Tuesday, 3 May 2016

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

The Australian Resuscitation Outcomes Consortium (Aus-ROC) has recently established an Australian and New Zealand out-of-hospital cardiac arrest epidemiological registry, or Epistry. The Aus-ROC Epistry was established with the aim of understanding factors that are associated with survival, said Dr Ben Beck, Aus-ROC Research Fellow.

“Having an Australian and NZ cardiac arrest registry will enable us to identify strategies that lead to improved survival from out-of-hospital cardiac arrest. We will be able to understand regional differences in the incidence and outcomes as well as the impact of variations in the treatment of cardiac arrest between ambulance services on survival.

The Epistry will also provide an established framework to enhance the coordination of clinical trials and improve collaboration between ambulance services,” Dr Beck said.

The development of the Epistry was recently published in BMJ Open and included SPHPM authors Dr Ben Beck, Dr Janet Bray and Professor Judith Finn. Dr Beck highlighted the low survival rates from out-of-hospital cardiac arrest (OHCA) and the need to better understand factors that are associated with survival.

“We know that cardiac arrest is a global health problem with low survival rates. Similar international registries, such as the North American Resuscitation Outcomes Consortium (ROC), have demonstrated that survival can substantially vary between regions.

This suggests that there may be modifiable factors, such as ambulance service structure or cardiac arrest treatments, that lead to increased survival and better quality of life for survivors,” Dr Beck said.

He indicated that while individual OHCA registries have been established by some ambulance services in Australia and New Zealand, these have not previously been combined to enable regional comparisons.

“For the first time, we are bringing together this Australian and New Zealand cardiac arrest data. We have a total capture population of 19.3 million people, representing 63 per cent of Australia and 100 per cent of New Zealand.”

Data is being provided by six ambulance services: Ambulance Victoria, SA Ambulance Service, St John Ambulance Western Australia, Queensland Ambulance Service, St John New Zealand and Wellington Free Ambulance.

Aus-ROC have a vision that all other Australian ambulance services will be able to provide data in the future. Data is being collected from 2014 onwards and Aus-ROC are hopeful that the first data paper will be published later this year.

Follow Aus-ROC (@Aus_ROC) and Dr Ben Beck (@DrBenBeck) on Twitter.

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