[Guidelines for uniform reporting of data from out-of-hospital and in-hospital cardiac arrest and resuscitation in the pediatric population: the pediatria utstein-style].
Children who require cardiopulmonary resuscitation present high mortality and morbidity. The few studies that have been published on this subject use different terminology and methodology in data collection, which makes comparisons, evaluation of efficacy, and the performance of meta-analyses, etc. difficult. Consequently, standardized data collection both in clinical studies on cardiorespiratory arrest and in cardiopulmonary resuscitation in the pediatric age group are required. The Spanish Group of Pediatric Cardiopulmonary Resuscitation emphasizes that recommendations must be simple and easy to understand. The first step in the elaboration of guidelines on data collection is to develop uniform definitions (glossary of terms). The second step comprises the so-called time intervals that include time periods between two events. To describe the intervals of cardiorespiratory arrest different clocks are used: the patient's watch, that of the ambulance, the interval between call and response, etc.Thirdly, a series of clinical results are gathered to determine whether the efforts of cardiopulmonary resuscitation have a positive effect on the patient, the patient's family and society. With the information gathered a registry of data that includes the patient's personal details, general data of the cardiopulmonary resuscitation, treatment, times of performance and definitive patient outcome is made.
Tormo Calandín
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Sección de Cuidados Intensivos Pediátricos, Hospital Gregorio Marañòn, Madrid, Spain.
Manrique Martínez
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D000293:Adolescent; D022561:Advanced Cardiac Life Support / Q000379:methods*; D000553:Ambulatory Care; D016507:Cardiology Service, Hospital / Q000592:standards / Q000706:statistics & numerical data; D002648:Child; D002675:Child, Preschool; D001330:Electronic Data Processing; D006323:Heart Arrest / Q000534:rehabilitation / Q000628:therapy*; D006760:Hospitalization; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D010043:Outcome and Process Assessment, Health Care; D010372:Pediatrics / Q000379:methods*; D012107:Research Design / Q000592:standards* / Q000706:statistics & numerical data*; D013030:Spain