Related Experiment Videos
The chain of survival. A review in year 2000
A Gullo1, R Sallusti, G Trillò
1Department of Anesthesiology and Intensive Care, Trieste University School of Medicine.
Insights
Sudden cardiac arrest affects 1 in 1000 adults annually. The Utstein Style provides a framework for standardized reporting of out-of-hospital cardiac arrest data to improve survival rates.
Area of Science:
- Emergency Medicine
- Public Health
- Cardiology
Background:
- Out-of-hospital sudden cardiac arrest (OHCA) affects approximately 1 in 1000 adults yearly worldwide.
- Over 70% of OHCA events occur in homes, highlighting the need for immediate bystander intervention.
- The chain of survival emphasizes critical actions: early access, CPR, defibrillation, and advanced care (ACLS).
Purpose of the Study:
- To introduce the Utstein Style as a standardized method for reporting OHCA data.
- To facilitate effective information exchange and comparison of resuscitation efforts.
- To strengthen the links in the chain of survival through consistent data collection.
Main Methods:
- Development of the Utstein Style by a task force.
- Inclusion of a glossary of terms and definitions for time points and outcomes.
- Establishment of a template for reporting resuscitation study data.
Main Results:
- The Utstein Style provides standardized definitions for OHCA events and interventions.
- It includes recommendations for describing emergency medical services (EMS) system organization.
- Facilitates consistent data collection for improved analysis of resuscitation outcomes.
Conclusions:
- Standardized reporting through the Utstein Style is crucial for improving OHCA survival.
- Consistent data collection and analysis are essential for strengthening the chain of survival.
- The Utstein Style serves as a foundational tool for research and quality improvement in resuscitation medicine.
Abstract:
Worldwide about 1 in 1000 adults every year has a sudden cardiac arrest in out-of-hospital. That means 350,000-400,000 persons in the USA alone, 60,000 persons in Italy. Over 70% of times sudden cardiac arrest occurs at home, the remaining 30% in public settings. The chain of survival concept emphasizes four links associated with survival after sudden cardiac arrest corresponding each with a set of actions that have been done as soon as possible--the early access, the early CPR, the early defibrillation, the early ACLS; in order to develop strength in each link, separate specialized programs are needed, but all of the links must be well connected. The Utstein Style was developed by a task force who suggested a series of recommendations as a starting point for more effective exchange of information about out-of hospital cardiac arrest. The Utstein Style includes a glossary of terms, a template for reporting data from resuscitation studies on cardiac arrest, definitions for time points and time intervals related to an intervention in a resuscitation attempt, definitions of clinical items and outcomes that should be included in reports, and recommendations for the descriptions for how different EMS systems are organized.