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    Establishing the Aus-ROC Australian and New Zealand out-of-hospital cardiac arrest Epistry

    241126_241126.pdf (703.9Kb)
    Access Status
    Open access
    Authors
    Beck, B.
    Bray, Janet
    Smith, K.
    Walker, T.
    Grantham, H.
    Hein, C.
    Thorrowgood, M.
    Smith, A.
    Smith, T.
    Dicker, B.
    Swain, A.
    Bailey, M.
    Bosley, E.
    Pemberton, K.
    Cameron, P.
    Nichol, G.
    Finn, Judith
    Date
    2016
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Beck, B. and Bray, J. and Smith, K. and Walker, T. and Grantham, H. and Hein, C. and Thorrowgood, M. et al. 2016. Establishing the Aus-ROC Australian and New Zealand out-of-hospital cardiac arrest Epistry. BMJ Open. 6 (4): e011027.
    Source Title
    BMJ Open
    DOI
    10.1136/bmjopen-2016-011027
    School
    School of Nursing and Midwifery
    Remarks

    This open access article is distributed under the Creative Commons license http://creativecommons.org/licenses/by-nc/4.0/

    URI
    http://hdl.handle.net/20.500.11937/44736
    Collection
    • Curtin Research Publications
    Abstract

    Introduction: Out-of-hospital cardiac arrest (OHCA) is a global health problem with low survival. Regional variation in survival has heightened interest in combining cardiac arrest registries to understand and improve OHCA outcomes. While individual OHCA registries exist in Australian and New Zealand ambulance services, until recently these registries have not been combined. The aim of this protocol paper is to describe the rationale and methods of the Australian Resuscitation Outcomes Consortium (Aus-ROC) OHCA epidemiological registry (Epistry). Methods and analysis: The Aus-ROC Epistry is designed as a population-based cohort study. Data collection started in 2014. Six ambulance services in Australia (Ambulance Victoria, SA Ambulance Service, St John Ambulance Western Australia and Queensland Ambulance Service) and New Zealand (St John New Zealand and Wellington Free Ambulance) currently contribute data. All OHCA attended by ambulance, regardless of aetiology or patient age, are included in the Epistry. The catchment population is approximately 19.3 million persons, representing 63% of the Australian population and 100% of the New Zealand population. Data are collected using Utstein-style definitions. Information incorporated into the Epistry includes demographics, arrest features, ambulance response times, treatment and patient outcomes. The primary outcome is 'survival to hospital discharge', with 'return of spontaneous circulation' as a key secondary outcome. Ethics and dissemination: Ethics approval was independently sought by each of the contributing registries. Overarching ethics for the Epistry was provided by Monash University HREC (Approval No. CF12/3938- 2012001888). A population-based OHCA registry capturing the majority of Australia and New Zealand will allow risk-adjusted outcomes to be determined, to enable benchmarking across ambulance providers, facilitate the identification of system-wide strategies associated with survival from OHCA, and allow monitoring of temporal trends in process and outcomes to improve patient care. Findings will be shared with participating ambulance services and the academic community.

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    • Description of the ambulance services participating in the Aus-ROC Australian and New Zealand out-of-hospital cardiac arrest Epistry
      Beck, B.; Bray, Janet; Smith, K.; Walker, T.; Grantham, H.; Hein, C.; Thorrowgood, M.; Smith, A.; Inoue, Madoka; Smith, T.; Dicker, B.; Swain, A.; Bosley, E.; Pemberton, K.; Mckay, M.; Johnston-Leek, M.; Cameron, P.; Perkins, G.; Finn, Judith; Aus-ROC Steering Committee (2016)
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