-time statistical analyses and enables all French mobile emergency and resuscitation services (MERS) to assess and improve their professional OHCA care practices.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">In June 2012, the RéAC was nationally opened for all French MERSs. In June 2013, 221 of a possible 320 MERS participated in the RéAC. A total of 15,944 OHCA have been collected (14,939 cases closed with follow-up monitoring). The current rate of inclusion is approximately 1,500 cases per month. Since August 2012, the inclusion rate has increased by 9.5% per month, while the participation rate has increased by 9% per month. The first results show that the population is mainly male (65.4%) and the mean age is 65 ± 19 years. On MERS arrival, 73.5% of the patients were in asystole. The rates of return of spontaneous circulation, survival to hospital admission, and 30-day survival are low (respectively 21.1%, 17.2%, 4.6%). Of those who survived 30 days, 84.0% had a good neurological recovery.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The RéAC registry is a reliable observation tool to improve public health management of OHCA. It provides relevant information to adapt or to develop diagnosis, treatments, and prognostic resources. Moreover, it enables the development of targeted awareness programs for the unique purpose of increasing the survival rates of OHCA patients.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y">
<Author ValidYN="Y">
<LastName>Hubert</LastName>
<ForeName>Hervé</ForeName>
<Initials>H</Initials>
</Author>
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<LastName>Tazarourte</LastName>
<ForeName>Karim</ForeName>
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<LastName>Escutnaire</LastName>
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<Language>eng</Language>
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<PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
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<Month>05</Month>
<Day>30</Day>
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<Country>England</Country>
<MedlineTA>Prehosp Emerg Care</MedlineTA>
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<ISSNLinking>1090-3127</ISSNLinking>
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<DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
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<DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D058687" MajorTopicYN="N">Out-of-Hospital Cardiac Arrest</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName>
<QualifierName UI="Q000401" MajorTopicYN="N">mortality</QualifierName>
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<KeywordList Owner="NOTNLM">
<Keyword MajorTopicYN="N">epidemiology</Keyword>
<Keyword MajorTopicYN="N">out-of-hospital cardiac arrest</Keyword>
<Keyword MajorTopicYN="N">practices assessment</Keyword>
<Keyword MajorTopicYN="N">public health</Keyword>
<Keyword MajorTopicYN="N">quality of care</Keyword>
<Keyword MajorTopicYN="N">registry</Keyword>
</KeywordList>
</MedlineCitation>
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<Month>6</Month>
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<Hour>6</Hour>
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<PublicationStatus>ppublish</PublicationStatus>
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<name sortKey="Gueugniaud, Pierre Yves" sort="Gueugniaud, Pierre Yves" uniqKey="Gueugniaud P" first="Pierre-Yves" last="Gueugniaud">Pierre-Yves Gueugniaud</name>
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