A national effort to improve outcomes for in-hospital cardiac arrest in China: The BASeline Investigation of Cardiac Arrest (BASIC-IHCA)

作者：Chunyi Wang, Wen Zheng, Jiaqi Zheng, Fei Shao, Yimin Zhu, Chaoqian Li, Yu Ma, Huiqiong Tan, Shengtao Yan, Xiaotong Han, Chang Pan, Chuanbao Li, Yuan Bian, Rugang Liu, Kai Cheng, Jianbo Zhang, Jingjing Ma, Yongsheng Zhang, Haitao Zhang, Xuezhong Yu, Marcus Eng Hock Ong, Bryan McNally, Chuanzhu Lv, Guoqiang Zhang, Yuguo Chen, Feng Xu · 发表于：Resuscitation Plus · 年份：2022 · DOI：10.1016/j.resplu.2022.100259 · 被引用次数：29 · 研究领域：Cardiac Arrest and Resuscitation、Sepsis Diagnosis and Treatment、Mechanical Circulatory Support Devices

Background: In-hospital cardiac arrest (IHCA) is a common clinical event with poor outcomes. Former IHCA registries in China were local, inconsistent in data reporting, and lacked attention to the process of care. Therefore, we designed and implemented the BASeline Investigation of In-hospital Cardiac Arrest (BASIC-IHCA), the first national IHCA registry in China. Methods: BASIC-IHCA is a prospective, multicenter, observational study with a nationwide surveillance network covering urban and rural hospitals from seven geographic regions of China. IHCA patients were enrolled continuously, and data were collected from medical records by investigators at participating hospitals. Key variables referring to the updated Utstein Template included patient information, event variables, process of care, and outcomes. Follow-up was conducted by telephone interview to obtain details on long-term survival and neurological status. Results: Thirty-two urban hospitals and eight rural hospitals from twenty-nine provinces in seven geographic regions of China participated in BASIC-IHCA. The starting time of enrollment ranged from July 1, 2019, to January 1, 2020. By December 31, 2020, 35,451 IHCAs were enrolled in all participating hospitals, of which 19,493 (55%) received CPR, with a predominance of males (65%) and a median age of 65 years. Conclusion: BASIC-IHCA is the first national registry for IHCA in China. It will describe the epidemiology and outcomes of IHCA from a nationwide perspectiv...