Global Health and Emergency Care: A Resuscitation Research Agenda-Part 1

被引：30

作者：

Aufderheide, Tom P. ^{[1
]}

Nolan, Jerry P. ^{[2
]}

Jacobs, Ian G. ^{[3
]}

van Belle, Gerald ^{[4
,5
]}

Bobrow, Bentley J. ^{[6
,7
]}

Marshall, John ^{[8
]}

Finn, Judith ^{[3
,9
]}

Becker, Lance B. ^{[10
]}

Bottiger, Bernd ^{[11
]}

Cameron, Peter ^{[12
]}

Drajer, Saul ^{[13
]}

Jung, Julianna J. ^{[14
]}

Kloeck, Walter ^{[15
]}

Koster, Rudolph W. ^{[16
]}

Ma, Matthew Huei-Ming ^{[17
]}

Shin, Sang Do ^{[18
]}

Sopko, George ^{[19
]}

Taira, Breena R. ^{[20
]}

Timerman, Sergio ^{[21
]}

Ong, Marcus Eng Hock ^{[22
,23
]}

机构：

[1] Med Coll Wisconsin, Dept Emergency Med, Milwaukee, WI 53226 USA

[2] Royal United Hosp, Bath BA1 3NG, Avon, England

[3] Curtin Univ, Fac Hlth Sci, Prehosp Resuscitat & Emergency Care Res Unit, Perth, WA 6845, Australia

[4] Univ Washington, Dept Biostat, Clin Trial Ctr, Seattle, WA 98195 USA

[5] Univ Washington, Dept Environm & Occupat Hlth Sci, Clin Trial Ctr, Seattle, WA 98195 USA

[6] Univ Arizona, Coll Med, Dept Emergency Med, Maricopa Med Ctr, Phoenix, AZ USA

[7] Arizona Dept Hlth Serv, Bur EMS & Trauma Syst, Phoenix, AZ 85007 USA

[8] St Michaels Hosp, Div Gen Surg, Toronto, ON M5B 1W8, Canada

[9] Monash Univ, Sch Publ Hlth & Prevent Med, Melbourne, Vic 3004, Australia

[10] Univ Penn, Dept Emergency Med, Philadelphia, PA 19104 USA

[11] Univ Cologne, Univ Hosp, Dept Anaesthesiol & Intens Care Med, D-50931 Cologne, Germany

[12] Monash Univ, Dept Epidemiol & Prevent Med, Melbourne, Vic 3004, Australia

[13] Univ Maimonides, Clin Esperanza, Buenos Aires, DF, Argentina

[14] Johns Hopkins Univ, Sch Med Emergency Med Clin Programs, Baltimore, MD USA

[15] Univ Witwatersrand, Div Emergency Med, Johannesburg, South Africa

[16] Univ Amsterdam, Acad Med Ctr, Dept Cardiol, NL-1105 AZ Amsterdam, Netherlands

[17] Natl Taiwan Univ, Dept Emergency Med, Taipei 10764, Taiwan

[18] Seoul Natl Univ, Coll Med, Dept Emergency Med, Seoul, South Korea

[19] NHLBI, NIH, Bethesda, MD 20892 USA

[20] Olive View Univ Calif, Los Angeles Med Ctr, Dept Emergency Med, Sylmar, CA USA

[21] Univ Sao Paulo, Sch Med, Inst Heart, Sao Paulo, Brazil

[22] Singapore Gen Hosp, Dept Emergency Med, Singapore, Singapore

[23] Duke NUS Grad Med Sch, Off Clin Sci, Singapore, Singapore

来源：

ACADEMIC EMERGENCY MEDICINE | 2013年 / 20卷 / 12期

关键词：

HOSPITAL CARDIAC-ARREST; CARDIOPULMONARY-RESUSCITATION; LIFE-SUPPORT; TRAUMA CARE; SYSTEMATIC ANALYSIS; DEVELOPING-COUNTRY; SURGICAL CAPACITY; MORTALITY; EDUCATION; OUTCOMES;

D O I：

10.1111/acem.12270

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

At the 2013 Academic Emergency Medicine global health consensus conference, a breakout session on a resuscitation research agenda was held. Two articles focusing on cardiac arrest and trauma resuscitation are the result of that discussion. This article describes the burden of disease and outcomes, issues in resuscitation research, and global trends in resuscitation research funding priorities. Globally, cardiovascular disease and trauma cause a high burden of disease that receives a disproportionately smaller research investment. International resuscitation research faces unique ethical challenges. It needs reliable baseline statistics regarding quality of care and outcomes; data linkages between providers; reliable and comparable national databases; and an effective, efficient, and sustainable resuscitation research infrastructure to advance the field. Research in resuscitation in low- and middle-income countries is needed to understand the epidemiology, infrastructure and systems context, level of training needed, and potential for cost-effective care to improve outcomes. Research is needed on low-cost models of population-based research, ways to disseminate information to the developing world, and finding the most cost-effective strategies to improve outcomes. (C) 2013 by the Society for Academic Emergency Medicine

引用

页码：1289 / 1296

页数：8

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