■介绍考纳斯市院外心脏骤停(OHCA)研究的数据收集和分析方法的演变,立陶宛,讨论遇到的挑战。
■在2016年底,数据收集开始关注2016年的数据,遵循Utstein2014模板。考纳斯市紧急医疗服务(EMS)站,它有一个协议调度系统,率先在国家EMS数据收集表格中使用电子提交,使研究过程更有效。大多数OHCA患者在一家三级大学医院接受治疗,该医院于2017年过渡到电子健康记录系统,改善了数据可访问性。在整个数据收集过程中,显著的努力致力于提高过程效率和简化操作。因此,Excel数据表的扩展导致在2018年创建了\'\'复苏注册表表单\'\',该表单于2020年开始运行。
■收集的数据被用于一些观察性研究,以确定和更好的结果。
■从事OHCA的研究是困难的,并且由于病情的紧迫性而提出了许多独特的挑战,法律和道德考虑的复杂性,以及任何研究干预的影响。EMS和医院电子健康记录系统之间缺乏联系给数据收集带来了挑战。法律和道德的复杂性,包括强制启动复苏和获得伦理批准的挑战,强调需要一个全面的框架。本研究旨在将积累的专业知识转化为国家认可的OHCA注册中心。
UNASSIGNED: To present the evolution of data collection and analysis methods of out-of-hospital cardiac arrest (OHCA) research in Kaunas city, Lithuania, and discuss the challenges encountered.
UNASSIGNED: In late 2016, data collection began with a focus on 2016 data, following the Utstein 2014 template. The Kaunas city emergency medical services (EMS) station, which has a protocol dispatch system, pioneered the use of electronic submissions for the national EMS data collection form, making the research process more efficient. Most OHCA patients were treated in a tertiary university hospital which transitioned to electronic health record system in 2017, improving data accessibility. Throughout data collection significant efforts have been directed towards enhancing process efficiency and simplifying operations. As a result, the expansion of the Excel data table led to the creation of the \'\'resuscitation registry form\' \'in 2018, which became operational in 2020.
UNASSIGNED: The collected data were used in several observational studies to identify and better outcomes.
UNASSIGNED: Engaging in research on OHCA is difficult and poses many unique challenges owning to the urgency of the condition, complexity of legal and ethical considerations, and implications of any research intervention. The lack of a connection between the EMS and hospital electronic health record systems poses challenges for data collection. Legal and ethical complexities, including mandatory initiation of resuscitation and challenges in obtaining ethical approval, highlight the need for a comprehensive framework. This study aims transition the accumulated expertise into a nationally recognised registry for OHCA.