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Resuscitation Outcomes in the Netherlands (ROUTiNE)

2019년 7월 14일 업데이트: Marc Schluep, Erasmus Medical Center

Resuscitation Outcomes in the Netherlands Study

The Resuscitation Outcomes in the Netherlands - study assesses one-year survival and quality of life after In-Hospital Cardiac Arrest(IHCA). It's design is a multicenter prospective observational cohort study which will include all patients undergoing cardiopulmonary resuscitation (CPR) for IHCA in 2017. Current literature describes poor survival after IHCA and no risk stratification tool for long-term outcome is available. Furthermore no such study has ever been performed in the Netherlands. The investigators aim to gain further insight in this major adverse event.

연구 개요

상태

완전한

정황

상세 설명

Background: In-hospital cardiac arrest (IHCA) is a serious adverse event for which cardiopulmonary resuscitation (CPR) can be performed to restore circulation. Currently survival after IHCA is poor. To assess the success of resuscitation attempts there is a need for research that focuses on long-term survival and quality of life. Patient selection for CPR, prevention of cardiac arrest and improvement of CPR techniques are crucial for improving qualitative survival. To assess the feasibility of this project a single-center retrospective cohort study was conducted over a 10-year period in the OLVG hospital. For all patients who received CPR survival to discharge was 32% and one-year survival was 22%. This is slightly higher than survival reported in contemporary literature. Due to it's design no prognostic variables could be derived from this study, however data suggested age and Charlson Comorbidity Index could prove useful in predicting long-term outcome. In the consecutive year this study was designed.

Hypothesis: The hypothesis is that one-year survival after IHCA in Dutch hospitals is poor, consistent with international literature and our feasibility trial, and survival can be improved through selection, prevention and training.

Objective: The main objective of this study is to assess the one-year survival of patients after CPR for in-hospital cardiac arrest. The secondary objectives are to assess quality of life and functional status after successful CPR. Furthermore the investigators aim to assess if there are patient-related predicting factors for these outcome measures and to assess whether outcomes are influenced by hospital-related factors (i.e. CPR training and treatment options).

Study design: The current study has a prospective, observational design, with a 12-month follow-up. Patients will be included from January 1st 2017. Patient data collection will take place at four time points: T0= directly post-CPR, T1= at hospital discharge or at in-hospital death, T2= 3 months after CPR, T3= 12 months after CPR. Clinical data will be collected at all time points. Quality of life data will be collected at T2 and T3 by means of validated questionnaires. We will assess functional status through questionnaires and link these to pre-existing and acquired comorbidities (e.g. stroke). General hospital data and data concerning the level of CPR-training will be ascertained at four moments during the first year of patient inclusion.

Study population: An estimated six hundred patients of 18 years or older who will receive CPR for cardiac arrest in the participating hospitals. This will include all cases of in-hospital cardiac arrest, also including Operation Room (OR), Intensive/Coronary Care Unit (ICU/CCU) and Emergency Department (ER). Patients in whom CPR was started before arrival in hospital will be excluded.

Expected results: The main study endpoints are one-year survival and quality of life. Secondary endpoints are direct survival and survival to discharge. The first preliminary results are expected in the first quarter of 2018. After conclusion of this project the investigators of this project aim to develop recommendations that will improve survival after IHCA.

연구 유형

관찰

등록 (실제)

700

연락처 및 위치

이 섹션에서는 연구를 수행하는 사람들의 연락처 정보와 이 연구가 수행되는 장소에 대한 정보를 제공합니다.

연구 장소

네덜란드
- Gelderland
  - Arnhem, Gelderland, 네덜란드, 6815AD
    - Rijnstate Ziekenhuis
- Noord-Holland
  - Amsterdam, Noord-Holland, 네덜란드, 1091AC
    - OLVG
- Overijssel
  - Deventer, Overijssel, 네덜란드, 7416SE
    - Deventer Ziekenhuis
  - Enschede, Overijssel, 네덜란드, 7512KZ
    - Medisch Spectrum Twente
  - Zwolle, Overijssel, 네덜란드, 8025AB
    - Isala Klinieken
- Zeeland
  - Terneuzen, Zeeland, 네덜란드, 4535PA
    - Zorgsaam Zeeuws-Vlaanderen
- Zuid-Holland
  - Breda, Zuid-Holland, 네덜란드, 4818CK
    - Amphia Ziekenhuis
  - Delft, Zuid-Holland, 네덜란드, 2625AD
    - Reinier de Graaf Gasthuis
  - Dordrecht, Zuid-Holland, 네덜란드, 3318AT
    - Albert Schweitzer Ziekenhuis
  - Rotterdam, Zuid-Holland, 네덜란드, 3079DZ
    - Maasstad Ziekenhuis
  - Rotterdam, Zuid-Holland, 네덜란드, 3045PM
    - Sint Franciscus Vlietland Groep
  - The Hague, Zuid-Holland, 네덜란드
    - Haaglanden Medisch Centrum

참여기준

연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.

자격 기준

공부할 수 있는 나이

18년 이상 (성인, 고령자)

건강한 자원 봉사자를 받아들입니다

예

연구 대상 성별

모두

샘플링 방법

비확률 샘플

연구 인구

An estimated six hundred patients of 18 years or older who will receive CPR for cardiac arrest in the participating hospitals (n=15). This will include all cases of in-hospital cardiac arrest, also including Operation Room (OR), Intensive/Coronary Care Unit (ICU/CCU) and Emergency Department (ER). Patients in whom CPR was started before arrival in hospital will be excluded.

설명

Inclusion Criteria:

Patients over 18 years of age
Receiving cardiopulmonary resuscitation, as defined by starting manual chest compressions, for a circulatory arrest occuring in-hospital.
In hospital is defined as all hospital wards, departments, outpatient clinics, and hallways.

Exclusion Criteria:

Children (<18 years of age)
Purposely induced cardiac arrest (e.g. cardiac surgery)
Purposely induced arrhythmias (e.g. electrophysiological treatment)
Refusal to participate
Primary out-of-hospital cardiac arrest with re-arrest <24h after hospital admission.

공부 계획

이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.

연구는 어떻게 설계됩니까?

디자인 세부사항

연구는 무엇을 측정합니까?

주요 결과 측정

결과 측정	측정값 설명	기간
one-year survival 기간: one year	Survival one year after in-hospital cardiac arrest	one year

2차 결과 측정

결과 측정	측정값 설명	기간
SF-12 기간: 3 months and one year after in-hospital cardiac arrest	Quality of life measured by SF-12 questionnaire	3 months and one year after in-hospital cardiac arrest
EuroQoL 기간: 3 months and one year after in-hospital cardiac arrest	Quality of life measured by EuroQoL questionnaire	3 months and one year after in-hospital cardiac arrest
HADS 기간: 3 months and one year after in-hospital cardiac arrest	Quality of life measured by Hospital Anxiety and Depression Scale questionnaire	3 months and one year after in-hospital cardiac arrest
Charlson Comorbidity Index 기간: 3 months and one year after in-hospital cardiac arrest	Development of new comorbidities as defined by the Charlson Comorbidity Index.	3 months and one year after in-hospital cardiac arrest
Cardiovascular events 기간: 3 months and one year after in-hospital cardiac arrest	Development of new cardiovascular events (e.g. myocardial infarction, stroke), by means of checkbox question.	3 months and one year after in-hospital cardiac arrest
Working life 기간: Prior to in-hospital cardiac arrest and 3 months and one year after in-hospital cardiac arrest	Participation in working life; status before cardiac arrest and after by means of checkbox question.	Prior to in-hospital cardiac arrest and 3 months and one year after in-hospital cardiac arrest
TICS 기간: 3 months after in-hospital cardiac arrest, if patients are not able to respond to regular questionnaires (paper)	Telephonic interview for Cognitive Status	3 months after in-hospital cardiac arrest, if patients are not able to respond to regular questionnaires (paper)
CSI 기간: 3 months and one year after in-hospital cardiac arrest	Caregiver strain index for caregivers of In-Hospital Cardiac Arrest Survivors	3 months and one year after in-hospital cardiac arrest

공동 작업자 및 조사자

여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.

스폰서

Erasmus Medical Center

수사관

수석 연구원: Robert Jan Stolker, MD PhD, Erasmus Medical Center
수석 연구원: Marc Schluep, MD, Erasmus Medical Center
연구 의자: Sanne Hoeks, PhD, Erasmus Medical Center
연구 의자: Henrik Endeman, MD PhD, OLVG

연구 기록 날짜

이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.

연구 주요 날짜

연구 시작 (실제)

2017년 1월 1일

기본 완료 (실제)

2019년 6월 1일

연구 완료 (실제)

2019년 7월 1일

연구 등록 날짜

최초 제출

2017년 4월 6일

QC 기준을 충족하는 최초 제출

2017년 4월 18일

처음 게시됨 (실제)

2017년 4월 19일

연구 기록 업데이트

마지막 업데이트 게시됨 (실제)

2019년 7월 16일

QC 기준을 충족하는 마지막 업데이트 제출

2019년 7월 14일

마지막으로 확인됨