Clin Exp Emerg Med.  2018 Sep;5(3):165-176. 10.15441/ceem.17.259.

Korean Cardiac Arrest Research Consortium (KoCARC): rationale, development, and implementation

Affiliations
  • 1Department of Emergency Medicine, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Korea.
  • 2Department of Emergency Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea. shwang@yonsei.ac.kr
  • 3Department of Emergency Medicine, Seoul National University Hospital, Seoul, Korea.
  • 4Department of Emergency Medicine, Gachon University College of Medicine, Incheon, Korea.
  • 5Department of Emergency Medicine, Yonsei University College of Medicine, Seoul, Korea.
  • 6Department of Emergency Medicine, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea.
  • 7Department of Preventive Medicine, Seoul National University School of Public Health, Seoul, Korea.
  • 8Department of Emergency Medicine, Kang Dong Sacred Heart Hospital, Hallym University School of medicine, Seoul, Korea.
  • 9Department of Emergency Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
  • 10Department of Emergency Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
  • 11Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.

Abstract


OBJECTIVE
This study aimed to describe the conceptualization, development, and implementation processes of the newly established Korean Cardiac Arrest Resuscitation Consortium (KoCARC) to improve out-of-hospital cardiac arrest (OHCA) outcomes.
METHODS
The KoCARC was established in 2014 by recruiting hospitals willing to participate voluntarily. To enhance professionalism in research, seven research committees, the Epidemiology and Preventive Research Committee, Community Resuscitation Research Committee, Emergency Medical System Resuscitation Research Committee, Hospital Resuscitation Research Committee, Hypothermia and Postresuscitation Care Research Committee, Cardiac Care Resuscitation Committee, and Pediatric Resuscitation Research Committee, were organized under a steering committee. The KoCARC registry was developed with variables incorporated in the currently existing regional OHCA registries and Utstein templates and were collected via a web-based electronic database system. The KoCARC study population comprises patients visiting the participating hospitals who had been treated by the emergency medical system for OHCA presumed to have a cardiac etiology.
RESULTS
A total of 62 hospitals volunteered to participate in the KoCARC, which captures 33.0% of the study population in Korea. Web-based data collection started in October 2015, and to date (December 2016), there were 3,187 cases compiled in the registry collected from 32 hospitals.
CONCLUSION
The KoCARC is a self-funded, voluntary, hospital-based collaborative research network providing high level evidence in the field of OHCA and resuscitation. This paper will serve as a reference for subsequent KoCARC manuscripts and for data elements collected in the study.

Keyword

Out-of-hospital cardiac arrest; Cardiopulmonary resuscitation; Research
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