Statewide implementation of the cardiac arrest registry to enhance survival in Ohio

Autor: Michelle M.J. Nassal, Henry E. Wang, Justin L. Benoit, Alexander Kuhn, Jonathan R. Powell, David Keseg, James Sauto, Ashish R. Panchal
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Resuscitation Plus, Vol 17, Iss , Pp 100528- (2024)
Druh dokumentu: article
ISSN: 2666-5204
DOI: 10.1016/j.resplu.2023.100528
Popis: Objective: Public health surveillance is essential for improving community health. The Cardiac Arrest Registry to Enhance Survival (CARES) is a surveillance system for out-of-hospital cardiac arrest (OHCA). We describe results of the organized statewide implementation of Ohio CARES. Methods: We performed a retrospective analysis of CARES enactment in Ohio. Key elements included: establishment of statewide leadership, appointment of a dedicated coordinator, conversion to a statewide subscription, statewide dissemination of information, fundraising from internal and external stakeholders, and conduct of resuscitation academies. We identified all adult (≥18 years) OHCA reported in the registry during 2013–2020. We evaluated OHCA characteristics before (2013–2015) and after (2016–2019) statewide implementation using chi-square test. We evaluated trends in OHCA outcomes using the Cochran-Armitage test of trend. Results: Statewide CARES promotion increased participation from 2 (urban) to 136 (129 urban, 7 rural) EMS agencies. Covered population increased from 1.2 M (10% of state) to 4.8 M (41% of state). After statewide implementation, OHCA populations increased male (58.1% vs 60.8%, p
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