Pan-Asian Resuscitation Outcomes Study (PAROS): Rationale, Methodology, and Implementation

Ong, Marcus Eng Hock; Shin, Sang Do; Tanaka, Hideharu; Huei‐Ming, Matthew; Khruekarnchana, Pairoj; Hisamuddin, N A R Nik; Atilla, Rıdvan; Middleton, Paul; Kajino, Kentaro; Leong, Benjamin Sieu‐Hon; Khan, Muhammad Naeem

doi:10.1111/j.1553-2712.2011.01132.x

Cited by 127 publications

(92 citation statements)

References 25 publications

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“…Since the 2004 update, there has been a substantial increase in the number and scope of resuscitation registries and clinical trial groups, with major national and regional registries established in the United States, 13,14 Europe, 15 Asia, 16 Australia, 17 and Japan. 18 Data from such registries are being used increasingly to compare the epidemiology and outcome of cardiac arrest, 19 explore the relation between key treatments and outcome, 20,21 identify and prioritize gaps in resuscitation science knowledge, and drive quality improvement.…”

mentioning

confidence: 99%

Cardiac Arrest and Cardiopulmonary Resuscitation Outcome Reports: Update of the Utstein Resuscitation Registry Templates for Out-of-Hospital Cardiac Arrest

Perkins¹,

Jacobs²,

Nadkarni³

et al. 2015

Circulation

791

217

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Utstein-style guidelines contribute to improved public health internationally by providing a structured framework with which to compare emergency medical services systems. Advances in resuscitation science, new insights into important predictors of outcome from out-of-hospital cardiac arrest, and lessons learned from methodological research prompted this review and update of the 2004 Utstein guidelines. Representatives of the International Liaison Committee on Resuscitation developed an updated Utstein reporting framework iteratively by meeting face to face, by teleconference, and by Web survey during 2012 through 2014. Herein are recommendations for reporting out-of-hospital cardiac arrest. Data elements were grouped by system factors, dispatch/recognition, patient variables, resuscitation/postresuscitation processes, and outcomes. Elements were classified as core or supplemental using a modified Delphi process primarily based on respondents’ assessment of the evidence-based importance of capturing those elements, tempered by the challenges to collect them. New or modified elements reflected consensus on the need to account for emergency medical services system factors, increasing availability of automated external defibrillators, data collection processes, epidemiology trends, increasing use of dispatcher-assisted cardiopulmonary resuscitation, emerging field treatments, postresuscitation care, prognostication tools, and trends in organ recovery. A standard reporting template is recommended to promote standardized reporting. This template facilitates reporting of the bystander-witnessed, shockable rhythm as a measure of emergency medical services system efficacy and all emergency medical services system−treated arrests as a measure of system effectiveness. Several additional important subgroups are identified that enable an estimate of the specific contribution of rhythm and bystander actions that are key determinants of outcome.

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mentioning

confidence: 99%

Cardiac Arrest and Cardiopulmonary Resuscitation Outcome Reports: Update of the Utstein Resuscitation Registry Templates for Out-of-Hospital Cardiac Arrest

Perkins¹,

Jacobs²,

Nadkarni³

et al. 2015

Circulation

791

217

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“…Recently, several studies such as PAROS13 in Asia, EuReCa14 in Europe, and CARES15 and ROC16 in the USA have been launched as large‐scale OHCA registries, because of the great need for high‐quality data collection that can be used for improving OHCA outcomes, like the JAAM‐OHCA Registry. In our registry, the number of participating CCMCs or tertiary emergency medical facilities was 73 during this registry period, and further efforts to increase the number of participating institutions are needed.…”

Section: Discussionmentioning

confidence: 99%

The profile of Japanese Association for Acute Medicine – out‐of‐hospital cardiac arrest registry in 2014–2015

Kitamura

Iwami

Atsumi

et al. 2018

Acute Medicine & Surgery

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AimTo describe the registry design of the Japanese Association for Acute Medicine – out‐of‐hospital cardiac arrest (JAAM‐OHCA) Registry as well as its profile on hospital information, patient and emergency medical service characteristics, and in‐hospital procedures and outcomes among patients with OHCA who were transported to the participating institutions.MethodsThe special committee aiming to improve the survival after OHCA by providing evidence‐based therapeutic strategies and emergency medical systems from the JAAM has launched a multicenter, prospective registry that enrolled OHCA patients who were transported to critical care medical centers or hospitals with an emergency care department. The primary outcome was a favorable neurological status 1 month after OHCA.ResultsBetween June 2014 and December 2015, a total of 12,024 eligible patients with OHCA were registered in 73 participating institutions. The mean age of the patients was 69.2 years, and 61.0% of them were male. The first documented shockable rhythm on arrival of emergency medical services was 9.0%. After hospital arrival, 9.4% underwent defibrillation, 68.9% tracheal intubation, 3.7% extracorporeal cardiopulmonary resuscitation, 3.0% intra‐aortic balloon pumping, 6.4% coronary angiography, 3.0% percutaneous coronary intervention, 6.4% targeted temperature management, and 81.1% adrenaline administration. The proportion of cerebral performance category 1 or 2 at 1 month after OHCA was 3.9% among adult patients and 5.5% among pediatric patients.ConclusionsThe special committee of the JAAM launched the JAAM‐OHCA Registry in June 2014 and continuously gathers data on OHCA patients. This registry can provide valuable information to establish appropriate therapeutic strategies for OHCA patients in the near future.

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“…(8) In 2015, the PAROS group published its main fi ndings. The network had collected more than 66,000 OHCA cases over a period of 2.5 years.…”

Section: The Paros Networkmentioning

confidence: 99%

The Pan-Asian Resuscitation Outcomes Study (PAROS) clinical research network: what, where, why and how

Doctor

Ahmad

Pek

et al. 2017

smedj

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Pan-Asian Resuscitation Outcomes Study (PAROS): Rationale, Methodology, and Implementation

Cited by 127 publications

References 25 publications

Cardiac Arrest and Cardiopulmonary Resuscitation Outcome Reports: Update of the Utstein Resuscitation Registry Templates for Out-of-Hospital Cardiac Arrest

Cardiac Arrest and Cardiopulmonary Resuscitation Outcome Reports: Update of the Utstein Resuscitation Registry Templates for Out-of-Hospital Cardiac Arrest

The profile of Japanese Association for Acute Medicine – out‐of‐hospital cardiac arrest registry in 2014–2015

The Pan-Asian Resuscitation Outcomes Study (PAROS) clinical research network: what, where, why and how

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