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Type: Journal article
Title: Establishing the aus-ROC australian and New Zealand out-of-hospital cardiac arrest epistry
Author: Beck, B.
Bray, J.
Smith, K.
Walker, T.
Grantham, H.
Hein, C.
Thorrowgood, M.
Smith, A.
Smith, T.
Dicker, B.
Swain, A.
Bailey, M.
Bosley, E.
Pemberton, K.
Cameron, P.
Nichol, G.
Finn, J.
Citation: BMJ Open, 2016; 6(4):e011027-1-e011027-6
Publisher: BMJ Publishing
Issue Date: 2016
ISSN: 2044-6055
Statement of
Ben Beck, Janet Bray, Karen Smith, Tony Walker, Hugh Grantham, Cindy Hein ... et al.
Abstract: Out-of-hospital cardiac arrest (OHCA) is a global health problem with low survival. Regional variation in survival has heightened interest in combining cardiac arrest registries to understand and improve OHCA outcomes. While individual OHCA registries exist in Australian and New Zealand ambulance services, until recently these registries have not been combined. The aim of this protocol paper is to describe the rationale and methods of the Australian Resuscitation Outcomes Consortium (Aus-ROC) OHCA epidemiological registry (Epistry).The Aus-ROC Epistry is designed as a population-based cohort study. Data collection started in 2014. Six ambulance services in Australia (Ambulance Victoria, SA Ambulance Service, St John Ambulance Western Australia and Queensland Ambulance Service) and New Zealand (St John New Zealand and Wellington Free Ambulance) currently contribute data. All OHCA attended by ambulance, regardless of aetiology or patient age, are included in the Epistry. The catchment population is approximately 19.3 million persons, representing 63% of the Australian population and 100% of the New Zealand population. Data are collected using Utstein-style definitions. Information incorporated into the Epistry includes demographics, arrest features, ambulance response times, treatment and patient outcomes. The primary outcome is 'survival to hospital discharge', with 'return of spontaneous circulation' as a key secondary outcome.Ethics approval was independently sought by each of the contributing registries. Overarching ethics for the Epistry was provided by Monash University HREC (Approval No. CF12/3938-2012001888). A population-based OHCA registry capturing the majority of Australia and New Zealand will allow risk-adjusted outcomes to be determined, to enable benchmarking across ambulance providers, facilitate the identification of system-wide strategies associated with survival from OHCA, and allow monitoring of temporal trends in process and outcomes to improve patient care. Findings will be shared with participating ambulance services and the academic community.
Keywords: Aus-ROC Steering Committee; Humans; Cardiopulmonary Resuscitation; Registries; Cohort Studies; Ambulances; Adult; Emergency Medical Services; Australia; New Zealand; Female; Male; Out-of-Hospital Cardiac Arrest
Rights: This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work noncommercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://
RMID: 0030123333
DOI: 10.1136/bmjopen-2016-011027
Grant ID:
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