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Out-of-hospital cardiac arrest surveillance in Canada: a survey of national resources

Published online by Cambridge University Press:  21 May 2015

Christian Vaillancourt ,
Manya Charette ,
Ian G. Stiell ,
Karin R. Phillips  and
George A. Wells
Christian Vaillancourt*
Affiliation:
Ottawa Hospital Research Institute, University of Ottawa, Ottawa, Ont. Department of Emergency Medicine, University of Ottawa, Ottawa, Ont.
Manya Charette
Affiliation:
Ottawa Hospital Research Institute, University of Ottawa, Ottawa, Ont.
Ian G. Stiell
Affiliation:
Ottawa Hospital Research Institute, University of Ottawa, Ottawa, Ont. Department of Emergency Medicine, University of Ottawa, Ottawa, Ont.
Karin R. Phillips
Affiliation:
Ottawa Hospital Research Institute, University of Ottawa, Ottawa, Ont.
George A. Wells
Affiliation:
Department of Medicine, University of Ottawa, Ottawa, Ont.
*
The Ottawa Hospital, Civic Campus, Clinical Epidemiology Unit, Rm. F658, 1053 Carling Ave., Ottawa ON K1Y 4E9; [email protected]

Abstract

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Objective:

The general objective of this study was to explore the challenges of establishing an out-of-hospital cardiac arrest (OOHCA) surveillance program in Canada. More specifically, we attempted to determine the organizational structure of the delivery of emergency medical services (EMS) in Canada, describe the cardiac arrest data collection infrastructure in each province and determine which OOHCA variables are being collected.

Methods:

We conducted a national survey of 82 independent EMS health authorities in Canada. Methodology experts developed the survey and distribution using a modified Dillman technique. We distributed 67 surveys electronically (84%) and the rest by regular mail. We weighted each survey response by the population of the catchment area represented by the responding health authority (2004 census). Descriptive statistics are reported.

Results:

We received 60 completed surveys, representing a 73% response rate. The responding health authorities' catchment areas represented 80% of the Canadian population (territories excluded). Our survey results highlight a lack of common OOHCA data definitions used among health authorities, sporadic use of data quality assurance procedures, rare linkages to in-hospital survival outcomes and potential confidentiality issues. Other challenges raised by respondents included determining warehousing location and finding financial resources for a national OOHCA registry.

Conclusion:

Results from this survey demonstrate that, although it is challenging, it is possible to collect OOHCA data and access in-hospital survival outcomes. Collaborative efforts with the Resuscitation Outcomes Consortium and other potential provincial partners should be explored.

Keywords

heart arrestemergency medical servicespopulation surveillance
Type
Original Research • Recherche originale
Information
Canadian Journal of Emergency Medicine , Volume 12 , Issue 2 , March 2010 , pp. 119 - 127
Copyright
Copyright © Canadian Association of Emergency Physicians 2010

References

REFERENCES

1.Heart and Stroke Foundation of Canada. Heart disease: general info — incidence of cardiovascular disease. Ottawa (ON): The Foundation. Available: http://ww2.heartandstroke.ca/Page.asp?PageID =1613&ContentID=9101&ContentTypeID=1 (accessed 2010 Jan 12).Google Scholar
2.Jacobs, I, Nadkarni, V, Bahr, J, et al. Cardiac arrest and cardiopulmonary resuscitation outcome reports: update and simplification of the Utstein templates for resuscitation registries. A statement for healthcare professionals from a task force of the international liaison committee on resuscitation. Resuscitation 2004;63:233–49.Google Scholar
3.Messner, T, Lundberg, V. Trends in sudden cardiac death in the northern Sweden MONICA area 1985-99. J Intern Med 2003;253:320–8.Google Scholar
4.Alderman, C. Emergency bystander life support training. Emerg Nurse 1997;5:10–1.Google Scholar
5.Vaillancourt, C, Stiell, IG; Canadian Cardiovascular Outcomes Research Team (CCORT). Cardiac arrest care and emergency medical services in Canada. Can J Cardiol 2004;20:1081–90.Google Scholar
6.Becker, L.B., et al. The PULSE initiative: scientific priorities and strategic planning for resuscitation research and life saving therapies. Circulation 2002;105:2562–70.CrossRefGoogle ScholarPubMed
7.Weil, M.H., et al. Post resuscitative and initial utility in life saving efforts (pulse): a workshop executive summary. Resuscitation 2001;50:23–5.Google Scholar
8.Population by year, by provinces and territories. Ottawa (ON): Statistics Canada; 2009. Available: http://www40.statcan.ca/l01/cst01/demo02.htm?sdi=population (accessed 2010 Jan 12).Google Scholar
9.Caetano, R, Ramisetty-Mikler, S, Rodriguez, LA. The Hispanic Americans Baseline Alcohol Survey (HABLAS): rates and predictors of alcohol abuse and dependence across Hispanic national groups. J Stud Alcohol Drugs 2008;69:441–8.CrossRefGoogle ScholarPubMed
10.Lahr, MB, Rosenberg, KD, Lapidus, JA. Maternal-infant bedsharing: risk factors for bedsharing in a population-based survey of new mothers and implications for SIDS risk reduction. Matern Child Health J 2007;11:277–86.Google Scholar
11.Laumann, EO, Leitsch, SA, Waite, LJ. Elder mistreatment in the United States: prevalence estimates from a nationally representative study. J Gerontol B Psychol Sci Soc Sci 2008;63:S248-S54.Google Scholar
12.Qato, DM, Alexander, GC, Conti, RM, et al. Use of prescription and over-the-counter medications and dietary supplements among older adults in the United States. JAMA 2008;300:2867–78.Google Scholar
13.Health Information Solutions Centre. Available: http://www.health .gov.sk.ca/health-information-solutions-centre (accessed 2010 Jan 18).Google Scholar
14.Western Health Information Collaborative. Available: http://www.gov.sk.ca/news?newsId=48039bfc-1190-4469-8989-baeae29e16da (accessed 2010 Jan 18).Google Scholar
15.Stiell, I.G., et al. The Ontario Prehospital Advanced Life Support (OPALS) Study: rationale and methodology for cardiac arrest patients. Ann Emerg Med 1998;32:180–90.Google Scholar
16.Resuscitation Outcomes Consortium [homepage]. Available: http://roc.uwctc.org/tiki/tiki-index.php (accessed 2010 Jan 12).Google Scholar
17.Morrison, LJ, Nichol, G, Rea, TD, et al. Rationale, development and implementation of the Resuscitation Outcomes Consortium Epistry-Cardiac Arrest. Resuscitation 2008;78:161–9.Google Scholar