PMID- 24877567
OWN - NLM
STAT- MEDLINE
DCOM- 20150609
LR  - 20140917
IS  - 1545-0066 (Electronic)
IS  - 1090-3127 (Linking)
VI  - 18
IP  - 4
DP  - 2014 Oct-Dec
TI  - Rationale, methodology, implementation, and first results of the French 
      out-of-hospital cardiac arrest registry.
PG  - 511-9
LID - 10.3109/10903127.2014.916024 [doi]
AB  - INTRODUCTION: 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. OBJECTIVE: The aim of this work is to present the 
      French OHCA registry (ReAC). METHODS: ReAC 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. ReAC provides 
      real-time statistical analyses and enables all French mobile emergency and 
      resuscitation services (MERS) to assess and improve their professional OHCA care 
      practices. RESULTS: In June 2012, the ReAC was nationally opened for all French 
      MERSs. In June 2013, 221 of a possible 320 MERS participated in the ReAC. 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. CONCLUSIONS: The ReAC 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.
FAU - Hubert, Herve
AU  - Hubert H
FAU - Tazarourte, Karim
AU  - Tazarourte K
FAU - Wiel, Eric
AU  - Wiel E
FAU - Zitouni, Djamel
AU  - Zitouni D
FAU - Vilhelm, Christian
AU  - Vilhelm C
FAU - Escutnaire, Josephine
AU  - Escutnaire J
FAU - Cassan, Pascal
AU  - Cassan P
FAU - Gueugniaud, Pierre-Yves
AU  - Gueugniaud PY
CN  - GR- ReAC
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20140530
PL  - England
TA  - Prehosp Emerg Care
JT  - Prehospital emergency care
JID - 9703530
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Emergency Medical Services/*statistics & numerical data
MH  - Female
MH  - France
MH  - Health Surveys
MH  - Humans
MH  - Incidence
MH  - Male
MH  - Middle Aged
MH  - Out-of-Hospital Cardiac Arrest/*epidemiology/mortality
MH  - Registries/*statistics & numerical data
MH  - Resuscitation/*statistics & numerical data
MH  - Survival Rate
OTO - NOTNLM
OT  - epidemiology
OT  - out-of-hospital cardiac arrest
OT  - practices assessment
OT  - public health
OT  - quality of care
OT  - registry
EDAT- 2014/06/01 06:00
MHDA- 2015/06/10 06:00
CRDT- 2014/06/01 06:00
PHST- 2014/06/01 06:00 [entrez]
PHST- 2014/06/01 06:00 [pubmed]
PHST- 2015/06/10 06:00 [medline]
AID - 10.3109/10903127.2014.916024 [doi]
PST - ppublish
SO  - Prehosp Emerg Care. 2014 Oct-Dec;18(4):511-9. doi: 10.3109/10903127.2014.916024. 
      Epub 2014 May 30.