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- W3105280410 abstract "Establishing a cardiac arrest registry is the first step recommended by the Global Resuscitation Alliance to improve cardiac arrest survival. This study aimed to determine the accuracy of hospital-based data sources for identifying out-of-hospital cardiac arrests (OHCA) arriving at a hospital within the Northern Adelaide Local Health Network (NALHN). Four hospital-based data sources were searched consecutively on an annual basis between 2011-16 according to pre-defined criteria: ICD-10-AM discharge coding set (I46, I49.0, T71), emergency department coding set (I46.9 and complaint code 0102), cardiac catheterisation procedure registries (“cardiac arrest”) and ICU registry (“OHCA”). An EMS-based registry (SAAS-CAR) also identified OHCAs occurring within the NALHN catchment. Cases aged >18 years were included after case note review. Sensitivity and positive predictive value (PPV) of each dataset were calculated with respect to total ‘true’ OHCA cases identified from the combined sources. Combined hospital-based sources identified 943 distinct cases, of which 376 were confirmed as ‘true’ OHCA. An additional 11 cases were identified from SAAS-CAR for a final cohort of 387. The ED coding had highest accuracy with sensitivity of 79.6% and PPV of 78.4% for ‘true’ OHCA, but also identified a high proportion of in-hospital arrests and did not capture patients admitted directly from other hospitals. No single hospital-based source was useful for identifying all OHCAs arriving to a NALHN hospital. Traditionally, EMS-based registries have been used for OHCA reporting. This study demonstrates that a combined approach must be used to establish a hospital-based registry." @default.
- W3105280410 created "2020-11-23" @default.
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- W3105280410 date "2020-01-01" @default.
- W3105280410 modified "2023-10-14" @default.
- W3105280410 title "220 Identifying Out-of-Hospital Cardiac Arrests Using Hospital-Based Sources" @default.
- W3105280410 doi "https://doi.org/10.1016/j.hlc.2020.09.227" @default.
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